Li Lu1,2,3, Ka-In Lok4, Qinge Zhang5, Ling Zhang5, Yifan Xiang6, Gabor S Ungvari7,8, Brian J Hall9, Feng-Rong An5, Yu-Tao Xiang1,2. 1. Center for Cognition and Brain Sciences, University of Macau, Macau SAR, China. 2. Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China. 3. Team IETO, Bordeaux Population Health Research Center, UMR U1219, INSERM, Université de Bordeaux, Bordeaux, France. 4. Kiang Wu Nursing College of Macau, Macau SAR, China. 5. The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. 6. Pui Ching Middle School Macau, Macao SAR, China. 7. Division of Psychiatry, School of Medicine, University of Western Australia, Perth, WA, Australia. 8. University of Notre Dame Australia, Fremantle, WA, Australia. 9. Global and Community Mental Health Research Group, New York University (Shanghai), Shanghai, China.
Abstract
BACKGROUND: Sleep disturbance is associated with a number of negative adverse outcomes. This study examined the prevalence of sleep disturbance and its association with demographic and clinical characteristics and quality of life (QOL) in psychiatric nurses in China. METHODS: This is a multi-center, cross-sectional study involving 11 psychiatric hospitals in China. Three types of sleep disturbance (difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS) and early-morning awakening (EMA)) and QOL were measured by standardized questions or instruments. RESULTS: A total of 1,847 psychiatric nurses participated. The overall prevalence of at least one type of sleep disturbance was 71.5% (95% CI [69.3-73.5]); the prevalence of DIS, DMS and EMA was 58.5% (95% CI [56.2-60.8]), 53.7% (95% CI [51.4-56.0]) and 54.6% (95% CI [52.3-56.9]), respectively. Nurses with sleep disturbance had significantly lower QOL in physical (F (1, 1,846) = 219.12, P < 0.001), psychological (F (1, 1,846) = 72.18, P < 0.001), social (F (1, 1,846) = 37.57, P < 0.001) and environmental domains (F (1, 1,846) = 95.45, P < 0.001). Multivariable logistic regression analyses revealed that shift work (DIS, OR = 1.6, 95% CI [1.28-1.98]; DMS, OR = 1.2, 95% CI [1.001-1.54]; EMA, OR = 1.3, 95% CI [1.02-1.58]) and alcohol use (DIS, OR = 1.8, 95% CI [1.46-2.32]; DMS, OR = 1.8, 95% CI [1.43-2.23]; EMA, OR = 1.7, 95% CI [1.33-2.07]) were positively associated with sleep disturbance, while higher monthly income (DIS, OR = 0.5, 95% CI [0.38-0.75]; DMS, OR = 0.7, 95% CI [0.51-0.98]) was negatively associated with sleep disturbance. CONCLUSION: Sleep disturbance was common among nurses in psychiatric hospitals in China, particularly those on shifts and having alcohol use. Health authorities should develop effective measures to reduce risk of sleep disturbance in this population.
BACKGROUND: Sleep disturbance is associated with a number of negative adverse outcomes. This study examined the prevalence of sleep disturbance and its association with demographic and clinical characteristics and quality of life (QOL) in psychiatric nurses in China. METHODS: This is a multi-center, cross-sectional study involving 11 psychiatric hospitals in China. Three types of sleep disturbance (difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS) and early-morning awakening (EMA)) and QOL were measured by standardized questions or instruments. RESULTS: A total of 1,847 psychiatric nurses participated. The overall prevalence of at least one type of sleep disturbance was 71.5% (95% CI [69.3-73.5]); the prevalence of DIS, DMS and EMA was 58.5% (95% CI [56.2-60.8]), 53.7% (95% CI [51.4-56.0]) and 54.6% (95% CI [52.3-56.9]), respectively. Nurses with sleep disturbance had significantly lower QOL in physical (F (1, 1,846) = 219.12, P < 0.001), psychological (F (1, 1,846) = 72.18, P < 0.001), social (F (1, 1,846) = 37.57, P < 0.001) and environmental domains (F (1, 1,846) = 95.45, P < 0.001). Multivariable logistic regression analyses revealed that shift work (DIS, OR = 1.6, 95% CI [1.28-1.98]; DMS, OR = 1.2, 95% CI [1.001-1.54]; EMA, OR = 1.3, 95% CI [1.02-1.58]) and alcohol use (DIS, OR = 1.8, 95% CI [1.46-2.32]; DMS, OR = 1.8, 95% CI [1.43-2.23]; EMA, OR = 1.7, 95% CI [1.33-2.07]) were positively associated with sleep disturbance, while higher monthly income (DIS, OR = 0.5, 95% CI [0.38-0.75]; DMS, OR = 0.7, 95% CI [0.51-0.98]) was negatively associated with sleep disturbance. CONCLUSION: Sleep disturbance was common among nurses in psychiatric hospitals in China, particularly those on shifts and having alcohol use. Health authorities should develop effective measures to reduce risk of sleep disturbance in this population.
Authors: Erik von Elm; Douglas G Altman; Matthias Egger; Stuart J Pocock; Peter C Gøtzsche; Jan P Vandenbroucke Journal: Prev Med Date: 2007-09-04 Impact factor: 4.018
Authors: Feng-Rong An; Yun-Ke Qi; Jiao-Ying Zeng; Yan-Ming Ding; Helen F K Chiu; Gabor S Ungvari; Robin Newhouse; Doris S F Yu; Kelly Y C Lai; Yu-Tao Xiang Journal: Perspect Psychiatr Care Date: 2015-01-30 Impact factor: 2.186
Authors: Alejandro Porras-Segovia; María M Pérez-Rodríguez; Pilar López-Esteban; Philippe Courtet; María L Barrigón M; Jorge López-Castromán; Jorge A Cervilla; Enrique Baca-García Journal: Sleep Med Rev Date: 2018-12-11 Impact factor: 11.609
Authors: Dana Shiffer; Maura Minonzio; Franca Dipaola; Mattia Bertola; Antonio Roberto Zamuner; Laura Adelaide Dalla Vecchia; Monica Solbiati; Giorgio Costantino; Raffaello Furlan; Franca Barbic Journal: Int J Environ Res Public Health Date: 2018-09-18 Impact factor: 3.390