The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis.
The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis.
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DOI：
10.1186/s12992-020-00620-0
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发表时间：
2020-09-29
影响因子：
10.8
通讯作者：
Hosseinian-Far M
中科院分区：
文献类型：
--
作者：
Salari N;Khazaie H;Hosseinian-Far A;Ghasemi H;Mohammadi M;Shohaimi S;Daneshkhah A;Khaledi-Paveh B;Hosseinian-Far M
在所有流行病中，医护人员都是病原体造成的风险和损害的中心。如今，面对COVID-19大流行，护士和医生面临着前所未有的工作压力，导致压力、焦虑和睡眠障碍等多种心理障碍。本研究的目的是调查面对 COVID-19 患者的医院护士和医生睡眠障碍的患病率。根据 PRISMA 标准进行系统评价和荟萃分析。 PubMed、Scopus、Science direct、Web of science、CINHAL、Medline 和 Google Scholar 数据库的检索时间不低于 2020 年 6 月 24 日。使用 I2 检验测量研究的异质性，并通过 Egger 检验以 0.05 的显着性水平评估发表偏倚。采用I2检验评价入选研究的异质性，根据I2检验的结果，护士和医生睡眠障碍的患病率分别为I2：97.4%和I2：97.3%。经过系统评价流程后，选择了 7 项横断面研究进行荟萃分析。对样本量为 3745 名护士的六项研究进行了检查，睡眠障碍的患病率约为 34.8%（95% CI：24.8-46.4%）。 5 项研究的样本量为 2123 名医生，还测量了医生睡眠障碍的患病率。结果显示，照顾 COVID-19 患者的医生睡眠障碍的患病率为 41.6%（95% CI：27.7-57%）。医护人员作为抗击 COVID-19 的前线，比社会其他群体更容易受到这种疾病的有害影响。工作压力的增加会增加医务人员的睡眠障碍，尤其是护士和医生。换句话说，由于接触 COVID-19 而增加的压力会增加护士和医生睡眠障碍的患病率。因此，卫生政策制定者必须提供解决方案和干预措施，以减轻工作场所的压力和医务人员的压力。
In all epidemics, healthcare staff are at the centre of risks and damages caused by pathogens. Today, nurses and physicians are faced with unprecedented work pressures in the face of the COVID-19 pandemic, resulting in several psychological disorders such as stress, anxiety and sleep disturbances. The aim of this study is to investigate the prevalence of sleep disturbances in hospital nurses and physicians facing the COVID-19 patients. A systematic review and metanalysis was conducted in accordance with the PRISMA criteria. The PubMed, Scopus, Science direct, Web of science, CINHAL, Medline, and Google Scholar databases were searched with no lower time-limt and until 24 June 2020. The heterogeneity of the studies was measured using I2 test and the publication bias was assessed by the Egger’s test at the significance level of 0.05. The I2 test was used to evaluate the heterogeneity of the selected studies, based on the results of I2 test, the prevalence of sleep disturbances in nurses and physicians is I2: 97.4% and I2: 97.3% respectively. After following the systematic review processes, 7 cross-sectional studies were selected for meta-analysis. Six studies with the sample size of 3745 nurses were examined in and the prevalence of sleep disturbances was approximated to be 34.8% (95% CI: 24.8-46.4%). The prevalence of sleep disturbances in physicians was also measured in 5 studies with the sample size of 2123 physicians. According to the results, the prevalence of sleep disturbances in physicians caring for the COVID-19 patients was reported to be 41.6% (95% CI: 27.7-57%). Healthcare workers, as the front line of the fight against COVID-19, are more vulnerable to the harmful effects of this disease than other groups in society. Increasing workplace stress increases sleep disturbances in the medical staff, especially nurses and physicians. In other words, increased stress due to the exposure to COVID-19 increases the prevalence of sleep disturbances in nurses and physicians. Therefore, it is important for health policymakers to provide solutions and interventions to reduce the workplace stress and pressures on medical staff.
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DOI：
10.23750/abm.v91i2.9619
发表时间：
2020-05-11
期刊：
Acta bio-medica : Atenei Parmensis
影响因子：
--
作者：
Amerio A;Bianchi D;Santi F;Costantini L;Odone A;Signorelli C;Costanza A;Serafini G;Amore M;Aguglia A
通讯作者：
Aguglia A
影响因子：
4.5
作者：
Moll SE
通讯作者：
Moll SE
影响因子：
10.7
作者：
Shereen, Muhammad Adnan;Khan, Suliman;Siddique, Rabeea
通讯作者：
Siddique, Rabeea
爆发期间，护士的精神病发病率和心理适应性的患病率：台湾的一项前瞻性和周期性评估研究。
影响因子：
4.8
作者：
Su TP;Lien TC;Yang CY;Su YL;Wang JH;Tsai SL;Yin JC
通讯作者：
Yin JC
影响因子：
3.7
作者：
Silva-Costa, Aline;Griep, Rosane Haerter;Rotenberg, Lucia
通讯作者：
Rotenberg, Lucia