Insomnia status and influencing factors of 504 clinical nurses fighting against coronavirus disease 2019

ABSTRACT

Objective To investigate the insomnia status and the related influencing factors of clinical nurses fighting against coronavirus disease 2019 (COVID-19) in Wuhan, so as to provide references for targeted psychological intervention during the prevention and control of the COVID-19 epidemic. Methods Convenience sampling method was conducted among clinical nurses fighting against COVID-19 in the Zhongnan Hospital of Wuhan University from Mar. 3 to 7, 2020. General information questionnaire, Athens insomnia scale (AIS) and patient health questionnaire (PHQ-9) were used, and multivariate linear regression analysis was conducted to analyze the influencing factors of insomnia in clinical nurses fighting against COVID-19. Results A total of 521 questionnaires were collected, including 504 valid ones, with an effective rate of 96.74%. The AIS score was 6 (3, 9), of which 352 (69.84%) had sleep disorder;the PHQ-9 score was 6 (2, 9), of which 292 (57.94%) had different degrees of depression. Professional title, total working time at epidemic frontline, whether the direct relatives diagnosed as COVID-19 or not, fear of the COVID-19 epidemic and depression level were included in the regression equation (all P＜0.05), which explained 56.2% of the total variation of insomnia in clinical nurses fighting against COVID-19. Conclusion Insomnia is common among clinical nurses fighting against COVID-19 in Wuhan, and the related influencing factors are complex. Nursing administrators should pay attention to the insomnia status of clinical nurses fighting against COVID-19, and all-round and effective interventions should be carried out in time, so as to improve the sleep quality of nurses.