Factors associated with insomnia among Chinese front-line nurses fighting against COVID-19 in Wuhan: A cross-sectional survey
Yuxin Zhan BSc, RN
Chief Nurse
Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorYunfang Liu MSc, RN
Senior Nurse
Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorHuan Liu BSc, RN
Senior Nurse
Department of Nursing, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu, China
Search for more papers by this authorMei Li BSc, RN
Senior Nurse
Department of Intensive Care Unit, The Central Hospital of Wuhan Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorYue Shen MSc, RN
Senior Nurse
Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, China
Search for more papers by this authorLingli Gui BSc, RN
Deputy Chief Nurse
Nursing Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Wuhan, China
Search for more papers by this authorJun Zhang BSc, RN
Senior Nurse
Department of Pain, Affiliated Hospital of Jianghan University, Wuhan, China
Search for more papers by this authorZhihua Luo BSc, RN
Deputy Chief Nurse
Neurosurgery Department, Wuhan NO. 1 Hospital, Wuhan, China
Search for more papers by this authorXiubin Tao MSc, RN
Nursing Director, Associate Professor of Nursing
Department of Nursing, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu, China
Search for more papers by this authorCorresponding Author
Jiaohua Yu MSc, RN
Vice Nursing Director, Associate Professor of Nursing
Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Correspondence
Jiaohua Yu, Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China.
Email: [email protected]
Search for more papers by this authorYuxin Zhan BSc, RN
Chief Nurse
Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorYunfang Liu MSc, RN
Senior Nurse
Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorHuan Liu BSc, RN
Senior Nurse
Department of Nursing, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu, China
Search for more papers by this authorMei Li BSc, RN
Senior Nurse
Department of Intensive Care Unit, The Central Hospital of Wuhan Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Search for more papers by this authorYue Shen MSc, RN
Senior Nurse
Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, China
Search for more papers by this authorLingli Gui BSc, RN
Deputy Chief Nurse
Nursing Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Wuhan, China
Search for more papers by this authorJun Zhang BSc, RN
Senior Nurse
Department of Pain, Affiliated Hospital of Jianghan University, Wuhan, China
Search for more papers by this authorZhihua Luo BSc, RN
Deputy Chief Nurse
Neurosurgery Department, Wuhan NO. 1 Hospital, Wuhan, China
Search for more papers by this authorXiubin Tao MSc, RN
Nursing Director, Associate Professor of Nursing
Department of Nursing, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu, China
Search for more papers by this authorCorresponding Author
Jiaohua Yu MSc, RN
Vice Nursing Director, Associate Professor of Nursing
Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Correspondence
Jiaohua Yu, Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan, 430022, China.
Email: [email protected]
Search for more papers by this authorYuxin Zhan and Yunfang Liu are co-first authors contributed equally to this work and their contributions are the same.
Funding information
The author(s) received no financial support for the research, authorship and/or publication of this article.
Abstract
Aim
To investigate the prevalence of insomnia among front-line nurses fighting against COVID-19 in Wuhan, China, and analyse its influencing factors.
Background
Insomnia is an important factor that can affect the health and work quality of nurses. However, there is a lack of big-sample studies exploring factors that affect the insomnia of nurses fighting against COVID-19.
Method
This cross-sectional study using the Ascension Insomnia Scale, Fatigue Scale-14 and Perceived Stress Scale took place in March 2020. Participants were 1,794 front-line nurses from four tertiary-level general hospitals.
Results
The prevalence of insomnia among participants was 52.8%. Insomnia was predicted by gender, working experience, chronic diseases, midday nap duration, direct participation in the rescue of patients with COVID-19, frequency of night shifts, professional psychological assistance during the pandemic, negative experiences (such as family, friends or colleagues being seriously ill or dying due to COVID-19), the degree of fear of COVID-19, fatigue and perceived stress.
Conclusion
The level of insomnia among participants was higher than the normal level. Interventions based on influencing factors should be implemented to ensure nurses’ sleep quality.
Implications for Nursing Management
An in-depth understanding of the influencing factors of insomnia among front-line nurses can help nurse managers develop solutions to improve front-line nurses’ sleep quality, which will enhance the physical and mental conditions of nurses and promote the quality of care.
CONFLICT OF INTEREST
None.
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