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Ye L, Zhang F, Wang L, Chen Y, Shi J, Cai T. Identification of the risk factors for insomnia in nurses with long COVID-19. BMC Nurs 2024; 23:532. [PMID: 39097692 PMCID: PMC11298081 DOI: 10.1186/s12912-024-02212-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Accepted: 07/30/2024] [Indexed: 08/05/2024] Open
Abstract
PURPOSE To investigate the prevalence of insomnia among nurses with long COVID-19, analyze the potential risk factors and establish a nomogram model. METHODS Nurses in Ningbo, China, were recruited for this study. General demographic information and insomnia, burnout, and stress assessment scores were collected through a face-to face questionnaire survey administered at a single center from March to May 2023. We used LASSO regression to identify potential factors contributing to insomnia. Then, a nomogram was plotted based on the model chosen to visualize the results and evaluated by receiver operating characteristic curves and calibration curves. RESULTS A total of 437 nurses were recruited. 54% of the nurses had insomnia according to the Insomnia Severity Index (ISI) score. Eleven variables, including family structure, years of work experience, relaxation time, respiratory system sequelae, nervous system sequelae, others sequelae, attitudes toward COVID-19, sleep duration before infection, previous sleep problems, stress, and job burnout, were independently associated with insomnia. The R-squared value was 0.464, and the area under the curve was 0.866. The derived nomogram showed that neurological sequelae, stress, job burnout, sleep duration before infection, and previous sleep problems contributed the most to insomnia. The calibration curves showed significant agreement between the nomogram models and actual observations. CONCLUSION This study focused on insomnia among nurses with long COVID-19 and identified eleven risk factors related to nurses' insomnia. A nomogram model was established to illustrate and visualize these factors, which will be instrumental in future research for identifying nurses with insomnia amid pandemic normalization and may increase awareness of the health status of healthcare workers with long COVID-19.
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Affiliation(s)
- Lingxiao Ye
- Department of Nursing, Ningbo Medical Centre LiHuili Hospital, Ningbo University, Ningbo, China
| | - Feng Zhang
- School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, China
| | - Lili Wang
- Department of Nursing, Ningbo Medical Centre LiHuili Hospital, Ningbo University, Ningbo, China
- School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, China
| | - Yufei Chen
- Department of Nursing, Ningbo Medical Centre LiHuili Hospital, Ningbo University, Ningbo, China
| | - Jiaran Shi
- Department of Cardiology, Ningbo Medical Centre LiHuili Hospital, Ningbo University, Ningbo, China.
| | - Tingting Cai
- School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, China.
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Yuan D, Hu M, Yao N, Zhong H, Xiao Y, Zhou X, Zhang R, Zhang Y. Effects of perceived stress on turnover intention of female healthcare staff: a serial multiple mediation model. BMC Public Health 2024; 24:1198. [PMID: 38685094 PMCID: PMC11059584 DOI: 10.1186/s12889-024-18654-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Accepted: 04/18/2024] [Indexed: 05/02/2024] Open
Abstract
BACKGROUND Healthcare staff in China, especially females, work in a high-pressure, high-load, and high-risk environment, which affects the physical and mental health, the efficiency and quality of work, and increases turnover intention. The present study investigated the relationship between perceived stress and turnover intention in female healthcare staff, and the effects of future-oriented coping and work-family balance on this relationship. METHODS Four hundred thirty-five female medical workers were recruited to perform a perceived stress scale, future-oriented coping inventory, work-family balance scale and turnover intention scale. Meanwhile, serial multiple mediation analysis was performed using PROCESS. RESULTS 1) Perceived stress positively predicted the level of turnover intention in female healthcare staff; 2) Preventive coping and proactive coping showed mediation effects on the relationship between perceived stress and turnover intention, and preventive coping positively related to proactive coping; 3) The work-family balance also showed mediation effects on the relationship between perceived stress and turnover intention; 4) Preventive coping, proactive coping and work-family balance showed a serial multiple mediation on the relationship between perceived stress and turnover intention in female healthcare workers. CONCLUSIONS Perceived stress affects the level of turnover intention in female healthcare staff through preventive coping, proactive coping, and work-family balance. In addition, the sequential model of future-oriented coping was validated among female healthcare staff.
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Affiliation(s)
- Dongling Yuan
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, 139 Renmin Rd, Changsha, 410011, Hunan, China
| | - Muli Hu
- Department of Human Resources, the Second Xiangya Hospital, Central South University, Changsha, 410011, China
| | - Na Yao
- Department of Human Resources, the Second Xiangya Hospital, Central South University, Changsha, 410011, China
| | - Huiyuan Zhong
- Department of Human Resources & Office of Talents Recruitment and Development of Central, South University, Changsha, 410011, China
| | - Yinghong Xiao
- Central South University Education Foundation, Changsha, 410011, China
| | - Xiao Zhou
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, 139 Renmin Rd, Changsha, 410011, Hunan, China
| | - Ruoyi Zhang
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, 139 Renmin Rd, Changsha, 410011, Hunan, China
| | - Yi Zhang
- Medical Psychological Center, the Second Xiangya Hospital, Central South University, 139 Renmin Rd, Changsha, 410011, Hunan, China.
- Medical Psychological Institute, Central South University, Changsha, 410011, China.
- National Clinical Research Center On Mental Disorders (Xiangya), Changsha, 410011, China.
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3
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Tong LK, Au ML, Zheng MR, Liu YB, Fu GL, Li YY. The effect of family health on suboptimal health status: The parallel mediation role of sleep quality and health behaviour. J Glob Health 2024; 14:04071. [PMID: 38574356 PMCID: PMC10994672 DOI: 10.7189/jogh.14.04071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/06/2024] Open
Abstract
Background The prevalence of suboptimal health status has been increasing worldwide, posing a significant challenge to public health. Meanwhile, family health has been recognised as an important factor influencing individual health outcomes. However, the mechanisms through which family health affects suboptimal health status remain unclear. We aimed to investigate the parallel mediation role of sleep quality and health behaviour in the relationship between family health and suboptimal health status. Methods We conducted a cross-sectional online survey with a sample of adults >18 years old from four provinces in China. The survey questionnaires queried their demographic characteristics, family health, suboptimal health status, sleep quality, and health behaviour. We assessed family health by the Family Health Scale-Short Form and suboptimal health status using the Suboptimal Health Status Questionnaire. We employed structural equation modelling to analyse the data and test the proposed mediation model. Results we collected 4918 valid questionnaires. The mean age of the participants was 30.1 years (standard deviation = 12.5). The correlation analysis demonstrated a significant negative association between family health and suboptimal health status (r = -0.44; P < 0.001). The results of the parallel mediation analysis showed that family health had a significant indirect effect on suboptimal health status through both sleep quality (β = -0.350; P < 0.001) and health behaviour (β = -0.137; P < 0.001). The total indirect effect of family health on suboptimal health status through both sleep quality and health behaviour was also significant (β = -0.569, P < 0.001). Conclusions This study highlights the significance of family health as a predictor of suboptimal health status and suggests that sleep quality and health behaviour are parallel mediators in this relationship. By understanding the role of family health, sleep quality, and health behaviour, interventions can be targeted to improve overall health outcomes.
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Affiliation(s)
- Lai Kun Tong
- Research Management and Development Department, Kiang Wu Nursing College of Macau, Macao, China
| | - Mio Leng Au
- Education Department, Kiang Wu Nursing College of Macau, Macao, China
| | - Mu Rui Zheng
- Faculty of Health Sciences, University of Macau, Macao, China
| | - Yong Bing Liu
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Guang Lei Fu
- Infectious Disease Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
| | - Yue Yi Li
- Education Department, Kiang Wu Nursing College of Macau, Macao, China
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Salimi S, Özel S. Insights for enhancing resilience in prolonged crises: impact of COVID-19 pandemic on nurses' quality of life. BMJ LEADER 2024:leader-2023-000886. [PMID: 38071578 DOI: 10.1136/leader-2023-000886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 11/23/2023] [Indexed: 01/24/2024]
Abstract
AIMS AND BACKGROUND The COVID-19 pandemic has had adverse effects on nurses, impacting them physically, mentally and psychosocially. These effects stem from heightened workloads, fears of contracting a life-threatening illness due to inadequate protective equipment and concerns about transmitting the disease to their families. This study assessed the impact of COVID-19 on the quality of life of nurses working on the frontlines, aiming to provide insights for future crisis responses. METHODS A descriptive-analytic study included 288 nurses from hospitals affiliated with Çukurova University, Southern Turkey using a stratified sampling method. Data on quality of life and demographics were collected using the WHO Quality of Life-BREF scale and a questionnaire. Data analysis was conducted using SPSS V.25, employing descriptive and analytic measures at a significance level of p<0.05. RESULTS Overall perceived quality of life was moderate (mean score: 3.31; SD: 0.56), with the highest scores in social relationships, psychological well-being and environmental factors. Positive correlations were found with gender, education, salary, vaccination status and living alone. Negative correlations were observed with alcohol consumption and longer working hours. CONCLUSIONS To strengthen future crisis responses, health authorities should prioritise workload reduction, gender diversity promotion, support for nurses residing with family, better income opportunities, alcohol abstinence encouragement and ensuring vaccination for frontline nurses.
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Affiliation(s)
| | - Selman Özel
- Çukurova Üniversitesi Tıp Fakültesi, Adana, Turkey
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Kasidouli A, Matziou V, Zyga S, Kasimis I, Boutopoulou V, Vlachioti E, Deli C, Perdikaris P. Occupational Stress of Pediatric Emergency Nurses in Greece During the COVID-19 Pandemic. Adv Emerg Nurs J 2024; 46:82-89. [PMID: 38285426 DOI: 10.1097/tme.0000000000000499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Abstract
During the COVID-19 pandemic, numerous studies have shown the high prevalence of occupational stress (OS) of health workers, affecting the quality of health care provided. To date, there is no study regarding OS of emergency care pediatric nurses working in Greece. This study aimed to examine the pediatric nurses' OS working in tertiary public hospitals in Greece. In this cross-sectional study, a total of 104 pediatric nurses were recruited randomly from summer 2020 to summer 2021. The Expanded Nursing Stress Scale (ENSS), which consists of 59 items grouped into nine categories, was used to assess nurses OS. The overall OS mean score was 141.04 (SD = 33.48), indicating mild stress. Among nine categories, pediatric nurses were more stressed about patients and families (mean = 22.83, SD = 5.71), as well as death and dying (mean = 19.33, SD = 5.22), whereas they were less stressed about discrimination (mean = 4.21, SD = 4.09) and problems with peer support (mean = 12.11, SD = 4.58). Sex, age, and shifts did not correlate with OS. Borderline correlation was present between age and inadequate emotional preparation for less experienced nurses (p = 0.047), while higher educated pediatric nurses were more stressed because of workload than lower educated pediatric nurses (p = 0.044). Greek pediatric nurses suffered mild OS during the COVID-19 pandemic. There is a great need for further research and implementation of supportive sustainable programs aimed to the minimization of OS and the optimization of health care provided during and after the COVID-19 pandemic.
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Affiliation(s)
- Areti Kasidouli
- General University Hospital of Larissa, Larissa, Greece (Ms Kasidouli); Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece (Drs Matziou and Boutopoulou); Department of Nursing, School of Health Sciences, University of Peloponnese, Tripolis, Greece (Drs Zyga and Perdikaris); General Hospital of Ioannina "G. Hatzikosta," Ioannina, Greece (Dr Kasimis); Children's General Hospital "Agia Sophia," Athens, Greece (Dr Vlachioti); and Children's General Hospital "P & A Kyriakou," Athens, Greece (Dr Deli)
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Alrjoub W, Alarjeh G, Ammar K, Shamieh A, Harding R, Booth C, Sullivan R, Al-ruzzieh M, Mansour A, Shamieh O. Stress, resilience, and moral distress among health care providers in oncology during the COVID-19 pandemic. Front Public Health 2023; 11:1288483. [PMID: 38192554 PMCID: PMC10773806 DOI: 10.3389/fpubh.2023.1288483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 11/02/2023] [Indexed: 01/10/2024] Open
Abstract
Background The coronavirus pandemic has potential implications for stress levels and resilience among oncology healthcare professionals (HCPs). This study aims to assess perceived stress, resilience, and moral distress levels among oncology HCPs in Jordan during the pandemic and identify associated risk factors. Methods An online cross-sectional survey was conducted among oncology HCPs in Jordan using three validated tools: Perceived Stress Scale (PSS), Connor-Davidson Resilience Scale (CD-RSIC), and Moral Distress Thermometer (MDT). Seven items were used to assess sources of stress. Results A total of 965 participants enrolled with a 74% response rate. The participants' ages ranged from 20 to 74 (mean = 32.74, SD = 5.197), with 79.1% males, 45.1% were physicians, 32.6% were public hospital workers, 57.1% were married, and 56.6% had children below 18 years. Findings indicated moderate perceived stress (Mean = 15.87, SD = 5.861), low resilience (Mean = 29.18, SD = 5.197), and high moral distress (Mean = 4.72, SD = 2.564). Females, unmarried individuals, and younger age groups exhibited higher PSS (p = 0.009, p < 0.001, and P<0.001) and lower resilience (p = 0.024, p = 0.034, and p = 0.001). Not having children below 18 years correlated with higher perceived stress (P < 0.001). In linear regression analysis, age and gender emerged as significant predictors of both perceived stress and resilience. Female participants reported stress related to the risk of contracting COVID-19 (p = 0.001), transmitting it to others (p = 0.017), social isolation (P < 0.001), and having children at home due to school closures (p = 0.000). A cohort of 239 participants repeated the survey within a two-month interval, revealed a statistically significant decrease in the CD-RISC scores (p < 0.001). Conclusion Oncology HCPs in Jordan experienced moderate stress, high moral distress, and poor resilience during the COVID-19 pandemic. These factors may negatively affect the quality of oncology care. Urgent measures are necessary to support HCPs in coping with unforeseen circumstances in the future.
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Affiliation(s)
- Waleed Alrjoub
- Centre for Palliative and Cancer Care in Conflict (CPCCC), King Hussein Cancer Centre (KHCC), Amman, Jordan
| | - Ghadeer Alarjeh
- Centre for Palliative and Cancer Care in Conflict (CPCCC), King Hussein Cancer Centre (KHCC), Amman, Jordan
| | - Khawlah Ammar
- Centre of Research Shared Resources, King Hussein Cancer Centre (KHCC), Amman, Jordan
| | | | - Richard Harding
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King’s College London, Cicely Saunders Institute, London, United Kingdom
| | - Christopher Booth
- Faculty of Health Sciences, Cancer Care and Epidemiology, Queen's University, Kingston, ON, Canada
| | - Richard Sullivan
- Institute of Cancer Policy, King’s College London, London, United Kingdom
| | | | - Asem Mansour
- Director General’s Office, King Hussein Cancer Center, Amman, Jordan
| | - Omar Shamieh
- Centre for Palliative and Cancer Care in Conflict (CPCCC), King Hussein Cancer Centre (KHCC), Amman, Jordan
- Faculty of Medicine, The University of Jordan, Amman, Jordan
- Department of Palliative Care, King Hussein Cancer Centre (KHCC), Amman, Jordan
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7
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Pachi A, Tselebis A, Sikaras C, Sideri EP, Ivanidou M, Baras S, Milionis C, Ilias I. Nightmare distress, insomnia and resilience of nursing staff in the post-pandemic era. AIMS Public Health 2023; 11:36-57. [PMID: 38617404 PMCID: PMC11007420 DOI: 10.3934/publichealth.2024003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 12/10/2023] [Accepted: 12/11/2023] [Indexed: 04/16/2024] Open
Abstract
Introduction The pandemic has led to notable psychological challenges among healthcare professionals, including nurses. Objective Our aims of this study were to assess insomnia and nightmare distress levels in nurses and investigate their association with mental resilience. Methods Nurses participated in an online survey, which included the Nightmare Distress Questionnaire (NDQ), Brief Resilience Scale (BRS) and Athens Insomnia Scale (AIS). Demographic information, such as age, professional experience and gender, was also collected. Results The study included 355 female and 78 male nurses. Findings revealed that 61.4% had abnormal AIS scores, 7% had abnormal NDQ scores and 25.4% had low BRS scores. Female nurses had higher AIS and NDQ scores but lower BRS scores compared to males. BRS demonstrated negative correlations with both AIS and NDQ. Multiple regression analysis indicated that NDQ accounted for 24% of the AIS variance, with an additional 6.5% explained by the BRS. BRS acted as a mediator, attenuating the impact of nightmares on insomnia, with gender moderating this relationship. Conclusions Nursing staff experienced heightened sleep disturbances during the pandemic, with nightmares and insomnia being prevalent. Nightmares significantly contributed to insomnia, but mental resilience played a vital role in mitigating this effect. Strategies are warranted to address the pandemic's psychological impact on nursing professionals.
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Affiliation(s)
- Argyro Pachi
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Athanasios Tselebis
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Christos Sikaras
- Nursing Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Eleni Paraskevi Sideri
- Emergency Department of General Hospital of Athens Korgialeneio-Benakeio Hellenic Red Cross, 11526, Athens, Greece
| | - Maria Ivanidou
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Spyros Baras
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | | | - Ioannis Ilias
- Department of Endocrinology, “Elena Venizelou” Hospital, 11521 Athens, Greece
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Yang L, Liu J, Liu Q, Wang Y, Yu J, Qin H. The relationships among symptom experience, family support, health literacy, and fear of progression in advanced lung cancer patients. J Adv Nurs 2023; 79:3549-3558. [PMID: 37139634 DOI: 10.1111/jan.15692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 04/07/2023] [Accepted: 04/23/2023] [Indexed: 05/05/2023]
Abstract
AIMS Fear of progression of cancer patients can affect their psychological well-being, while research on fear of progression of advanced lung cancer patients is limited. This study aimed to describe fear of progression among advanced lung cancer patients and explore the relationships among symptom experience, family support, health literacy, and fear of progression. DESIGN This study was a cross-sectional study. METHODS Convenience sampling was used to select advanced lung cancer patients from September 2021 to January 2022. The Chinese version of the Fear of Progression Questionnaire-Short Form, Lung Cancer Module of the MD Anderson Symptom Inventory, Family Support Questionnaire, and Health Literacy Scale for Patients with Chronic Disease were used to collect data. The structural equation modelling was used to analyse the relationships among symptom experience, family support, health literacy, and fear of progression. RESULTS Of 220 patients, 31.8% had dysfunctional fear of progression. Better symptom experience, higher family support, and higher health literacy were correlated directly with lower fear of progression. Higher health literacy was associated indirectly with lower fear of progression through the mediation of better symptom experience. CONCLUSION Fear of progression among advanced lung cancer patients needs attention. Strengthening symptom management, building a strong system of family support, and improving patients' health literacy may be effective strategies to reduce fear of progression. IMPACT The research aimed to increase our understanding of the relationships among symptom experience, family support, health literacy, and fear of progression. Fear of progression screening should be integrated into the healthcare trajectory of advanced lung cancer patients. The results emphasize that improving symptom management, family support, and health literacy is important to alleviate fear of progression. Further interventions are warranted to relieve fear of progression for advanced lung cancer patients. PATIENT OR PUBLIC CONTRIBUTION No public or patient involvement.
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Affiliation(s)
- Limin Yang
- School of Nursing, Sun Yat-Sen University, Guangzhou, P.R. China
| | - Jiali Liu
- Department of Nursing, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, P.R. China
| | - Qi Liu
- School of Nursing, Sun Yat-Sen University, Guangzhou, P.R. China
| | - Yalan Wang
- Department of Medical Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, P.R. China
| | - Juan Yu
- Department of Medical Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, P.R. China
| | - Huiying Qin
- Department of Nursing, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center, Guangzhou, P.R. China
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Tao Y, Zhuang K, Liu T, Li H, Feng X. Effects of perceived stress, self-acceptance and social support on insomnia in hemodialysis patients: A cross-sectional study. J Psychosom Res 2023; 172:111402. [PMID: 37307748 DOI: 10.1016/j.jpsychores.2023.111402] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 05/29/2023] [Accepted: 06/05/2023] [Indexed: 06/14/2023]
Abstract
OBJECTIVE The aim of this study was to explore the influence of perceived stress, self-acceptance and social support on insomnia among hemodialysis patients in China. METHODS A cross-sectional study was conducted in Gansu, China, from May 2022 to July 2022. The Chinese Perceived Stress Scales (CPSS), Athens Insomnia Scale (AIS), Self-acceptance Questionnaire (SAQ), and Perceived Social Support Scale (PSSS) were evaluated in 610 hemodialysis patients. RESULTS The prevalence of insomnia among hemodialysis patients was 40.7% in this study. Insomnia was positively correlated with perceived stress (r = 0.742, P < 0.01), and negatively correlated with self-acceptance (r = -0.531, P < 0.01) and social support (r = -0.574, P < 0.01). Self-acceptance played a mediating role in perceived stress and insomnia, with the mediating effect accounting for 13.8% of the total effect. Social support played a moderating role in perceived stress and insomnia (β = -0.008, t = -5.112, P < 0.001). CONCLUSIONS The results of this study enrich the research on the influencing factors of insomnia in hemodialysis patients and provide theoretical basis and practical guidance for improving the sleep quality of hemodialysis patients.
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Affiliation(s)
- Yuxiu Tao
- Department of Joint Surgery, The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou, China
| | - Kaipeng Zhuang
- Department of Joint Surgery, The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou, China
| | - Tongcun Liu
- Blood Purification Center, The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou, China
| | - Hua Li
- Department of Burn and Orthopedic Surgery, The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou, China
| | - Xia Feng
- Department of Nursing, The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou, China.
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Rahman HH, Akinjobi Z, Gard C, Munson-McGee SH. Sleeping behavior and associated factors during COVID-19 in students at a Hispanic serving institution in the US southwestern border region. Sci Rep 2023; 13:11620. [PMID: 37464098 DOI: 10.1038/s41598-023-38713-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Accepted: 07/13/2023] [Indexed: 07/20/2023] Open
Abstract
Sleep is responsible for maintenance and regulatory functions in human physiology. Insufficient sleep has been associated with cardiovascular disease, weight gain, obesity, inflammation, and morbidity. University students are at high risk under normal circumstances of stress and anxiety due to extracurricular demands, competing pressures on student time, long study hours, and financial concerns. The COVID 19 pandemic has disrupted normal college students' lives adding stresses such as lost jobs and family responsibilities such as serving as caregivers, which disproportionally affect minority and rural student. This study aimed to assess the correlation of sleep disorders in New Mexico State University students during COVID 19 with selected variates including base demographics (e.g., gender, age, etc.), lifestyle metrics (e.g., employment status, discipline, class, etc.), living arrangements (e.g., housing type, number of children, etc.), alcohol and tobacco use, vaccination status, family COVID status, and family vaccination status. Single- and multi-factor logistic regressions were performed to analyze the data on the students. Qualtrics software was used to collect data on demographics and sleep disorders. R software was used for data analysis. Correlations were found between sleeping less, sleeping more, and disturbed sleep among several covariate categories. For all three responses, being married (sleeping less: OR = 0.342, 95% CI = 0.181-0.642, sleeping more: OR = 0.265, 95% CI = 0.111-0.591; disturbed sleeping: OR = 0.345, 95% CI = 0.182-0.650), frequency of feeling sleepy-very often (OR = 16.87, 95% CI = 6.571-47.434; OR = 8.393, 95% CI = 3.086-25.298; OR = 13.611, 95% CI = 5.409-36.975) and change in diet- quality decreased (OR = 7.304, 95% CI = 3.615-15.270; OR = 5.250, 95% CI = 2.309-12.558; OR = 4.181, 95% CI = 2.145-8.359) were all significant correlated to change in sleeping behavior. Other correlations were found among covariates and sleep changes. Several covariates were determined to be correlated with the effect of COVID-19 on sleeping.
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Affiliation(s)
- Humairat H Rahman
- Department of Public Health Sciences, New Mexico State University, Las Cruces, NM, 88003, USA.
| | - Zainab Akinjobi
- Department of Economics, Applied Statistics and International Business, New Mexico State University, Las Cruces, NM, 88003, USA
| | - Charlotte Gard
- Department of Economics, Applied Statistics and International Business, New Mexico State University, Las Cruces, NM, 88003, USA
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Tao Y, Liu T, Zhuang K, Fan L, Hua Y, Ni C. Perceived stress, social support, and insomnia in hemodialysis patients and their family caregivers: an actor-partner interdependence mediation model analysis. Front Psychol 2023; 14:1172350. [PMID: 37457101 PMCID: PMC10342196 DOI: 10.3389/fpsyg.2023.1172350] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 06/15/2023] [Indexed: 07/18/2023] Open
Abstract
Objectives Patients' and caregivers' physical and mental health may interact. The theory of dyadic illness management holds that patients and caregivers should be regarded as a whole in health management. Previous studies have found that hemodialysis patients and their family caregivers experience poor sleep quality. Perceived stress and social support have effects on insomnia. However, the dyadic interaction between perceived stress, social support, and insomnia among hemodialysis patients and caregivers is unclear. This study aimed to explore the mediating role of social support in the association between perceived stress and insomnia in hemodialysis patient-caregiver dyads. Methods A total of 259 hemodialysis patient-caregiver dyads completed the Chinese Perceived Stress Scales (CPSS), the Perceived Social Support Scale (PSSS), and the Athens Insomnia Scale (AIS) in Lanzhou, China, from May 2022 to July 2022. The actor-partner interdependence mediation model analysis was used for data analysis. Results In the actor effect, there was a significant positive correlation between perceived stress and insomnia in hemodialysis patients (β = 0.091, p = 0.001) and their family caregivers (β = 0.588, p < 0.001). Patient's and caregiver's social support played partial mediating roles in the relationship between caregiver's perceived stress and insomnia (β = 0.135, p < 0.001 and β = 0.111, p < 0.001). In the partner effect, caregiver's perceived stress was positively connected with patient's insomnia (β = 0.915, p < 0.001), and the mediating effect of patient's social support on the relationship between caregiver's perceived stress and patient's insomnia was statistically significant (β = -0.040, p = 0.046). Conclusion The perceived stress, social support and insomnia of hemodialysis patients and their family caregivers had interactive effects. Effective dyadic-based interventions should be developed to improve hemodialysis patients' and caregivers' sleep quality.
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Affiliation(s)
- Yuxiu Tao
- School of Nursing, Air Force Medical University, Xi’an, China
- Department of Joint Surgery, The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou, China
| | - Tongcun Liu
- Blood Purification Center, The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou, China
| | - Kaipeng Zhuang
- Department of Joint Surgery, The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou, China
| | - Lijuan Fan
- Department of Joint Surgery, The 940th Hospital of PLA Joint Logistics Support Force, Lanzhou, China
| | - Yan Hua
- School of Nursing, Air Force Medical University, Xi’an, China
| | - Chunping Ni
- School of Nursing, Air Force Medical University, Xi’an, China
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12
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Pachi A, Anagnostopoulou M, Antoniou A, Papageorgiou SM, Tsomaka E, Sikaras C, Ilias I, Tselebis A. Family support, anger and aggression in health workers during the first wave of the pandemic. AIMS Public Health 2023; 10:524-537. [PMID: 37842274 PMCID: PMC10567974 DOI: 10.3934/publichealth.2023037] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 05/24/2023] [Accepted: 05/31/2023] [Indexed: 10/17/2023] Open
Abstract
Introduction Anger is considered as one of the basic human emotions, constituting the affective component of aggression. In the first year of the pandemic, the intense pressure on healthcare workers resulted in the deterioration of their psychosocial problems. Objective The aim of this study is to investigate the relationship between family support, anger, and aggression. Methods The present study included physicians and nurses who completed an online survey of Dimensions of Anger Reactions-5 (DAR-5), a Brief Aggression Questionnaire (BAQ) and a Family Support Scale (FSS). Before completing the questionnaires, participants were asked to state their gender, years of work, age, and profession. Results Fifty-three men and 190 women participated in the study. Almost one-third of the participants had a positive score on the DAR-5 scale. Male participants displayed lower DAR-5 scores compared to women. Female participants displayed lower FSS scores compared to men, but higher scores when compared with earlier measures. Regression showed that 15.2% of the variance in BAQ scores can be explained by DAR-5 scores, with an additional 3.8% explained by FSS scores, while an additional 2.3% is explained by years of working experience. Mediation analysis highlighted the role of family support as a negative mediator in the DAR-5 and BAQ relationship. Conclusion During the first year of the pandemic, there was an increase in the sense of family support among female health workers. One-third of the participants displayed increased anger scores. Family support acts as a mediator by preventing anger derailing into aggression. In healthcare worker support programs, it seems necessary to entail a specific section on anger management.
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Affiliation(s)
- Argyro Pachi
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Maria Anagnostopoulou
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Athanasios Antoniou
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | | | - Effrosyni Tsomaka
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Christos Sikaras
- Nursing Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Ioannis Ilias
- Department of Endocrinology, “Elena Venizelou” Hospital, 11521 Athens, Greece
| | - Athanasios Tselebis
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
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13
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Fields NL, Schuman DL, Miller VJ, Kunz-Lomelin A, Kusmaul N, Anderson KA. "Knowing when it's time to take a break": Nursing home social workers' coping during COVID-19. AGING AND HEALTH RESEARCH 2023; 3:100144. [PMID: 37152276 PMCID: PMC10131885 DOI: 10.1016/j.ahr.2023.100144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 04/24/2023] [Accepted: 04/25/2023] [Indexed: 05/09/2023] Open
Abstract
Background Nursing home (NH) social workers face many challenges in meeting the psychosocial needs of residents while balancing their own well-being needs. Methods This study employed a cross-sectional survey of NH social workers via social media and professional networks about their coping strategies during COVID-19. Open-ended responses were analyzed qualitatively using the rigorous and accelerated data reduction technique (RADaR). Results The study included a sample of 63 (N = 63) NH social workers. Four themes defined ways the in which NH social workers coped with stress during COVID-19, including relying on friends and family, mindfulness and spirituality/religion, self-care strategies, and setting boundaries at work. Conclusion These techniques appear to be effective; however there remains a need for institutional programs and policies to provide the time and space to holistically support coping in NH social workers and to prevent burnout and turnover, particularly during times of crisis.
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Affiliation(s)
- Noelle L Fields
- School of Social Work, University of Texas-Arlington, 701 S. Nedderman Drive, Arlington, TX 76019, USA
| | - Donna L Schuman
- School of Social Work, University of Texas-Arlington, 701 S. Nedderman Drive, Arlington, TX 76019, USA
| | - Vivian J Miller
- Department of Human Services, College of Health & Human Service, Bowling Green State University, 220 Bldg, Bowling Green, OH 43403, USA
| | - Alan Kunz-Lomelin
- School of Social Work, University of Texas-Arlington, 701 S. Nedderman Drive, Arlington, TX 76019, USA
| | - Nancy Kusmaul
- School of Social Work, University of Maryland Baltimore County, 1000 Hilltop Circle, Sherman Hall 322, Baltimore, MD 21250, USA
| | - Keith A Anderson
- Department of Social Work, University of Mississippi, P.O. Box 1848, University, MS 38677, USA
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14
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Sikaras C, Tsironi M, Zyga S, Panagiotou A. Anxiety, insomnia and family support in nurses, two years after the onset of the pandemic crisis. AIMS Public Health 2023; 10:252-267. [PMID: 37304592 PMCID: PMC10251058 DOI: 10.3934/publichealth.2023019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Revised: 04/09/2023] [Accepted: 04/12/2023] [Indexed: 06/13/2023] Open
Abstract
Introduction The Covid-19 pandemic continues to cause serious physical and mental problems for health professionals, particularly nurses. Aim To estimate the prevalence of anxiety and insomnia and to evaluate their possible association with family support received by nurses two years after the onset of the pandemic. Materials and methods In total, the study participants were 404 nurses (335 females and 69 males) with a mean age of 42.88 (SD = 10.9) years and a mean of 17.96 (SD = 12) years working as nurses. Nurses from five tertiary hospitals in Athens constituted the study population who completed the questionnaires State-Trait Anxiety Inventory (STAI), Athens Insomnia Scale (AIS) and Family Support Scale (FSS), in the months of November and December 2021. Regarding demographic and occupational characteristics, gender, age and years of experience as nurses were recorded. Results 60.1% of the nurses showed abnormal scores in state anxiety, with 46.8% in trait anxiety, and 61.4% showed insomnia. Women showed higher scores on the two subscales of anxiety and the insomnia scale compared to men (p < 0.01 and p < 0.05 respectively), while they showed a lower score on the FSS without statistical significance (p > 0.05). Positive correlations (p < 0.01) were found between the State Anxiety Inventory, Trait Anxiety Inventory and AIS, while all of them showed a high negative correlation with FSS (p < 0.01). Age showed a negative correlation with Trait Anxiety Inventory (p < 0.05). As shown by the mediation analysis, the relationship between state anxiety and insomnia was mediated by trait anxiety, whereas state anxiety appeared to be dependent on family support. Conclusions Nurses continue to experience high levels of anxiety and insomnia and feel less supported by their families than in the first year of the pandemic. Insomnia appears to be dependent on state anxiety, with a significant indirect effect of trait anxiety, while family support seems to affect state anxiety.
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Affiliation(s)
- Christos Sikaras
- University of the Peloponnese, Department of Nursing, 22100, Tripoli, Greece
- Sotiria Thoracic Diseases Hospital of Athens, Nursing Department, 11527, Athens, Greece
| | - Maria Tsironi
- University of the Peloponnese, Department of Nursing, 22100, Tripoli, Greece
| | - Sofia Zyga
- University of the Peloponnese, Department of Nursing, 22100, Tripoli, Greece
| | - Aspasia Panagiotou
- University of the Peloponnese, Department of Nursing, 22100, Tripoli, Greece
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15
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Chen JQ, Zhang XQ, Shen JH, Guo YF, Lei GF, Tong L, Wang H, Li DH. The Relationship Between Mindfulness, Fatigue, and Perceived Symptoms Among Frontline Nurses Who Performed Nucleic Acid Sample Collection During the COVID-19 in China: A Cross-Sectional Study. Psychol Res Behav Manag 2023; 16:1165-1180. [PMID: 37077763 PMCID: PMC10108863 DOI: 10.2147/prbm.s401764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 04/05/2023] [Indexed: 04/21/2023] Open
Abstract
Objective Given the immense stress faced by medical staff during the COVID-19 pandemic, this study aimed to evaluate the relationship between mindful attention awareness, fatigue, and perceived symptoms among frontline nurses who performed nucleic acid sample collection during the COVID-19 pandemic, to reduce their fatigue and help them cope with perceived uncomfortable symptoms. Methods A convenience sampling method was used to survey nurses who travelled to Hainan for nucleic acid sampling in August 2022 using an online (WeChat) questionnaire. A total of 514 frontline nurses who performed nucleic acid tests completed the questionnaire. The questionnaire covered basic demographic information, Mindful Attention Awareness Scale (MAAS) ratings, and Fatigue Severity Scale (FSS) ratings. Spearman correlation analysis was used to separate the relationship between MASS and FSS, and univariate and multivariate factor analyses were used to explore the relevant influences contributing to the occurrence of fatigue. Results A total of 514 individuals completed the survey,93.97% (n=483) were female, mean age was 31.15 ± 5.7, MASS score was 69.01 ± 13.53, and 296 (57.59%) nurses experienced symptoms of fatigue during the auxiliary period. Spearman correlation analysis showed that FSS was associated with MASS. Multifactorial analysis showed that sex, age, marital status, fertility status, years of work, adaptation to dietary habits, hidrorrhea, and MAAS scores affected the presence of fatigue symptoms among the medical staff in Hainan (P<0.05). Conclusion The psychological status of frontline nurses undergoing nucleic acid testing during the pandemic was poor, and the appearance of fatigue symptoms could be effectively reduced by increasing levels of positive thinking among medical staff to help them cope with public health emergencies.
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Affiliation(s)
- Jian-qin Chen
- Department of Nursing, The First People’s Hospital of Changde City, Changde, Hunan Province, People’s Republic of China
| | - Xue-qing Zhang
- Department of Nursing, The First People’s Hospital of Changde City, Changde, Hunan Province, People’s Republic of China
| | - Jin-hua Shen
- Department of Nursing, The First People’s Hospital of Changde City, Changde, Hunan Province, People’s Republic of China
| | - Ya-fen Guo
- Department of Nursing, The First People’s Hospital of Changde City, Changde, Hunan Province, People’s Republic of China
| | - Guang-feng Lei
- Department of Nursing, The First People’s Hospital of Changde City, Changde, Hunan Province, People’s Republic of China
| | - Li Tong
- Department of Nursing, The First People’s Hospital of Changde City, Changde, Hunan Province, People’s Republic of China
| | - Hui Wang
- Department of Nursing, The First People’s Hospital of Changde City, Changde, Hunan Province, People’s Republic of China
| | - De-hui Li
- Department of Infectious Diseases, The First People’s Hospital of Changde City, Changde, Hunan Province, People’s Republic of China
- Correspondence: De-hui Li, Department of Infectious Diseases, The First People’s Hospital of Changde City, 818 Ren min Road, Changde, Hunan Province, People’s Republic of China, Email
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16
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Xian X, Zhang Y, Bai A, Zhai X, Hu H, Zhang J, Ye M. Association between Family Support, Stress, and Sleep Quality among College Students during the COVID-19 Online Learning Period. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:248. [PMID: 36612570 PMCID: PMC9819990 DOI: 10.3390/ijerph20010248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 12/14/2022] [Accepted: 12/21/2022] [Indexed: 06/17/2023]
Abstract
(1) Background: During the past 3 years, the COVID-19 pandemic has severely affected the normal school schedule of college students, jeopardizing their mental health, sleep quality, and interpersonal relationships. However, previous studies have focused on the dimension of social support received, and few studies have measured in depth the association of support received from family on adolescents’ physical and mental health. Therefore, this study explored the associations between family support received by Chinese college students during COVID-19 pandemic online classes, stress and sleep quality, and the mediating role of stress. (2) Methods: A cross-sectional study conducted at Chongqing Medical University recruited 712 college students through a university-wide incidental random sample using the Questionnaire Star platform. Statistical description and correlation analysis was conducted using SPSS 25.0, and structural equation modeling was constructed using AMOS 22.0 to test for mediating effects; (3) Results: The family support score of college students during the COVID-19 pandemic online course was 19.41 ± 4.62. Correlation analysis showed that sleep quality was negatively correlated with family support (r = −0.224, p < 0.01), positively correlated with stress (r = 0.324, p < 0.01), and family support was negatively correlated with stress (r = −0.159, p < 0.01). The results of structural equation modeling showed that stress partially mediated the relationship between family support and sleep quality among college students (indirect effect = −0.150, p < 0.01, SE = 0.013,95% CI = [−0.208, −0.064]). The model R2 was 36.4%. (4) Conclusions: Schools should consider implementing sleep education, and stress relief curriculum measures to improve the quality of students’ sleep, and should focus on the role that family plays during online classes. This will help students overcome the negative emotional effects of stress in the COVID-19 pandemic and improve their learning efficiency and physical and mental health.
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17
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Liu X, Xu Y, Xu H, Jiang L, Wang T, Chen C, Lee A, Zhu P. Anxiety and sleep quality among front-line nurses treating first wave COVID-19 in China: The mediating role of mindfulness. Arch Psychiatr Nurs 2022; 41:341-347. [PMID: 36428069 PMCID: PMC9479381 DOI: 10.1016/j.apnu.2022.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 11/07/2021] [Accepted: 09/10/2022] [Indexed: 12/14/2022]
Abstract
AIM To explore anxiety, sleep quality, and mindfulness of frontline nurses at the initial epicenter of the pandemic, to examine the mediating effects of mindfulness. BACKGROUND COVID-19 was first identified in Wuhan, China in January 2020. Nurses were at the forefront of care and treatment across hospitals in response to the pandemic. METHODS Single site cross-sectional survey conducted in Wuhan province (China) between March and April in 2020. Quantitative analysis of survey data from N118 nurses working in the frontline COVID response. Questionnaires included: The general information questionnaire, the Self-Anxiety Scale, the Short Inventory of Mindfulness, and the Pittsburgh Sleep Quality Index. RESULTS Front-line nurses' anxiety was positively associated with sleep quality and mindfulness was negatively associated with anxiety and sleep quality. Mindfulness had a mediating role on anxiety and sleep quality, with intermediary adjustment effects (ES = 0.136, 95 % CI 0.02 to 0.26), accounting for 21.9 % of the total effect ratio. CONCLUSIONS Anxiety causes a reduction in sleep quality and mindfulness can help with anxiety. Mindfulness strategies may help during periods of higher anxiety in the workplace; however, other factors must be considered. Further research is required on strategies for assisting nurses during periods of extreme anxiety.
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Affiliation(s)
- Xinyi Liu
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Yingying Xu
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Huiwen Xu
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Lin Jiang
- School of Nursing, Yangzhou University, Yangzhou, China; The First People's Hospital of Jiangxia District, Wuhan City, Hubei, China
| | - Ting Wang
- School of Nursing, Yangzhou University, Yangzhou, China
| | - Chen Chen
- School of Nursing, Yangzhou University, Yangzhou, China
| | | | - Pingting Zhu
- School of Nursing, Yangzhou University, Yangzhou, China; Jiangsu Key Laboratory of Zoonosis, Yangzhou, China.
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18
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The Relationship between Quality of Life and Physical Exercise with Depression and Perceived Stress during the Second COVID-19 Lockdown in Greece. PSYCH 2022. [DOI: 10.3390/psych4030042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Anxiety, depression, and psychological stress were the most common mental health issues that surfaced during and after the COVID-19 lockdowns. The aim of this paper is to investigate the psychological impact of the second COVID-19 lockdown on the Greek population. A cross-sectional anonymous study was designed, which measured perceived stress, depression symptoms, physical activity, and quality of life. The sample was collected during the period of the second lockdown and consisted of 330 adult individuals (219 females and 111 males) with a mean age of 34.3 years, who were located in Greece. Four scales were applied to measure the constructs, the Perceived Stress Scale (PSS-14), Beck’s Depression Inventory (BDI), Quality of Life-BREF (WHOQOL-BREF), and the International Physical Activity Questionnaire (IPAQ). The main findings suggest that depression and perceived stress were more prevalent during the second lockdown compared to previous time periods. The psychological impact was elevated for women and younger individuals. Unemployed people dealt with more stress compared to full-time working individuals. The two quality-of-life domains, physical and psychological health, were negatively correlated with perceived stress and depression. We suggest targeted interventions in order to support the most vulnerable groups and enhance their well-being.
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19
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Zeng W, Fang Q, Wang C, Tong B, Li D, Zou Z, Liu P, Yao Y, Shang S. Perceived Family Function and Associated Predictors in Nurses: A Cross-Sectional Study. Front Psychiatry 2022; 13:904581. [PMID: 35795026 PMCID: PMC9251054 DOI: 10.3389/fpsyt.2022.904581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 05/11/2022] [Indexed: 11/13/2022] Open
Abstract
Background Nurses play a key role in the health care system. However, clinical nurses experience different kinds of stressors that might impact the nurses' quality of life or quality of care. Family is one of the main social support resources, and quality family function might improve the quality of care provided by nurses. However, evidence on family function in Chinese clinical nurses is quite limited. Objectives The current study was to evaluate the family function of the Chinese clinical nurses, and to explore associated predicting factors. Methods A multi-center cross-sectional anonymous online survey was carried out. Chinese Family Function Scale was used in the study. Spearman's rank correlation analysis, Mann-Whitney U test, or Kruskal-Wallis H test was performed in the univariate analysis. The pairwise comparison method was used to determine whether the difference was significant between pair groups. Categorical regression (optimal scaling regression) was the main method to analyze factors that had been confirmed to be statistically significant in the univariate analysis. Results Nineteen thousand four hundred and twenty-two nurses completed the online questionnaires. The median of the nurse's perceived family function score was three (Inter-quartile Range: IQR 2-5). The multivariate analysis showed that the highest education level (P <0.001), the hospital level (P <0 .001), rotation shift status (P <0.001), working department (P < 0.001), number of children (P < 0.001), monthly income per family member (P < 0.001) were significantly associated with family function. Moreover, the importance of the factors was the number of children (49.1%), monthly income per family member (20.7%), rotation shift status (12.4%), the highest education level (8.0%), the hospital level (7.6%), and working department (2.4%) in turn. Conclusions The family function was associated with multiple factors, which hints that managers, leaders, and government could make strategies to improve nurses' family function in order to lead nurses to make a balance between family and work. Policymakers, nursing managers, and employers should make strategies such as promoting children-care services, increasing nurses' income, educating and training enough nurses, and building a well-established system of career development to help clinical nurses improve their family function so that to improve the quality of care.
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Affiliation(s)
- Wen Zeng
- School of Nursing, Health Science Center, Peking University, Beijing, China
- Guizhou Provincial People's Hospital, Guiyang, China
| | - Qian Fang
- Guizhou Provincial People's Hospital, Guiyang, China
| | - Cui Wang
- School of Nursing, Health Science Center, Peking University, Beijing, China
| | - Beibei Tong
- School of Nursing, Health Science Center, Peking University, Beijing, China
| | - Dan Li
- School of Nursing, Health Science Center, Peking University, Beijing, China
| | - Ziqiu Zou
- School of Nursing, Health Science Center, Peking University, Beijing, China
| | - Peiyuan Liu
- School of Nursing, Health Science Center, Peking University, Beijing, China
| | - Yuanrong Yao
- Guizhou Provincial People's Hospital, Guiyang, China
| | - Shaomei Shang
- School of Nursing, Health Science Center, Peking University, Beijing, China
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20
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Pachi A, Sikaras C, Ilias I, Panagiotou A, Zyga S, Tsironi M, Baras S, Tsitrouli LA, Tselebis A. Burnout, Depression and Sense of Coherence in Nurses during the Pandemic Crisis. Healthcare (Basel) 2022; 10:134. [PMID: 35052297 PMCID: PMC8775921 DOI: 10.3390/healthcare10010134] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 12/28/2021] [Accepted: 01/06/2022] [Indexed: 02/01/2023] Open
Abstract
During the COVID-19 pandemic, the risk to nurses' mental health has increased rapidly. The aim of the study was to investigate the prevalence of depression and burnout and to evaluate their possible association with the sense of coherence in nursing staff during the pandemic crisis. The Copenhagen Burnout Inventory questionnaire, Beck's Depression Inventory, and the Sense of Coherence questionnaire were completed by 101 male and 559 female nurses. Individual and demographic data were recorded. Regarding depression, 25.5% of respondents exhibited mild depression, 13.5% moderate depression and 7.6% severe depression. In the burnout scale, 47.1% had a pathological value. Female nurses had higher burnout (t test p < 0.01, 49.03 vs. 38.74) and depression (t test p < 0.01, 11.29 vs. 6.93) scores compared to men and lower levels in the sense of coherence (p < 0.05, 59.45 vs. 65.13). Regression evidenced that 43.7% of the variation in the BDI rating was explained by the CBI, while an additional 8.3% was explained by the sense of coherence. Mediation analysis indicated a partial mediation of burnout in the correlation between sense of coherence and depression. The sense of coherence acted as a negative regulator between burnout and depression.
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Affiliation(s)
- Argyro Pachi
- Psychiatric Department, “Sotiria” General Hospital of Chest Diseases, 11527 Athens, Greece; (A.P.); (S.B.); (L.A.T.)
| | - Christos Sikaras
- Nursing Department, “Sotiria” General Hospital of Chest Diseases, 11527 Athens, Greece;
- Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece; (A.P.); (S.Z.); (M.T.)
| | - Ioannis Ilias
- Department of Endocrinology, “Elena Venizelou” Hospital, 11521 Athens, Greece;
| | - Aspasia Panagiotou
- Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece; (A.P.); (S.Z.); (M.T.)
| | - Sofia Zyga
- Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece; (A.P.); (S.Z.); (M.T.)
| | - Maria Tsironi
- Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece; (A.P.); (S.Z.); (M.T.)
| | - Spyros Baras
- Psychiatric Department, “Sotiria” General Hospital of Chest Diseases, 11527 Athens, Greece; (A.P.); (S.B.); (L.A.T.)
| | - Lydia Aliki Tsitrouli
- Psychiatric Department, “Sotiria” General Hospital of Chest Diseases, 11527 Athens, Greece; (A.P.); (S.B.); (L.A.T.)
| | - Athanasios Tselebis
- Psychiatric Department, “Sotiria” General Hospital of Chest Diseases, 11527 Athens, Greece; (A.P.); (S.B.); (L.A.T.)
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Pedrozo-Pupo JC, Caballero-Domínguez CC, Campo-Arias A. Prevalence and variables associated with insomnia among COVID-19 survivors in Colombia. ACTA BIO-MEDICA : ATENEI PARMENSIS 2022; 93:e2022019. [PMID: 35315399 PMCID: PMC8972847 DOI: 10.23750/abm.v93i1.12132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Accepted: 09/19/2021] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND AIM OF THE WORK The prevalence of insomnia is higher in COVID-19 survivors. However, there is little information about his associated variables. The aimed to know the prevalence and variables associated with insomnia among COVID-19 survivors in Colombian adults. METHOD Three hundred and thirty COVID-19 survivors participated in a cross-sectional study. Insomnia was quantified with the Athens Insomnia Scale (cut-off score ≤ 6, Cronbach's alpha of 0.90). RESULTS COVID-19 survivors were between 18 and 89 years (Mean = 47.7, SD = 15.2); the majority were women (61.5%), university-educated (62.4%), low income (71.2%), married or free union (66.1%), not healthcare workers (85.8%), without comorbidities (63.0%), asymptomatic or mild COVID-19 (66.1%), duration of COVID-19 symptoms in less than three weeks (80.0%) and remission of symptoms less two months by the day of study participation (73.0%). Scores on the Athens Insomnia Scale were observed between 0 and 24 (M = 7.3, SD = 5.1, Me = 7, IQR = 3 - 10), 60% presented insomnia. Insomnia was associated with post-traumatic stress symptoms (OR = 8.8, 95%CI 2.7 - 29.5), COVID-19 symptoms for more than three weeks (OR = 2.1, 95%CI 1.1 - 3.9), female gender (OR = 1.9, 95%CI 1.2 - 3.2) and married or free union marital status (OR = 1.8, 95%CI 1.1 - 3.0). CONCLUSION The frequency of insomnia in COVID-19 survivors is high and mainly related to post-traumatic stress, symptoms of COVID-19 for more than three weeks, and the female gender. It is necessary to implement follow-up studies over time to evaluate the persistence of insomnia.
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Morgan R, Tan HL, Oveisi N, Memmott C, Korzuchowski A, Hawkins K, Smith J. Women healthcare workers’ experiences during COVID-19 and other crises: A scoping review. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2022; 4:100066. [PMID: 35128472 PMCID: PMC8801061 DOI: 10.1016/j.ijnsa.2022.100066] [Citation(s) in RCA: 37] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 12/31/2021] [Accepted: 01/29/2022] [Indexed: 02/05/2023] Open
Abstract
Background Throughout the COVID-19 pandemic, as measures have been taken to both prevent the spread of COVID-19 and provide care to those who fall ill, healthcare workers have faced added risks to their health and wellbeing. These risks are disproportionately felt by women healthcare workers, yet health policies do not always take a gendered approach. Objectives The objective of this review was to identify the gendered effects of crises on women healthcare workers’ health and wellbeing, as well as to provide guidance for decision-makers on health systems policies and programs that could better support women healthcare workers. Methods A scoping review of published academic literature was conducted. PubMed, EMBASE, and CINAHL were searched using combinations of relevant medical subject headings and keywords. Data was extracted using a thematic coding framework. Seventy-six articles met the inclusion criteria. Results During disease outbreaks women healthcare workers were found to experience: a higher risk of exposure and infection; barriers to accessing personal protective equipment; increased workloads; decreased leadership and decision-making opportunities; increased caregiving responsibilities in the home when schools and childcare supports were restricted; and higher rates of mental ill-health, including depression, anxiety, and post-traumatic stress disorder. There was a lack of attention paid to gender and the health workforce during times of crisis prior to COVID-19, and there is a substantial gap in research around the experiences of women healthcare workers in low- and middle-income countries during times of crises. Conclusion COVID-19 provides an opportunity to develop gender-responsive crisis preparedness plans within the health sector. Without consideration of gender, crises will continue to exacerbate existing gender disparities, resulting in disproportionate negative impacts on women healthcare workers. The findings point to several important recommendations to better support women healthcare workers, including: workplace mental health support, economic assistance to counteract widening pay gaps, strategies to support their personal caregiving duties, and interventions that support and advance women's careers and increase their representation in leadership roles.
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Affiliation(s)
- Rosemary Morgan
- Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe St., Baltimore, MD 21205, United States
| | - Heang-Lee Tan
- Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe St., Baltimore, MD 21205, United States
| | - Niki Oveisi
- University of British Columbia, Pharmaceutical Sciences Building, 2405 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada
| | - Christina Memmott
- Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe St., Baltimore, MD 21205, United States
| | - Alexander Korzuchowski
- Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Dr, Burnaby, BC V5A 1S6, Canada
| | - Kate Hawkins
- Pamoja Communications, 20-22 Wenlock Road, London, N1 7GU, United Kingdom
| | - Julia Smith
- Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Dr, Burnaby, BC V5A 1S6, Canada
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Kim SC, Rankin L, Ferguson J. Nurses' mental health from early COVID-19 pandemic to vaccination. J Nurs Scholarsh 2021; 54:485-492. [PMID: 34967492 DOI: 10.1111/jnu.12760] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 10/23/2021] [Accepted: 12/08/2021] [Indexed: 12/15/2022]
Abstract
AIMS The influence of the COVID-19 vaccine and the evolution of the pandemic over time on nurses' mental health have not been thoroughly examined. This study aimed to explore the changes in nurses' mental health from the early pandemic to the early vaccination period over a 1-year time span and examine vaccination and coping mechanisms as predictors of nurses' poor mental health and burnout. METHODS Three cross-sectional surveys were conducted: Early-pandemic (n = 320), pre-vaccination (n = 228), and early-vaccination cohorts (n = 292). FINDINGS About 72% of nurses in the early-vaccination cohort were fully vaccinated with two doses of mRNA COVID-19 vaccines. There were significant decreases in moderate/severe anxiety and moderate/severe depression for the early-vaccination cohort compared to the other cohorts. In multivariate analyses, vaccination had almost three-fold higher odds of moderate/severe anxiety (Odds Ratio [OR] = 2.87; 95% Confidence Interval [CI] = 1.28-6.44). High resilience, family functioning, and spirituality were associated with two- to five-fold lower odds of poor mental health and burnout. CONCLUSIONS Although nurses in the early-vaccination cohort had lower anxiety and depression than earlier cohorts, COVID-19 vaccination had minimal associations with nurses' mental health. Coping mechanisms and organizational support appear to be important predictors of nurses' poor mental health and burnout. CLINICAL RELEVANCE The evidence gathered over 1 year of the pandemic may be helpful for a better understanding of the challenges facing frontline nurses and preparing for future healthcare crises. As a part of the preparedness plan for the future, evidence-based interventions that raise frontline nurses' resilience, as well as family and spiritual support, should be considered.
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Affiliation(s)
- Son Chae Kim
- School of Nursing, Point Loma Nazarene University, San Diego, California, USA
| | - Larry Rankin
- School of Nursing, Point Loma Nazarene University, San Diego, California, USA
| | - Jennifer Ferguson
- School of Nursing, MidAmerica Nazarene University, Olathe, Kansas, USA
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Zakia H, Iskandar S, Primadi A. Perceived effects of COVID-19 pandemic on stress levels and its related factors of NICU nurses. JOURNAL OF WORKPLACE BEHAVIORAL HEALTH 2021. [DOI: 10.1080/15555240.2021.2015359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Halwa Zakia
- Faculty of Medicine, Padjadjaran University, Bandung, Indonesia
| | - Shelly Iskandar
- Department of Psychiatry, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia
| | - Aris Primadi
- Department of Child Health, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia
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Bertrand L, Lejoyeux M, Geoffroy PA. Republication : Impact de la pandémie COVID-19 sur le sommeil du personnel soignant. MÉDECINE DU SOMMEIL 2021. [PMCID: PMC8552579 DOI: 10.1016/j.msom.2021.10.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
La pandémie liée à la COVID-19 a altéré de manière significative et importante la qualité du sommeil du personnel soignant. Avec des différences selon le questionnaire utilisé, la spécialité du professionnel, et le pays étudié, environ la moitié des soignants ont développé des troubles du sommeil lors de cette crise sanitaire. Les troubles du sommeil étaient marqués principalement par des symptômes d’insomnie, une mauvaise qualité du sommeil, un temps total de sommeil réduit, et des cauchemars fréquents. Les altérations du sommeil affectaient à la fois les soignants de première et de seconde ligne au cours de la pandémie liée à la COVID. Les études évaluant le sommeil des soignants confirment l’importance de diffuser les recommandations publiées par les experts du sommeil.
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Quality of Life, Insomnia and Coping Strategies during COVID-19 Pandemic in Hospital Workers. A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312466. [PMID: 34886191 PMCID: PMC8656884 DOI: 10.3390/ijerph182312466] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/24/2021] [Accepted: 11/25/2021] [Indexed: 01/10/2023]
Abstract
COVID-19 became a pandemic in a few months, leading to adverse health outcomes, reducing the quality of life, affecting the sleep/wake cycle, and altering coping strategies, especially among hospital personnel. Life quality, insomnia, and coping strategies were thus assessed among hospital personnel during the first wave of the COVID-19 pandemic in Italy. This cross-sectional study was conducted from May to November 2020 through an online survey. There were 558 participants (28.5% males and 71.5% females) enrolled in two different metropolitan areas (in North and South of Italy, respectively). Three standardized questionnaires were administered: European Quality of life–5 Dimensions (EQ-5D), Athens Insomnia Scale (AIS), and Brief COPE. Differences in sociodemographic characteristics and work-related factors were also investigated in order to identify possible predictors through a generalized linear model and logistic regression analysis. Results showed good perceived life quality and high insomnia prevalence. After sample stratification, the statistical analysis highlighted that personal (gender, age, educational level) and work-related factors (employment in COVID wards, remote working) played different roles in predicting quality of life, insomnia, and coping attitude. Active, Planning, and Acceptance were the most frequently adopted coping strategies. Despite women confirming their attitude in reacting to the difficulties, adopting emotion-focused coping strategies, they showed a higher probability to develop insomnia, so a gender perspective should be considered in the health protection of this working category. An integrated approach should be implemented at individual, interpersonal and organizational levels aiming to monitor psychological distress, favor regular sharing and communication between peers, and also allow conciliation of work with family life. At the organizational level, preventive and protective measures adequate to work-related risk to COVID-19 should be adopted.
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Lekka D, Orlandou K, Roubi A, Darahani D, Mpoulougari S, Anagnosti F, Baras S, Tsaraklis A, Stalikas A. The Effect of Personality Traits on the Quality of Life of Health Professionals in COVID-19 Reference Hospital. Cureus 2021; 13:e17897. [PMID: 34660095 PMCID: PMC8509093 DOI: 10.7759/cureus.17897] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/11/2021] [Indexed: 11/29/2022] Open
Abstract
Introduction and objectives Coronavirus disease 2019 (COVID-19) has affected the quality of life of both general population and the healthcare workers and has increased the psychopathology levels. The objective of this research was to study the personality traits and the quality of life of healthcare professionals during the COVID-19 pandemic, in order to organize and apply interventions for the well-being of the staff. Materials and methods The study sample consisted of 400 healthcare workers, in Thoracic Diseases General Hospital "Sotiria". Participants were asked to provide sociodemographic information and to complete: (1) the WHOQOL-BREF, (2) the NEO-FFI. The questionnaire was administered in person to the hospital staff. The data were collected between May and July 2021, in Athens, Greece. Results Younger healthcare professionals had a better quality of life and with regard to gender differences, males reported higher scores of physical and psychological health compared to females. Also regarding personality traits, neuroticism and extroversion have a statistically significant effect on the quality of life. In contrast, education level, work area and specialty did not appear to affect the quality of life of hospital staff. Conclusions From our research findings, it appears that quality of life has been affected by the COVID-19 pandemic. Interventions are needed to apply mindfulness, increase well-being and form groups with the hospital staff in order to share their experiences.
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Affiliation(s)
- Dimitra Lekka
- Department of Psychiatry, Sotiria Hospital, Athens, GRC
| | | | - Aikaterini Roubi
- Department of Psychiatry, Sotiria Thoracic Diseases Hospital of Athens, Athens, GRC
| | - Dimitra Darahani
- Department of Cardiology, Sotiria Thoracic Diseases Hospital of Athens, Athens, GRC
| | - Sofia Mpoulougari
- Department of Administration, Sotiria Thoracic Diseases Hospital of Athens, Athens, GRC
| | - Frosyna Anagnosti
- Emergency Department, Sotiria Thoracic Diseases Hospital of Athens, Athens, GRC
| | - Spyros Baras
- Department of Psychiatry, Sotiria Thoracic Diseases Hospital of Athens, Athens, GRC
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Vitale E, Galatola V, Mea R, Dio FD, Canonico A. The linkage "Body Mass Index-Insomnia Levels-Eating Disorder Flexibility" in Italian nurses during the Covid-19 outbreak: a psychoendocrinological employment disease. Endocr Metab Immune Disord Drug Targets 2021; 22:490-501. [PMID: 34269670 DOI: 10.2174/1871530321666210715125939] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Revised: 03/31/2021] [Accepted: 04/27/2021] [Indexed: 11/22/2022]
Abstract
AIM To evaluate differences between insomnia condition and flexibility attitude to eating in Italian nurses directly involved in the care of patients affected by Covid-19 according to sex, Body Mass Index, shift working condition and incidence of new Covid-19 cases in the region of participants. Moreover, any correlations between the insomnia condition and the flexible attitude to eat have been investigated. METHODS An online questionnaire was administered in October 2020, including the socio-demographic section, the insomnia condition assessment, and the behavioral flexibility evaluation to develop an eating disorder. RESULTS 341 Italian nurses answered the questionnaire. Regarding the insomnia condition levels, nurses belonging to regions with a higher incidence rate of the Covid-19 pandemic recorded higher levels of insomnia than others (p=.004). Females and nurses belonging to areas with lower Covid-19 incidence rate recorded a significantly higher total eating flexibility attitude (p=.003; p<.001), also, in the Food and Exercise flexibility (p=.007; p<.001). As regards the flexible attitude for weight and shape, significant differences were recorded among nurses according to their BMI values (p<.001) and to their incidence rate of the belonging region (p<.001). The insomnia condition levels significantly correlated with the eat flexibility attitude both in its total score (p=.010), in the general score (p=.010), and the weight and shape score (p<.001). All correlations between the insomnia conditions and the flexibility to eat were significantly inverse except for the food and exercise dimension. All the eat flexibility sub-dimensions significantly correlated among them (p<.001). CONCLUSION There was a direct correlation among socio-demographic factors, BMI values, insomnia, and behavioral flexibility scores in Italian nurses. So, it could be assumed that the nursing profession is at risk of developing a metabolic syndrome condition. Therefore, it could be considered a psychoendocrinological employment disease during the Covid-19 outbreak.
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Affiliation(s)
- Elsa Vitale
- Centre of Mental Health, Modugno, Local Health Company Bari, Italy
| | - Vito Galatola
- Occidental Hospital in Castellaneta, Local Health Company Taranto, Italy
| | | | | | - Anna Canonico
- Cardiology Unit, Di Venere Hospital, Local Health Company Bari, Italy
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Alimoradi Z, Broström A, Tsang HW, Griffiths MD, Haghayegh S, Ohayon MM, Lin CY, Pakpour AH. Sleep problems during COVID-19 pandemic and its' association to psychological distress: A systematic review and meta-analysis. EClinicalMedicine 2021; 36:100916. [PMID: 34131640 PMCID: PMC8192091 DOI: 10.1016/j.eclinm.2021.100916] [Citation(s) in RCA: 185] [Impact Index Per Article: 61.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 04/29/2021] [Accepted: 05/05/2021] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND The emerging novel coronavirus disease 2019 (COVID-19) has become one of the leading cause of deaths worldwide in 2020. The present systematic review and meta-analysis estimated the magnitude of sleep problems during the COVID-19 pandemic and its relationship with psychological distress. METHODS Five academic databases (Scopus, PubMed Central, ProQuest, ISI Web of Knowledge, and Embase) were searched. Observational studies including case-control studies and cross-sectional studies were included if relevant data relationships were reported (i.e., sleep assessed utilizing the Pittsburgh Sleep Quality Index or Insomnia Severity Index). All the studies were English, peer-reviewed papers published between December 2019 and February 2021. PROSPERO registration number: CRD42020181644. FINDINGS 168 cross-sectional, four case-control, and five longitudinal design papers comprising 345,270 participants from 39 countries were identified. The corrected pooled estimated prevalence of sleep problems were 31% among healthcare professionals, 18% among the general population, and 57% among COVID-19 patients (all p-values < 0.05). Sleep problems were associated with depression among healthcare professionals, the general population, and COVID-19 patients, with Fisher's Z scores of -0.28, -0.30, and -0.36, respectively. Sleep problems were positively (and moderately) associated with anxiety among healthcare professionals, the general population, and COVID-19 patients, with Fisher's z scores of 0.55, 0.48, and 0.49, respectively. INTERPRETATION Sleep problems appear to have been common during the ongoing COVID-19 pandemic. Moreover, sleep problems were found to be associated with higher levels of psychological distress. With the use of effective programs treating sleep problems, psychological distress may be reduced. Vice versa, the use of effective programs treating psychological distress, sleep problems may be reduced. FUNDING The present study received no funding.
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Affiliation(s)
- Zainab Alimoradi
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Anders Broström
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- Department of Clinical Neurophysiology, Linköping University Hospital, Linköping, Sweden
| | - Hector W.H. Tsang
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Mark D. Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK
| | - Shahab Haghayegh
- Department of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Maurice M. Ohayon
- Stanford Sleep Epidemiology Research Center (SSERC), School of Medicine, Stanford University, CA, USA
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Department of Public Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University
| | - Amir H. Pakpour
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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O J, Pugh-Jones C, Clark B, Trott J, Chang L. The Evolutionarily Mismatched Impact of Urbanization on Insomnia Symptoms: a Short Review of the Recent Literature. Curr Psychiatry Rep 2021; 23:28. [PMID: 33797626 PMCID: PMC8018921 DOI: 10.1007/s11920-021-01239-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/23/2021] [Indexed: 11/29/2022]
Abstract
PURPOSE OF REVIEW For the most part of human existence, individuals have been living a rural lifestyle in a rural setting. However, such sleep-conducive conditions have largely been transformed dramatically by urbanization within a relatively short span of time in recent history, and the resulting evolved mechanisms-environment mismatch is theorized to bring about an increased risk for insomnia symptoms. This brief review of the recent literature is designed to evaluate the veracity of this proposition. RECENT FINDINGS The majority of recent findings have suggested that most proposed evolutionarily mismatched urban factors are indeed related to the presence of insomnia symptoms. However, there is a general paucity of longitudinal evidence (and for some other factors, a lack of enough evidence of any kind). Although there is a preponderance of recent findings indicating a link between evolutionarily mismatched urban phenomena and insomnia symptoms, more longitudinal data are needed before any causative conclusion can be drawn.
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Affiliation(s)
- Jiaqing O
- Department of Psychology, Aberystwyth University, Aberystwyth, UK.
| | | | | | - Jenna Trott
- Department of Psychology, Aberystwyth University, Aberystwyth, UK
| | - Lei Chang
- Department of Psychology, University of Macau, Macau, China
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Al Maqbali M, Al Sinani M, Al-Lenjawi B. Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis. J Psychosom Res 2021; 141:110343. [PMID: 33360329 PMCID: PMC7831768 DOI: 10.1016/j.jpsychores.2020.110343] [Citation(s) in RCA: 219] [Impact Index Per Article: 73.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 12/14/2020] [Accepted: 12/14/2020] [Indexed: 12/23/2022]
Abstract
BACKGROUND The new coronavirus disease's (COVID-19) high risk of infection can increase the workload of healthcare workers, especially nurses, as they are most of the healthcare workforce. These problems can lead to psychological problems. Therefore, the aim of this systematic review and meta-analysis to ascertain the present impact of the COVID-19 outbreak on the prevalence of stress, anxiety, depression and sleep disturbance among nurses. METHODS A systematic review and meta-analysis were conducted. The following databases were searched: PubMed, CHINAL, MEDLINE, EMBASE, PsycINFO, MedRxiv and Google Scholar, from January 2020 up to 26th October 2020. Prevalence rates were pooled with meta-analysis using a random-effects model. Heterogeneity was tested using I-squared (I2) statistics. RESULTS A total of 93 studies (n = 93,112), published between January 2020 and September 2020, met the inclusion criteria. The overall prevalence of stress was assessed in 40 studies which accounted for 43% (95% CI 37-49). The pooled prevalence of anxiety was 37% (95% CI 32-41) in 73 studies. Depression was assessed in 62 studies, with a pooled prevalence of 35% (95% CI 31-39). Finally, 18 studies assessed sleep disturbance and the pooled prevalence was 43% (95% CI 36-50). CONCLUSION This meta-analysis found that approximately one third of nurses working during the COVID-19 epidemic were suffering from psychological symptoms. This highlights the importance of providing comprehensive support strategies to reduce the psychological impact of the COVID-19 outbreak among nurses under pandemic conditions. Further longitudinal study is needed to distinguish of psychological symptoms during and after the infectious disease outbreaks.
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Affiliation(s)
| | - Mohammed Al Sinani
- Reproductive and Developmental Biology Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK
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Sirois FM, Owens J. Factors Associated With Psychological Distress in Health-Care Workers During an Infectious Disease Outbreak: A Rapid Systematic Review of the Evidence. Front Psychiatry 2021; 11:589545. [PMID: 33584364 PMCID: PMC7876062 DOI: 10.3389/fpsyt.2020.589545] [Citation(s) in RCA: 53] [Impact Index Per Article: 17.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Accepted: 12/15/2020] [Indexed: 12/14/2022] Open
Abstract
Objective: Health-care workers (HCW) are at risk for psychological distress during an infectious disease outbreak, such as the coronavirus pandemic, due to the demands of dealing with a public health emergency. This rapid systematic review examined the factors associated with psychological distress among HCW during an outbreak. Method: We systematically reviewed literature on the factors associated with psychological distress (demographic characteristics, occupational, social, psychological, and infection-related factors) in HCW during an outbreak (COVID-19, SARS, MERS, H1N1, H7N9, and Ebola). Four electronic databases were searched (2000 to 15 November 2020) for relevant peer-reviewed research according to a pre-registered protocol. A narrative synthesis was conducted to identify fixed, modifiable, and infection-related factors linked to distress and psychiatric morbidity. Results: From the 4,621 records identified, 138 with data from 143,246 HCW in 139 studies were included. All but two studies were cross-sectional. The majority of the studies were conducted during COVID-19 (k = 107, N = 34,334) and SARS (k = 21, N = 18,096). Consistent evidence indicated that being female, a nurse, experiencing stigma, maladaptive coping, having contact or risk of contact with infected patients, and experiencing quarantine, were risk factors for psychological distress among HCW. Personal and organizational social support, perceiving control, positive work attitudes, sufficient information about the outbreak and proper protection, training, and resources, were associated with less psychological distress. Conclusions: This review highlights the key factors to the identify HCW who are most at risk for psychological distress during an outbreak and modifying factors to reduce distress and improve resilience. Recommendations are that HCW at risk for increased distress receive early interventions and ongoing monitoring because there is evidence that HCW distress can persist for up to 3 years after an outbreak. Further research needs to track the associations of risk and resilience factors with distress over time and the extent to which certain factors are inter-related and contribute to sustained or transient distress.
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Affiliation(s)
- Fuschia M. Sirois
- Department of Psychology, University of Sheffield, Sheffield, United Kingdom
| | - Janine Owens
- School of Clinical Dentistry, University of Sheffield, Sheffield, United Kingdom
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Sikaras C, Ilias I, Tselebis A, Pachi A, Zyga S, Tsironi M, Gil APR, Panagiotou A. Nursing staff fatigue and burnout during the COVID-19 pandemic in Greece. AIMS Public Health 2021; 9:94-105. [PMID: 35071671 PMCID: PMC8755962 DOI: 10.3934/publichealth.2022008] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2021] [Accepted: 11/17/2021] [Indexed: 11/18/2022] Open
Abstract
Introduction The coronavirus pandemic (COVID-19) is an unprecedented global health crisis with emotional and physical impact on health care workers. Objective The purpose of this study was to investigate the levels of fatigue and burnout in nursing staff during the pandemic. Methods The present study involved nursing staff from hospitals in Greece in February 2021, who completed the Fatigue (FAS) and Burnout (CBI) questionnaires. Gender, age, years of work experience, workplace (COVID-19 or non-COVID-19 wards) and SARS-CoV-2 infection status were recorded. Results The sample included 593 women and 108 men, with a mean age ± SD: 42.9 ± 9.9 years and 18.14 ± 10.8 years work experience. Slightly more than half, (367, 52.4%) worked in COVID-19 departments. Fifty-six (8%) tested positive for SARS-CoV-2 and 14 of them needed to be treated. The mean ± SD FAS and CBI scores were 25.6 ± 7.4 and 46.9 ± 18.8, respectively (67.9% and 42.9% had scores suggestive of fatigue and burnout, respectively). Women showed higher values in both scales (p < 0.01). Subjects working in COVID-19 wards scored significantly higher on both the FAS and CBI scales; they were also younger and with less work experience (p < 0.01). Staff treated for COVID-19 scored higher on the burnout scale (p < 0.01) than the uninfected staff. Fatigue showed a strong positive correlation with burnout (p < 0.01, r = 0.70). Stepwise multiple regression showed that the variation of fatigue was explained by 47.0% and 6.1% by the scores on the subscales of personal and work-related burnout, respectively. Conclusion In conclusion, high rates of fatigue and burnout were found in the studied population. Nurses working with COVID-19 patients had higher rates of fatigue and burnout compared to those working elsewhere. There was a strong positive correlation (r = 0.70) between burnout and fatigue. Particular attention should be paid to staff who became ill and need to be treated.
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Affiliation(s)
- Christos Sikaras
- Nursing Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
- Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece
- * Correspondence: ; Tel: +302107763592
| | - Ioannis Ilias
- Department of Endocrinology, “Elena Venizelou” Hospital, 11521 Athens, Greece
| | - Athanasios Tselebis
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Argyro Pachi
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece
| | - Sofia Zyga
- Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece
| | - Maria Tsironi
- Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece
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