Luis Möckel, Ann-Kathrin Hönl, Samantha Gräfe, Florian Jantz, Natalie S Werner
{"title":"[Prevalence of sleep disturbance in intensive care nurses: a post hoc analysis of a cross-sectional study].","authors":"Luis Möckel, Ann-Kathrin Hönl, Samantha Gräfe, Florian Jantz, Natalie S Werner","doi":"10.1007/s40664-022-00466-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Intensive care nurses have irregular and unusual working hours due to shift work, which can disrupt the natural light-dark rhythm and thus increase the risk for sleep disorders.</p><p><strong>Aim of the work: </strong>The aim of this post hoc analysis was to investigate the prevalence of self-reported sleep problems and associated factors among intensive care nurses working in Germany.</p><p><strong>Methods: </strong>This analysis was a post hoc analysis of a cross-sectional study, which was performed as an online survey. Collected data were sociodemographic, work-related and health-related data. These data were used to calculate the prevalence and respective 95% confidence intervals (95% CI) of sleep problems. Factors associated with sleep problems were identified using the χ<sup>2</sup>-test, Fisher's exact test, and logistic regression analysis.</p><p><strong>Results: </strong>The link to the online survey was accessed 1163 times and 490 intensive care nurses participated in the survey. A total of 432 intensive care nurses were included in this analysis, of whom 82.87% were women. A total of 57.64% (95% CI: 52.83-62.35%) reported sleep problems. Significantly associated with sleep problems were age (50-59 years odds ratio [OR]: 2.05, 95% CI: 1.00-4.21, <i>p</i> = 0.047 vs. 20-29 years) and living in a family (OR: 0.50, 95% CI: 0.27-0.93, <i>p</i> = 0.029 vs. single/living alone). In addition, depression (OR: 1.09, 95% CI: 1.06-1.12, <i>p</i> ≤ 0.001), anxiety (OR: 1.10, 95% CI: 1.06-1.14, <i>p</i> ≤ 0.001) and stress (OR: 1.09, 95% CI: 1.06-1.12, <i>p</i> ≤ 0.001) levels were significantly associated with sleep problems.</p><p><strong>Conclusion: </strong>Sleep problems were present in one out of every two participating intensive care nurses and in particular mental health was associated with sleep problems.</p>","PeriodicalId":43038,"journal":{"name":"Zentralblatt fur Arbeitsmedizin Arbeitsschutz und Ergonomie","volume":"72 4","pages":"175-182"},"PeriodicalIF":0.3000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9113068/pdf/","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zentralblatt fur Arbeitsmedizin Arbeitsschutz und Ergonomie","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40664-022-00466-w","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 1
Abstract
Background: Intensive care nurses have irregular and unusual working hours due to shift work, which can disrupt the natural light-dark rhythm and thus increase the risk for sleep disorders.
Aim of the work: The aim of this post hoc analysis was to investigate the prevalence of self-reported sleep problems and associated factors among intensive care nurses working in Germany.
Methods: This analysis was a post hoc analysis of a cross-sectional study, which was performed as an online survey. Collected data were sociodemographic, work-related and health-related data. These data were used to calculate the prevalence and respective 95% confidence intervals (95% CI) of sleep problems. Factors associated with sleep problems were identified using the χ2-test, Fisher's exact test, and logistic regression analysis.
Results: The link to the online survey was accessed 1163 times and 490 intensive care nurses participated in the survey. A total of 432 intensive care nurses were included in this analysis, of whom 82.87% were women. A total of 57.64% (95% CI: 52.83-62.35%) reported sleep problems. Significantly associated with sleep problems were age (50-59 years odds ratio [OR]: 2.05, 95% CI: 1.00-4.21, p = 0.047 vs. 20-29 years) and living in a family (OR: 0.50, 95% CI: 0.27-0.93, p = 0.029 vs. single/living alone). In addition, depression (OR: 1.09, 95% CI: 1.06-1.12, p ≤ 0.001), anxiety (OR: 1.10, 95% CI: 1.06-1.14, p ≤ 0.001) and stress (OR: 1.09, 95% CI: 1.06-1.12, p ≤ 0.001) levels were significantly associated with sleep problems.
Conclusion: Sleep problems were present in one out of every two participating intensive care nurses and in particular mental health was associated with sleep problems.
期刊介绍:
Zielsetzung der Zeitschrift Das Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie ist eine der ältesten deutschsprachigen wissenschaftlichen Fachzeitschriften im Bereich Arbeit, Umwelt, Gesundheit und Sicherheit. Es bietet ein Forum für frei eingereichte Originalartikel, Übersichten, Short Communications und Kasuistiken. Die Fachzeitschrift ermöglicht einen wissenschaftlichen Erfahrungsaustausch und stellt optimale Problemlösungen zur Verfügung. Die Zielgruppen der Zeitschrift sind Arbeitsmediziner, Sozialmediziner, Umweltmediziner, Sicherheitsingenieure, Arbeitswissenschaftler sowie andere Gruppen und Institutionen, die eng mit der Arbeits-, Sozial- und Umweltmedizin sowie dem Arbeitsschutz und der Ergonomie verbunden sind. Durch vertiefende Forschungsartikel und Übersichten werden Fachpersonen aus der Arbeits-, Sozial- und Umweltmedizin über neue medizinische Entwicklungen und Gesetze in der Prävention, Diagnose und Rehabilitation von umweltbedingten Erkrankungen und arbeitsbedingten Verletzungen und Erkrankungen auf dem Laufenden gehalten. Originalarbeiten und Übersichten liefern Ergebnisse der aktuellen Forschung und deren Integration in die tägliche Praxis. Die Spanne der Themen reicht dabei von toxikologischen Fragestellungen über die Reise- und Tropenmedizin und Public-Health-Aspekten bis hin zur Versorgungsforschung und Ergonomie. Aims & Scope Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie is one of the oldest scientific journals devoted to the field of work, environment, health and safety, edited in the German language. It offers a forum for freely submitted original articles, reviews, short communications and case reports. The journal enables a scientific exchange of experience and provides optimal solutions to problems. The target groups of the journal are occupational physicians, safety engineers, occupational scientists and other groups and institutions closely related to occupational, safety and environmental medicine as well as industrial safety and ergonomics. In-depth research articles and reviews keep occupational, social and environmental medicine professionals up to date on new medical developments and laws in the prevention, diagnosis and rehabilitation of environmentally induced conditions and work-related injuries and illnesses. Original papers and review articles provide results of the current research and their integration into daily practice. Topics range from the fields of toxicology, travel/tropical medicine and public health aspects to health services research and ergonomics. Review: All articles of Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie undergo a peer review process. Declaration of Helsinki: All manuscripts submitted for publication presenting results from studies on probands or patients must comply with the Declaration of Helsinki. Indexed in Emerging Sources Citation Index (ESCI), Embase and Scopus