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Globalization and Health
Published in: Globalization and Health 1/2020

Open Access 01-12-2020 | Coronavirus | Research

The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis

Authors: Nader Salari, Habibolah Khazaie, Amin Hosseinian-Far, Hooman Ghasemi, Masoud Mohammadi, Shamarina Shohaimi, Alireza Daneshkhah, Behnam Khaledi-Paveh, Melika Hosseinian-Far

Published in: Globalization and Health | Issue 1/2020

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Abstract

Background

In all epidemics, healthcare staff are at the centre of risks and damages caused by pathogens. Today, nurses and physicians are faced with unprecedented work pressures in the face of the COVID-19 pandemic, resulting in several psychological disorders such as stress, anxiety and sleep disturbances. The aim of this study is to investigate the prevalence of sleep disturbances in hospital nurses and physicians facing the COVID-19 patients.

Method

A systematic review and metanalysis was conducted in accordance with the PRISMA criteria. The PubMed, Scopus, Science direct, Web of science, CINHAL, Medline, and Google Scholar databases were searched with no lower time-limt and until 24 June 2020. The heterogeneity of the studies was measured using I2 test and the publication bias was assessed by the Egger’s test at the significance level of 0.05.

Results

The I2 test was used to evaluate the heterogeneity of the selected studies, based on the results of I2 test, the prevalence of sleep disturbances in nurses and physicians is I2: 97.4% and I2: 97.3% respectively. After following the systematic review processes, 7 cross-sectional studies were selected for meta-analysis. Six studies with the sample size of 3745 nurses were examined in and the prevalence of sleep disturbances was approximated to be 34.8% (95% CI: 24.8-46.4%). The prevalence of sleep disturbances in physicians was also measured in 5 studies with the sample size of 2123 physicians. According to the results, the prevalence of sleep disturbances in physicians caring for the COVID-19 patients was reported to be 41.6% (95% CI: 27.7-57%).

Conclusion

Healthcare workers, as the front line of the fight against COVID-19, are more vulnerable to the harmful effects of this disease than other groups in society. Increasing workplace stress increases sleep disturbances in the medical staff, especially nurses and physicians. In other words, increased stress due to the exposure to COVID-19 increases the prevalence of sleep disturbances in nurses and physicians. Therefore, it is important for health policymakers to provide solutions and interventions to reduce the workplace stress and pressures on medical staff.
Literature
1.
2.
3.
Fang Y, et al. Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR. Radiology. 2020;296(2):200432.
4.
Amerio A, et al. Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners. Acta Bio Med. 2020;91(2):83–8.
5.
Lipsitch M, Swerdlow DL, Finelli L. Defining the epidemiology of Covid-19 — studies needed. N Engl J Med. 2020;382(13):1194–6.PubMedCrossRef
6.
7.
8.
Rastogi Y, et al. The novel coronavirus 2019-nCoV: its evolution and transmission into humans causing global COVID-19 pandemic. Int J Environ Sci Technol. 2020;26:1–8.
9.
10.
Zhu FC, Li YH, Guan XH, Hou LH, Wang WJ, Li JX, Wu SP, Wang BS, Wang Z, Wang L, Jia SY, Jiang HD, Wang L, Jiang T, Hu Y, Gou JB, Xu SB, Xu JJ, Wang XW, Wang W, Chen W. Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomised, first-in-human trial. Lancet. 2020;395(10240):1845–54.
11.
Terpos E, et al. Hematological findings and complications of COVID-19. Am J Hematol. 2020;95(7):834–47.PubMedCrossRef
12.
Qiu J, et al. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General Psychiatry. 2020;33(2):e100213-e100213.CrossRef
13.
Yifan T, et al. Symptom cluster of ICU nurses treating COVID-19 pneumonia patients in Wuhan, China. J Pain Symptom Manag. 2020;60(1):e48–e53.
14.
Blake H, et al. Mitigating the psychological impact of COVID-19 on healthcare workers: a digital learning package. Int J Environ Res Public Health. 2020;17(9):2997–3003.
15.
Dong Z-Q, et al. The social psychological impact of the COVID-19 epidemic on medical staff in China: a cross-sectional study. Eur Psychiatry. 2020;63(1):1–22.
16.
Zhang CX, et al. Survey of sleep disturbances and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Front Psychiatry. 2020;11:306-12.
17.
Geoffroy PA, et al. Psychological support system for hospital workers during the Covid-19 outbreak: rapid design and implementation of the Covid-Psy hotline. Front Psychiatry. 2020;11:511.PubMedPubMedCentralCrossRef
18.
Wu KL, Wei XM. Analysis of psychological and sleep status and exercise rehabilitation of front-line clinical staff in the fight against COVID-19 in China. Med Sci Monit Basic Res. 2020;26:e924085.
19.
Huang YE, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954–63.
20.
21.
22.
Silva-Costa A, Griep RH, Rotenberg L. Associations of a short sleep duration, insufficient sleep, and sleep disturbances with self-rated health among nurses. PLoS One. 2015;10(5):e0126844.PubMedPubMedCentralCrossRef
23.
Yazdi Z, et al. Sleep quality and sleep disturbances in nurses with different circadian chronotypes: Morningness and eveningness orientation. Work. 2014;47:561–7.PubMedCrossRef
24.
Abdulah DM, Musa DH. Sleep disturbances and Stress of Physicians during COVID-19 Outbreak. Sleep Med X. 2020:100017.
25.
Lai JB, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open. 2020;3(3):e203976.
26.
Que JY, et al. Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gene Psychiatry. 2020;33(3)::e100259.
27.
Wang, S., et al., Sleep disturbances among medical workers during the outbreak of COVID-2019. Occupational medicine (Oxford, England), 2020;kqaa074.
28.
Tu Z-h, He J-w, Zhou N. Sleep quality and mood symptoms in conscripted frontline nurse in Wuhan, China during COVID-19 outbreak: a cross-sectional study. Medicine. 2020;99(26):e20769.
29.
Zhou Y, et al. Prevalence and demographic correlates of poor sleep quality among frontline health professionals in Liaoning Province, China during the COVID-19 outbreak. Front Psychiatry. 2020;11:520.PubMedPubMedCentralCrossRef
30.
Zdanowicz T, et al. Sleep disturbances, sleepiness, and fatigue among polish nurses. Workplace Health Saf. 2020;68(6):272–8.PubMedCrossRef
31.
Zhang W, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. In: Psychotherapy and psychosomatics; 2020.
32.
Tsai K, Lee T-Y, Chung M-H. Sleep disturbances in female nurses: a nationwide retrospective study. Int J Occup Saf Ergon. 2017;23(1):127–32.PubMedCrossRef
33.
Chan-Yeung M. Severe acute respiratory syndrome (SARS) and healthcare workers. Int J Occup Environ Health. 2004;10(4):421–7.PubMedCrossRef
34.
McAlonan GM, et al. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can J Psychiatry. 2007;52(4):241–7.PubMedCrossRef
35.
Su T-P, et al. Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan. J Psychiatr Res. 2007;41(1):119–30.PubMedCrossRef
36.
Pappa S, et al. Prevalence of depression, anxiety, and sleep disturbances among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. 2020;88:901–7.
37.
Li Y, et al. Sleep disturbances and psychological reactions during the COVID-19 outbreak in China. J Clin Sleep Med. 2020;16(8):1417–8.PubMedCrossRef
38.
39.
Compton MT, Frank E. Mental health concerns among Canadian physicians: results from the 2007-2008 Canadian physician health study. Compr Psychiatry. 2011;52(5):542–7.PubMedCrossRef
40.
Patterson PD, et al. Association between poor sleep, fatigue, and safety outcomes in emergency medical services providers. Prehospital Emergency Care. 2012;16(1):86–97.PubMedCrossRef
41.
Zhang C, et al. Survey of sleep disturbances and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Front Psychiatry. 2020;11:306.PubMedPubMedCentralCrossRef
42.
43.
Spoorthy MS, Pratapa SK, Mahant S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic-a review. Asian J Psychiatr. 2020;51:102119.PubMedPubMedCentralCrossRef
44.
Moll SE. The web of silence: a qualitative case study of early intervention and support for healthcare workers with mental ill-health. BMC Public Health. 2014;14(1):138.PubMedPubMedCentralCrossRef
45.
Salari N, Mohammadi M, Vaisi-Raygani A, Abdi A, Shohaimi S, Khaledipaveh B, et al. The prevalence of severe depression in Iranian older adult: a meta-analysis and meta-regression. BMC Geriatr. 2020;20(1):39.PubMedPubMedCentralCrossRef
Metadata
Title
The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis
Authors
Nader Salari
Habibolah Khazaie
Amin Hosseinian-Far
Hooman Ghasemi
Masoud Mohammadi
Shamarina Shohaimi
Alireza Daneshkhah
Behnam Khaledi-Paveh
Melika Hosseinian-Far
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Globalization and Health / Issue 1/2020
Electronic ISSN: 1744-8603
DOI
https://doi.org/10.1186/s12992-020-00620-0

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