Subscribe to RSS
DOI: 10.1055/s-0043-1767756
Sleep Quality, Insomnia, and Perceived Stress among Colombian Healthcare Workers during the COVID-19 Pandemic
Abstract
Objective The COVID-19 pandemic has imposed a great burden on healthcare workers worldwide. The aim of the present study was to assess sleep quality, insomnia, and perceived stress in healthcare workers of a high complexity hospital located in Bogota, Colombia.
Methods Cross-sectional study in which 1,155 healthcare workers at the Hospital Universitario San Ignacio in Bogotá, Colombia were included, between September and October 2020. Using an online-based survey, self-reported variables were assessed including demographics, Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), and 10 item Perceived Stress Scale (PSS-10). Associations between these variables were evaluated.
Results Fifty percent of the respondents were between 31 and 45 years old, and 76 percent were women. Most of the surveyed were the nursing staff. Poor sleep quality, insomnia, and high perceived stress was found in 74.9, 12.4, and 13.2%, respectively. Poor sleep quality was predominantly found in females, in the 31 to 45 years old group and in married personnel. Also, poor sleep quality was found in relation to a moderate to high perceived risk of COVID-19 infection by the family of the workers surveyed.
Discussion Poor sleep quality, moderate rates of insomnia, and perceived stress were found among healthcare workers committed to COVID-19 infected patients in Colombia. The identification of workers at greater risk and the implementation of targeted interventions are called upon as the results.
Publication History
Received: 10 February 2022
Accepted: 21 June 2022
Article published online:
19 April 2023
© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 Wu P, Fang Y, Guan Z. et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry 2009; 54 (05) 302-311 DOI: 10.1177/070674370905400504..
- 2 Brooks SK, Dunn R, Amlôt R, Rubin GJ, Greenberg N. A Systematic, Thematic Review of Social and Occupational Factors Associated With Psychological Outcomes in Healthcare Employees During an Infectious Disease Outbreak. J Occup Environ Med 2018; 60 (03) 248-257 DOI: 10.1097/JOM.0000000000001235..
- 3 Ganesan S, Magee M, Stone JE. et al. The Impact of Shift Work on Sleep, Alertness and Performance in Healthcare Workers. Sci Rep 2019; 9 (01) 4635 DOI: 10.1038/S41598-019-40914-X..
- 4 Hulsegge G, Loef B, van Kerkhof LW, Roenneberg T, van der Beek AJ, Proper KI. Shift work, sleep disturbances and social jetlag in healthcare workers. J Sleep Res 2019; 28 (04) e12802 DOI: 10.1111/JSR.12802..
- 5 Jehan S, Zizi F, Pandi-Perumal SR. et al. Shift work and sleep: medical implications and management. Sleep Med Disord 2017; 1 (02) 00008 DOI: 10.15406/smdij.2017.01.00008..
- 6 Xiao H, Zhang Y, Kong D, Li S, Yang N. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus in China. Med Sci Monit 2020; 26: e923549.
- 7 Simonetti V, Durante A, Ambrosca R. et al. Anxiety, sleep disorders and self-efficacy among nurses during COVID-19 pandemic: A large cross-sectional study. J Clin Nurs 2021; 30 (9-10): 1360-1371 DOI: 10.1111/JOCN.15685..
- 8 Mascayano F, van der Ven E, Moro MF. et al; HEROES group. The impact of the COVID-19 pandemic on the mental health of healthcare workers: study protocol for the COVID-19 HEalth caRe wOrkErS (HEROES) study. Soc Psychiatry Psychiatr Epidemiol 2022; 57 (03) 633-645 DOI: 10.1007/S00127-021-02211-9..
- 9 Giorgi G, Lecca LI, Alessio F. et al. COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review. Int J Environ Res Public Health 2020; 17 (21) 1-22 DOI: 10.3390/IJERPH17217857..
- 10 Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun 2020; 88: 901-907 DOI: 10.1016/J.BBI.2020.05.026..
- 11 Zhang C, Yang L, Liu S. et al. Survey of Insomnia and Related Social Psychological Factors Among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak. Front Psychiatry 2020; 11: 306 DOI: 10.3389/fpsyt.2020.00306..
- 12 Lara Gongora AB, Werutsky G, Jardim DL. et al. Impact of the COVID-19 Pandemic on Oncology Clinical Research in Latin America (LACOG 0420). JCO Glob Oncol 2021; 7: 649-658 DOI: 10.1200/GO.20.00663..
- 13 Giammarile F, Delgado Bolton RC, El-Haj N. et al. Impact of COVID-19 on Nuclear Medicine Departments in Africa and Latin America. Semin Nucl Med 2022; 52 (01) 31-40 DOI: 10.1053/J.SEMNUCLMED.2021.06.018..
- 14 Sattui SE, Robinson PC. The COVID-19 pandemic and rheumatology: Impact on providing care in Latin America and around the world. J Rheumatol 2021; 48 (10) 1501-1503 DOI: 10.3899/jrheum.210774..
- 15 Fernández-Ávila DG, Barahona-Correa J, Romero-Alvernia D. et al. Impact of COVID-19 pandemic on patients with rheumatic diseases in Latin America. Rheumatol Int 2022; 42 (01) 41-49 DOI: 10.1007/S00296-021-05014-Y..
- 16 Lau JTF, Yang X, Tsui H, Kim JH. Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62. J Epidemiol Community Health 2003; 57 (11) 864-870 DOI: 10.1136/JECH.57.11.864..
- 17 Escobar-Córdoba F, Eslava-Schmalbach J. Colombian validation of the Pittsburgh Sleep Quality Index. Rev Neurol 2005; 40 (03) 150-155 DOI: 10.33588/rn.4003.2004320..
- 18 Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2001; 2 (04) 297-307 DOI: 10.1016/S1389-9457(00)00065-4..
- 19 Lai J, Ma S, Wang Y. et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open 2020; 3 (03) e203976 DOI: 10.1001/jamanetworkopen.2020.3976..
- 20 Campo-Arias A, Oviedo HC, Herazo E. Escala de Estrés Percibido-10: Desempeño psicométrico en estudiantes de medicina de Bucaramanga, Colombia. Rev Fac Med (Caracas) 2014; 62 (03) 407-413 DOI: 10.15446/revfacmed.v62n3.43735..
- 21 Caamaño LW, Fuentes DM, González LB, Melipillán RA, Sepúlveda MC, Valenzuela EG. Adaptación y validación de la versión chilena de la escala de impacto de evento-revisada (EIE-R). Rev Med Chil 2011; 139: 1163-1168 DOI: 10.4067/S0034-98872011000900008..
- 22 Pedrozo-Pupo JC, Pedrozo-Cortés MJ, Campo-Arias A. Perceived stress associated with COVID-19 epidemic in Colombia: an online survey. Cad Saude Publica 2020; 36 (05) e00090520 DOI: 10.1590/0102-311X00090520..
- 23 Jahrami H, BaHammam AS, AlGahtani H. et al. The examination of sleep quality for frontline healthcare workers during the outbreak of COVID-19. Sleep Breath 2021; 25 (01) 503-511 DOI: 10.1007/S11325-020-02135-9..
- 24 Amra B, Salmasi M, Soltaninejad F. et al. Healthcare workers' sleep and mood disturbances during COVID-19 outbreak in an Iranian referral center. Sleep Breath 2021; 25 (04) 2197-2204 DOI: 10.1007/S11325-021-02312-4..
- 25 Yılmaz M, Kıraç Y, Sahin MK. Sleep quality and related factors in a sample of Turkish healthcare workers during the COVID-19 pandemic: A cross-sectional study. Int J Clin Pract 2021; 75 (11) e14813 DOI: 10.1111/IJCP.14813..
- 26 Di Filippo P, Attanasi M, Dodi G. et al. Evaluation of sleep quality and anxiety in Italian pediatric healthcare workers during the first wave of COVID-19 pandemic. BMC Res Notes 2021; 14 (01) 219 DOI: 10.1186/S13104-021-05621-9..
- 27 Su TP, Lien TC, Yang CY. 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 (1-2): 119-130 DOI: 10.1016/J.JPSYCHIRES.2005.12.006..
- 28 Lee S, Chan LYY, Chau AMY, Kwok KPS, Kleinman A. The experience of SARS-related stigma at Amoy Gardens. Soc Sci Med 2005; 61 (09) 2038-2046 DOI: 10.1016/J.SOCSCIMED.2005.04.010..
- 29 Badahdah AM, Khamis F, Al Mahyijari N. Sleep quality among health care workers during the COVID-19 pandemic. J Clin Sleep Med 2020; 16 (09) 1635 DOI: 10.5664/JCSM.8624..
- 30 Zhan Y, Liu Y, Liu H. et al. Factors associated with insomnia among Chinese front-line nurses fighting against COVID-19 in Wuhan: A cross-sectional survey. J Nurs Manag 2020; 28 (07) 1525-1535 DOI: 10.1111/JONM.13094..
- 31 Tu ZH, He JW, Zhou N. Sleep quality and mood symptoms in conscripted frontline nurse in Wuhan, China during COVID-19 outbreak: A cross-sectional study. Medicine (Baltimore) 2020; 99 (26) e20769 DOI: 10.1097/MD.0000000000020769..
- 32 Kim-Godwin YS, Lee MH, Logan JG, Liu X. Factors Influencing Sleep Quality among Female Staff Nurses during the Early COVID-19 Pandemic in the United States. Int J Environ Res Public Health 2021; 18 (09) 4827 DOI: 10.3390/IJERPH18094827..
- 33 Yue L, Zhao R, Xiao Q, Zhuo Y, Yu J, Meng X. The effect of mental health on sleep quality of front-line medical staff during the COVID-19 outbreak in China: A cross-sectional study. PLoS One 2021; 16 (06) e0253753 DOI: 10.1371/JOURNAL.PONE.0253753..
- 34 Zhao X, Zhang T, Li B. et al. Job-related factors associated with changes in sleep quality among healthcare workers screening for 2019 novel coronavirus infection: a longitudinal study. Sleep Med 2020; 75: 21-26 DOI: 10.1016/J.SLEEP.2020.07.027..
- 35 Zhou Y, Ding H, Zhang Y. et al. Prevalence of poor psychiatric status and sleep quality among frontline healthcare workers during and after the COVID-19 outbreak: a longitudinal study. Transl Psychiatry 2021; 11 (01) 223 DOI: 10.1038/S41398-020-01190-W..
- 36 Kang J, Noh W, Lee Y. Sleep quality among shift-work nurses: A systematic review and meta-analysis. Appl Nurs Res 2020; 52: 151227 DOI: 10.1016/J.APNR.2019.151227..
- 37 Lin SH, Liao WC, Chen MY, Fan JY. The impact of shift work on nurses' job stress, sleep quality and self-perceived health status. J Nurs Manag 2014; 22 (05) 604-612 DOI: 10.1111/jonm.12020..
- 38 Ganesan S, Magee M, Stone JE. , et al. The Impact of Shift Work on Sleep, Alertness and Performance in Healthcare Workers. Sci Rep 2019;9. https://doi.org/10.1038/S41598-019-40914-X.