Prevalencija poremećaja sna među ljekarima i medicinskim sestrama koji se suočavaju s pacijentima COVID-19: sistematski pregled i meta-analiza.
Globalization and health
Sažetak istraživanja
Pozadina U svim epidemijama, zdravstveno osoblje je u središtu rizika i šteta uzrokovanih patogenima. Danas su medicinske sestre i liječnici suočeni s neviđenim radnim pritiscima suočeni s pandemijom COVID-19, što rezultira nekoliko psihičkih poremećaja kao što su stres, anksioznost i poremećaji spavanja.
Cilj ove studije je istražiti prevalenciju poremećaja sna kod bolničkih medicinskih sestara i liječnika koji se suočavaju s pacijentima oboljelim od COVID-19. Metoda Sistematski pregled i metaanaliza su sprovedeni u skladu sa PRISMA kriterijumima. PubMed, Scopus, Science direct, Web of science, CINHAL, Medline i Google Scholar baze podataka su pretražene bez kraćeg vremenskog ograničenja i do 24. juna 2020. Heterogenost studija je mjerena korištenjem I 2 testa, a pristranost objavljivanja procijenjena je Eggerovim testom na nivou značajnosti od 0.05.
Rezultati I 2 test je korišćen za procenu heterogenosti odabranih studija, a na osnovu rezultata I 2 testa, prevalencija poremećaja spavanja kod medicinskih sestara i lekara je I 2 : 97,4% i I 2 : 97,3% respektivno. Nakon praćenja procesa sistematskog pregleda, odabrano je 7 studija preseka za metaanalizu. Ispitano je šest studija sa veličinom uzorka od 3745 medicinskih sestara, a prevalencija poremećaja spavanja procijenjena je na 34,8% (95% CI: 24,8-46,4%). Prevalencija poremećaja spavanja kod lekara takođe je merena u 5 studija sa veličinom uzorka od 2123 lekara. Prema rezultatima, prevalencija poremećaja spavanja kod ljekara koji brinu o pacijentima sa COVID-19 prijavljena je na 41,6% (95% CI: 27,7-57%).
Zaključak Zdravstveni radnici, kao prva linija borbe protiv COVID-19, podložniji su štetnim efektima ove bolesti od drugih grupa u društvu. Sve veći stres na radnom mjestu povećava poremećaje spavanja medicinskog osoblja, posebno medicinskih sestara i ljekara. Drugim riječima, povećan stres zbog izloženosti COVID-19 povećava učestalost poremećaja sna kod medicinskih sestara i liječnika. Stoga je važno za kreatore zdravstvene politike da pruže rješenja i intervencije za smanjenje stresa na radnom mjestu i pritisaka na medicinsko osoblje.
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The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis.
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 I 2 test and the publication bias was assessed by the Egger's test at the significance level of 0.05.
Results The I 2 test was used to evaluate the heterogeneity of the selected studies, based on the results of I 2 test, the prevalence of sleep disturbances in nurses and physicians is I 2 : 97.4% and I 2 : 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.
Izvorni podaci
- DOI
- 10.1186/s12992-020-00620-0
- PMID
- 32993696
- PMCID
- PMC7522913
- Provjereno
- 2026-07-26
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