Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID‐19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross‐Sectional Study

ABSTRACT Aim To investigate the sleep quality and its influencing factors among nurses in hospitals in Zhejiang, China, during the first explosive COVID‐19 outbreak following the relaxation of prevention and control measures. Design A multicentre cross‐sectional study. Methods Between 10 January and...

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Main Authors: Lifen Lu, Di Sheng, Yaling Zhu, Xiaowei Xia, Guanghui Chen, Jiali Liang, Xiulan Shen, Gui Zheng
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Nursing Open
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Online Access:https://doi.org/10.1002/nop2.70127
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author Lifen Lu
Di Sheng
Yaling Zhu
Xiaowei Xia
Guanghui Chen
Jiali Liang
Xiulan Shen
Gui Zheng
author_facet Lifen Lu
Di Sheng
Yaling Zhu
Xiaowei Xia
Guanghui Chen
Jiali Liang
Xiulan Shen
Gui Zheng
author_sort Lifen Lu
collection DOAJ
description ABSTRACT Aim To investigate the sleep quality and its influencing factors among nurses in hospitals in Zhejiang, China, during the first explosive COVID‐19 outbreak following the relaxation of prevention and control measures. Design A multicentre cross‐sectional study. Methods Between 10 January and 20 January 2023—approximately 1 month after the policy was loosened—a total of 573 nurses from tertiary and community hospitals in Zhejiang participated in an online, self‐administered survey. The participants were recruited using convenience sampling, and the survey was distributed via the WeChat platform. The survey included a general information form; the Self‐Rating Scale of Sleep (SRSS); the Depression, Anxiety, and Stress Scale‐21 (DASS‐21); the Perceived Social Support Scale (PSSS); and the Brief Resilience Scale (BRS). Data analysis was conducted using SPSS version 26.0. Statistical methods employed included t‐tests, one‐way analysis of variance (ANOVA), chi‐square tests and Mann–Whitney U‐tests for comparisons between groups. Pearson correlation coefficients were calculated to analyse the relationship between the SRSS score and the DASS‐21, PSSS and BRS scores. A multiple linear stepwise regression analysis was conducted to determine the independent influencing factors of sleep quality. Results More than 90% of the nurses were infected with COVID‐19, and 60.6% had sleep disorders. The regression analysis revealed that anxiety, the BRS score, comorbidities, hospital grade, clinical front‐line, age and COVID‐19 infection independently predicted sleep quality. The scores for several SRSS items were higher than the Chinese norm, especially for the nurses in tertiary hospitals. Patient and Public Contribution No patient or public contribution.
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spelling doaj-art-f0f8f69f8a85465e98250c32c4e921022025-01-30T16:40:37ZengWileyNursing Open2054-10582025-01-01121n/an/a10.1002/nop2.70127Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID‐19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross‐Sectional StudyLifen Lu0Di Sheng1Yaling Zhu2Xiaowei Xia3Guanghui Chen4Jiali Liang5Xiulan Shen6Gui Zheng7Department of Nursing, the First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang P.R. ChinaDepartment of Nursing, the First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang P.R. ChinaDepartment of Nursing The First Hospital of Jiaxing Jiaxing Zhejiang P.R. ChinaMinistry of Health The Third Hospital of Ninghai County Ningbo Zhejiang P.R. ChinaMinistry of Health The Liangzhu Street Community Health Service Center Hangzhou Zhejiang P.R. ChinaDepartment of Nursing The First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang P.R. ChinaDepartment of Nursing, the First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang P.R. ChinaDepartment of Nursing, the First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang P.R. ChinaABSTRACT Aim To investigate the sleep quality and its influencing factors among nurses in hospitals in Zhejiang, China, during the first explosive COVID‐19 outbreak following the relaxation of prevention and control measures. Design A multicentre cross‐sectional study. Methods Between 10 January and 20 January 2023—approximately 1 month after the policy was loosened—a total of 573 nurses from tertiary and community hospitals in Zhejiang participated in an online, self‐administered survey. The participants were recruited using convenience sampling, and the survey was distributed via the WeChat platform. The survey included a general information form; the Self‐Rating Scale of Sleep (SRSS); the Depression, Anxiety, and Stress Scale‐21 (DASS‐21); the Perceived Social Support Scale (PSSS); and the Brief Resilience Scale (BRS). Data analysis was conducted using SPSS version 26.0. Statistical methods employed included t‐tests, one‐way analysis of variance (ANOVA), chi‐square tests and Mann–Whitney U‐tests for comparisons between groups. Pearson correlation coefficients were calculated to analyse the relationship between the SRSS score and the DASS‐21, PSSS and BRS scores. A multiple linear stepwise regression analysis was conducted to determine the independent influencing factors of sleep quality. Results More than 90% of the nurses were infected with COVID‐19, and 60.6% had sleep disorders. The regression analysis revealed that anxiety, the BRS score, comorbidities, hospital grade, clinical front‐line, age and COVID‐19 infection independently predicted sleep quality. The scores for several SRSS items were higher than the Chinese norm, especially for the nurses in tertiary hospitals. Patient and Public Contribution No patient or public contribution.https://doi.org/10.1002/nop2.70127COVID‐19 outbreakinfluencing factornursessleep quality
spellingShingle Lifen Lu
Di Sheng
Yaling Zhu
Xiaowei Xia
Guanghui Chen
Jiali Liang
Xiulan Shen
Gui Zheng
Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID‐19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross‐Sectional Study
Nursing Open
COVID‐19 outbreak
influencing factor
nurses
sleep quality
title Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID‐19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross‐Sectional Study
title_full Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID‐19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross‐Sectional Study
title_fullStr Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID‐19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross‐Sectional Study
title_full_unstemmed Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID‐19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross‐Sectional Study
title_short Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID‐19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross‐Sectional Study
title_sort nurses sleep quality and its influencing factors during the first explosive covid 19 outbreak in zhejiang china after the relaxation of epidemic prevention and control measures a multicentre cross sectional study
topic COVID‐19 outbreak
influencing factor
nurses
sleep quality
url https://doi.org/10.1002/nop2.70127
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