Sleep quality and common mental disorder in the hospital Nursing team

a cross-sectional, analytical and quantitative study developed with 196 Nursing professionals of a public hospital and a mixed one. Data was collected by means of an instrument of sociodemographic characterization, by the Self-Report Questionnaire 20 and Pittsburgh Sleep Quality Index and were analyzed by descriptive and inferential statistics to identify possible factors associated with sleep changes.

Results:

sleep changes were identified among the Nursing professionals with a frequency of 76.5% (70.4-82.1). Sleep quality was classified as poor in 41.8% (41.8-55.6) and sleep disorder in 27.6%. (21.4-34.2). The prevalence of common mental disorder was identified in 36.7% (30.1-43.9). The main factor for poor sleep quality was the presence of common mental disorder (Odds Ratio: 5.15; p<0.001).

Conclusion:

sleep changes were prevalent and the characteristics of the work environment and the presence of mental disorder showed relevance in the changes.

Descriptors:
Nurse Practitioners; Occupational Health Nursing; Occupational Health; Sleep; Mental Disorders; Hospitals

Variables	Sleep Changes				p-value
	Presence		Absence
	(N=150)	(%)	(N=46)	(%)
Professional category					0.635
Nurses	32	21.3	12	26.1
Nursing Technicians	118	78.7	34	73.9
Gender					1.000
Female	132	88	41	89.1
Male	18	12	05	20.9
Age group (years old)					0.091
18 to 35	62	41.3	12	26.1
Over 36	88	58.7	34	73.9
Skin color					0.545
White	119	79.3	39	84.8
Brown/black	31	20.7	07	15.2
Schooling					0.702
Technical education	91	60.7	30	65.2
Higher education or above	59	39.3	16	34.8
Marital status					0.083
Single	59	39.3	11	23.9
Married/Stable union	91	60.7	35	76.1
Family income (minimum wages^* * Brazilian minimum wage in 2018: R$ 954.00 (nine hundred and fifty-four reais) )					0.878
Less than 3	43	28.7	12	26.1
More than 3	107	71.3	34	73.9
Time in the profession (years)					0.480
Up to 10	86	57.3	23	50
Over 10	64	42.7	23	50
Hospital Unit					1.000
Public	100	66.7	31	67.4
Private/Public	50	33.3	15	32.6
Time working in the institution (years)					0.783
6 or less	50	33.3	17	37
Over 6	100	66.7	29	63
Number of jobs					0.562
Only 1	116	77.3	33	71.7
2 or more	34	22.7	13	28.3
Number of weekly working hours					1.000
Up to 40	87	58	25	54.3
41 or more	63	42	21	45.7
Employment contract					1.000
Statutory	101	67.3	31	67.4
Service provision	49	32.7	15	32.6
Working shift					0.357
Day	95	63.3	25	54.3
Night	55	36.7	21	45.7
Have worked in the night shift					0.430
Yes	117	78.0	39	84.8
Never	33	22.0	07	15.2
Common Mental Disorder					<0.001
No	84	56	40	87
Yes	66	44	06	13

Variable	grOR *^ * grOR = Odds Ratio; (95% CI ^† † CI = 95% Confidence Interval;** )	p-value	adOR ^‡ ‡ adOR = Odds Ratio (adjusted measures) (95% CI)	p-value
Age group (years old)
18 to 35	1
Over 35	1.99 (0.95−4.15)	0.091	-------
Marital Status No partner Has a partner	1 2.06 (0.97−4.37)	0.083	-----
Common mental disorder Absence Presence	1 5.23 (2.09−13.1)	<0.001	1 5.15 (2.04−12.90)	<0.001

		Subjective quality		Sleep latency		Sleep duration		Usual effectiveness		Sleep Disorders		Medication use		Daytime dysfunction
Variable	Description	Mean Score	p-value	Mean Score	p-value	Mean Score	p-value	Mean Score	p-value	Mean Score	p-value	Mean Score	p-value	Mean Score	p-value
Hospital	Public	103.9	0.030	103.3	0.080	100.1	0.550	96.3	0.370	105.4	<0.001	103.5	0.030	104.9	0.010
Hospital	Private	87.5	0.030	88.8	0.080	95.3	0.550	102.9	0.370	84.6	<0.001	88.5	0.030	85.5	0.010
Gender	Female	98.9	0.790	98.9	0.750	97.4	0.450	98.8	0.810	99.9	0.290	100.9	0.040	98.9	0.800
Gender	Male	95.8	0.790	95.2	0.750	106.5	0.450	96.2	0.810	88.1	0.290	80.6	0.040	95.8	0.800
Skin color	White	96.9	0.370	97.4	0.540	98.6	0.950	102.7	0.010	97.3	0.510	96.7	0.270	99.6	0.540
Skin color	Black	105.2	0.370	103.3	0.540	98.1	0.950	81.2	0.010	103.4	0.510	106.1	0.270	93.7	0.540
Number of jobs	Only 1	100.5	0.340	104.3	<0.001	100.6	0.320	94.6	0.040	99.7	0.540	102.3	0.040	96.8	0.430
Number of jobs	2 or more	92.2	0.340	80.1	<0.001	91.7	0.320	110.9	0.040	94.6	0.540	86.3	0.040	103.9	0.430
Working Hours	Up to 40	98.7	0.890	103.4	0.140	98	0.880	92.2	0.030	98.9	0.890	103	0.1270	94.8	0.270
Working Hours	More than 40	97.9	0.890	91.9	0.140	99.2	0.880	107	0.030	98	0.890	92.5	0.1270	103.4	0.270
Work Shift	Day	97.8	0.790	102.5	0.200	108	<0.001	100.5	0.480	97.3	0.710	101.4	0.280	93.4	0.090
Work Shift	Night	99.7	0.790	92.3	0.200	83.5	<0.001	95.4	0.480	100.4	0.710	93.9	0.280	106.6	0.090
Time working (years)	Up to 6	82.7	<0.001	85.6	0.010	99.3	0.870	104.8	0.190	81.7	<0.001	84	<0.001	90.5	0.130
Time working (years)	Over 6	106.7	<0.001	105.2	0.010	98.1	0.870	95.2	0.190	107.2	<0.001	106	<0.001	102.7	0.130

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] *
Paper extracted from master’s thesis “Alterações de saúde de profissionais de enfermagem em unidades hospitalares”, presented to Universidade Estadual do Oeste do Paraná - UNIOESTE, Francisco Beltrão, PR, Brazil.

Brasil

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Sleep quality and common mental disorder in the hospital Nursing team* * Paper extracted from master’s thesis “Alterações de saúde de profissionais de enfermagem em unidades hospitalares”, presented to Universidade Estadual do Oeste do Paraná - UNIOESTE, Francisco Beltrão, PR, Brazil.

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Method:

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Conclusion:

Sleep quality and common mental disorder in the hospital Nursing team^* * Paper extracted from master’s thesis “Alterações de saúde de profissionais de enfermagem em unidades hospitalares”, presented to Universidade Estadual do Oeste do Paraná - UNIOESTE, Francisco Beltrão, PR, Brazil.