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Sleep disorders among health care workers practicing in emergency department in south tunisia

Published online by Cambridge University Press:  13 August 2021

S. Bader ,
W. Abbes ,
I. Sellami ,
W. El Falah ,
M. Hajjaji  and
L. Ghanmi
S. Bader*
Affiliation:
Psychiatry, regional hospital of Gabed, gabes, Tunisia
W. Abbes
Affiliation:
Psychiatry, regional hospital of Gabed, gabes, Tunisia
I. Sellami
Affiliation:
Occupational Medecine, university hospital Hédi Chaker-Sfax, Tunisia, Sfax, Tunisia
W. El Falah
Affiliation:
Psychiatry, regional hospital of Gabed, gabes, Tunisia
M. Hajjaji
Affiliation:
Occupational Medecine, university hospital Hédi Chaker-Sfax, Tunisia, Sfax, Tunisia
L. Ghanmi
Affiliation:
The Department Of Psychiatry, Hospital of gabes, Gabes, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Sleep disorders are the most common health problem among the health care staff, mainly those who perform night shifts.

Objectives

To assess the prevalence of sleep disorders among health care workers in emergency department and to determine its associated factors.

Methods

It was a cross-sectional study, including health care workers assigned to emergency ward and intensive care unit of Hedi Chaker and Habib Bourguiba hospitals in Sfax and regional hospital of Kebili, during the first six months of 2017. We used an anonymous and confidential self-administered questionnaire. We used hospital anxiety and depression scale (HAD) to assess anxiety and depression. Sleep quality was assessed by the Pittsburgh Sleep Quality Index and day time sleepiness by the Epworth Sleepiness Scale.

Results

240 nurses were included. Mean age was 37 years-old, 59.2% were female and 64.2% were married and 79.2% assured night shifts. The prevalence of sleep disorders was 70.4%. Sleep difficulties were significantly correlated with anxiety (p=0.001) and depression (p=0.02). In multivariate study, sleep disorders were related to the absence of leisure activity (OR=0.42 [0.19-0.94]; p=0.035) and anxiety (OR=3 [1.4-6.1]; p=0.002). 40.8% of nurses experienced drowsiness. Sleepiness was significantly correlated with the absence of leisure activities (p=0.04) and with psychiatric family history (p=0.02). In the multivariate study, sleep disorders were correlated with female gender (OR=0.43 [0.19-0.9]; p=0.042) and with no leisure activity (OR=2.6 [1.2-5.6]; p=0.01).

Conclusions

Sleep disorders were common among emergency nurses, in order of that; working conditions should be improved to provide less stressful conditions for nurses.

Conflict of interest

No significant relationships.

Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S555
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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