Comparative characteristics of sleep quality and blood pressure during the COVID-19 pandemic in nurses of therapeutic departments and nurses working in departments provided help to patients with coronavirus disease COVID-19
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2022.3.13183Keywords:
insomnia, blood pressure, hypertension, nurses, COVID-19Abstract
Summary. During the COVID-19 pandemic, nurses work under unprecedented conditions, resulting in physiological discomfort and emotional stress. In addition, their shift work is characterized by a forced shift of sleep to day-time hours, a reduction in its duration and a decrease in quality, which may be one of the factors in increasing blood pressure (BP) levels.
The aim of the study – to examine the frequency and severity of sleep disorders and BP level in nurses working in therapeutic units and in units where patients with COVID-19 coronavirus disease are treated.
Materials and Methods. A total of 56 therapeutic nurses took part in the study, of whom 30 worked in therapeutic departments and 26 in specialized departments where care for patients with coronavirus COVID-19 is provided. We used a subjective sleep assessment questionnaire to clinically assess the severity of insomnia. The measurement of systolic BP and diastolic blood pressure BP in mm Hg have been performed according to the standard protocol using the Korotkov method. Statistical data processing was performed using standard “Statistica 8.0” information processing software.
Results. Sleep disorders among nurses of therapeutic profile working in departments where patients with COVID-19 are treated were found in 42.3% of respondents versus 30.0 % of respondents of therapeutic departments. Assessment of BP levels in nurses showed that although the number of respondents with normal BP did not significantly differ in the two study groups, the optimal BP was determined in probably fewer nurses working in departments where patients with COVID-19 are treated. At the same time, the number of nurses with high normal BP also probably prevailed in the group of respondents working in departments where patients with COVID-19 are treated. As for hypertension, this pathology was diagnosed in 33.3% of nurses of therapeutic departments and 30.7 % of nurses of specialized departments where patients with COVID-19 are treated. The correlation analysis showed a strong positive correlation between the level of BP and intrasomnic sleep disorders in nurses from both study groups.
Conclusions. More pronounced sleep disturbances and higher BP levels in nurses working in specialized departments where patients with COVID-19 are treated indicate the need to develop and implement a number of preventive measures for healthcare workers involved in caring for patients with acute coronavirus disease to improve sleep quality and to prevent cardiometabolic disorders.
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