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ORIGINAL RESEARCH article

Front. Psychol.
Sec. Health Psychology
Volume 15 - 2024 | doi: 10.3389/fpsyg.2024.1483771

Unique and Cumulative Effects of Different Subtypes of Sleep Problems on Burnout among Chinese Nurses

Provisionally accepted
Ping-Zhen Lin Ping-Zhen Lin 1,2*Yong-Sen Lin Yong-Sen Lin 3*王 旭 王 旭 4Lan-Lan Chen Lan-Lan Chen 1,2*Yan-Yan Lin Yan-Yan Lin 5*Bi-Yu Wu Bi-Yu Wu 1,2*
  • 1 Department of Nursing, Quanzhou First Hospital, Quanzhou, China
  • 2 Department of Nursing, Quanzhou First Hospital, Fujian Medical University, Quanzhou, Fujian Province, China
  • 3 Department of Neurology, Quanzhou First Hospital, Fujian Medical University, Quanzhou, Fujian Province, China
  • 4 Laboratory of Clinical Applied Anatomy, School of Basic Medical Sciences, Fujian Medical University, Fuzhou, Fujian Province, China
  • 5 Department of Infectious Disease, Quanzhou First Hospital, Fujian Medical University, Quanzhou, Fujian Province, China

The final, formatted version of the article will be published soon.

    Objective: To investigate the unique and cumulative associations of different sleep problem subtypes with burnout among Chinese nurses. Methods: A survey was conducted in Quanzhou, China, and a total of 744 nurses were included. Burnout was measured by Maslach Burnout Inventory-Human Services Survey across three dimensions: emotional exhaustion (EE), depersonalization (DP) and low personal accomplishment (PA). Pittsburgh Sleep Quality Index was used to measure 15 types of sleep problems. Binary logistic regression was employed to explore the association between sleep problems and burnout. Results: Prevalence of sleep problems, high EE, high DP and low PA were 43.3%, 6.9%, 23.4% and 63.2%, respectively. Experience of sleep problems significantly increased risk for EE (OR=1.31, 95%CI:1.185-1.436), DP (OR=1.08, 95%CI: 1.023-1.142) and PA (OR=1.09, 95%CI: 1.036-1.146). Of the 15 sleep problem subtypes, “feel too cold” and “have pain” were significant predictors of high EE (OR=3.89, 95%CI: 1.629-9.302; OR=3.00, 95%CI: 1.314-6.827, respectively), and “daytime dysfunction” significantly predicted low PA (OR=1.68, 95%CI: 1.135-2.491). Around 40.9% of nurses had reported more than three subtypes of sleep problems. Experiencing more than three subtypes of sleep problems were significantly associated with an increased risk of DP and PA (ORs range from 2.07 to 2.71). Conclusion: These findings suggested that sleep problems was associated with an increased risk of burnout in nurses, with both unique and cumulative risks. Interventions should focus on the prevention and management of the effects of sleep problems among nurses.

    Keywords: Nurses, burnout, sleep problems, Cumulative effect, Unique effects

    Received: 20 Aug 2024; Accepted: 08 Oct 2024.

    Copyright: © 2024 Lin, Lin, 旭, Chen, Lin and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Ping-Zhen Lin, Department of Nursing, Quanzhou First Hospital, Quanzhou, China
    Yong-Sen Lin, Department of Neurology, Quanzhou First Hospital, Fujian Medical University, Quanzhou, 362000, Fujian Province, China
    Lan-Lan Chen, Department of Nursing, Quanzhou First Hospital, Fujian Medical University, Quanzhou, 362000, Fujian Province, China
    Yan-Yan Lin, Department of Infectious Disease, Quanzhou First Hospital, Fujian Medical University, Quanzhou, 362000, Fujian Province, China
    Bi-Yu Wu, Department of Nursing, Quanzhou First Hospital, Quanzhou, China

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