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Publication
O Impacto da Pandemia COVID-19 nas Perturbações de Sono em Profissionais de Saúde: Uma Revisão Sistemática de Literatura
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Authors
Advisor(s)
Abstract(s)
Introdução: A pandemia de COVID-19 impactou profundamente diversos aspetos da
saúde global, incluindo os padrões de sono, especialmente em profissionais de saúde.
Alterações como insónia, má qualidade do sono e distúrbios relacionados têm sido
amplamente documentadas, com implicações significativas para a saúde, o bem-estar e
desempenho desses profissionais.
Objetivos: Sintetizar as evidências sobre o impacto da pandemia de COVID-19 nas
perturbações de sono em profissionais de saúde, identificando as principais alterações,
a sua prevalência e os fatores de risco e protetores associados.
Metodologia: Revisão sistemática de literatura, seguindo as diretrizes PRISMA-2020,
realizada nas bases dados PubMed, Scopus e Scielo entre julho e setembro de 2024,
tendo sido incluídos estudos publicados entre janeiro de 2020 e janeiro 2024 . Foram
incluídos 11 estudos realizados na Europa e América, envolvendo profissionais de saúde.
Resultados: As perturbações de sono mais frequentes incluíram a má qualidade do
sono (45%-95,5%) e a insónia (30%-65,6%). Sonolência diurna, pesadelos e roncopatia,
redução na duração do sono, outras alterações psicológicas associadas, como ansiedade,
depressão e burnout, bem como o aumento na utilização de psicofármacos também
foram descritos, embora em prevalências menores. Fatores como carga de trabalho
excessiva, contacto direto com pacientes com COVID-19, trabalho por turnos e
inadequação de Equipamentos de Proteção Individual (EPI) e ser do sexo feminino
foram associados a piores desfechos. Por outro lado, suporte organizacional e boas
condições laborais foram identificados como fatores protetores.
Discussão e Conclusão: A pandemia de COVID-19 exacerbou significativamente as
perturbações de sono em profissionais de saúde, comprometendo a sua saúde mental e
desempenho profissional. Estratégias de suporte psicológico e organizacional são
cruciais para mitigar esses efeitos e promover o bem-estar dos profissionais. Estudos
longitudinais são necessários para avaliar as consequências a longo prazo.
Introduction: The COVID-19 pandemic has profoundly impacted several aspects of global health, including sleep patterns, especially in healthcare workers. Changes such as insomnia, poor sleep quality and related disorders have been widely documented, with significant implications for the health, well-being and performance of these professionals. Objectives: To synthesize the evidence on the impact of the COVID-19 pandemic on sleep disorders in healthcare workers, identifying the main alterations, their prevalence and the associated risk and protective factors. Methodology: Systematic literature review, following the PRISMA-2020 guidelines, carried out in the PubMed, Scopus and Scielo databases between July and September 2024, including studies published between January 2020 and January 2024. Eleven studies carried out in Europe and America involving healthcare professionals were included. Results: The most frequent sleep disorders included poor sleep quality (45%-95.5%) and insomnia (30%-65.6%). Daytime sleepiness, nightmares and snoring, reduced sleep duration, other associated psychological changes such as anxiety, depression and burnout, as well as increased use of psychotropic drugs were also described, although in lower prevalence. Factors such as excessive workload, direct contact with COVID-19 patients, shift work and inadequate Personal Protective Equipment (PPE) and being female were associated with worse outcomes. On the other hand, organizational support and good working conditions were identified as protective factors. Discussion and Conclusion: The COVID-19 pandemic has significantly exacerbated sleep disturbances in healthcare workers, compromising their mental health and professional performance. Psychological and organizational support strategies are crucial to mitigate these effects and promote the well-being of professionals. Longitudinal studies are needed to assess the long-term consequences.
Introduction: The COVID-19 pandemic has profoundly impacted several aspects of global health, including sleep patterns, especially in healthcare workers. Changes such as insomnia, poor sleep quality and related disorders have been widely documented, with significant implications for the health, well-being and performance of these professionals. Objectives: To synthesize the evidence on the impact of the COVID-19 pandemic on sleep disorders in healthcare workers, identifying the main alterations, their prevalence and the associated risk and protective factors. Methodology: Systematic literature review, following the PRISMA-2020 guidelines, carried out in the PubMed, Scopus and Scielo databases between July and September 2024, including studies published between January 2020 and January 2024. Eleven studies carried out in Europe and America involving healthcare professionals were included. Results: The most frequent sleep disorders included poor sleep quality (45%-95.5%) and insomnia (30%-65.6%). Daytime sleepiness, nightmares and snoring, reduced sleep duration, other associated psychological changes such as anxiety, depression and burnout, as well as increased use of psychotropic drugs were also described, although in lower prevalence. Factors such as excessive workload, direct contact with COVID-19 patients, shift work and inadequate Personal Protective Equipment (PPE) and being female were associated with worse outcomes. On the other hand, organizational support and good working conditions were identified as protective factors. Discussion and Conclusion: The COVID-19 pandemic has significantly exacerbated sleep disturbances in healthcare workers, compromising their mental health and professional performance. Psychological and organizational support strategies are crucial to mitigate these effects and promote the well-being of professionals. Longitudinal studies are needed to assess the long-term consequences.
Description
Keywords
Covid-19 Insónia Médicos Pandemia Privação de Sono Profissionais de Saúde Sars-Cov-2 Transtornos do Sono-Vigi´ Lia