Effect of Self-Care Education on Sleep Quality and Psychological Disorders in Post-Discharged Patients with COVID-19

Gordafarid Moradian; Neda  Doozandeh Tabarestani; Shirin  Esmaeili Dolabi; Fateme   Monjazebi; Mahsa Farahanipour; Negin Mojarad

doi:10.18502/jss.v6i(1-2).9289

Gordafarid Moradian Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Neda Doozandeh Tabarestani Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Shirin Esmaeili Dolabi Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Fateme Monjazebi Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mahsa Farahanipour Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Negin Mojarad Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jss.v6i(1-2).9289

Keywords: COVID-19; Self-care; Education; Sleep quality; Anxiety; Depression

Abstract

Background and Objective: The coronavirus disease 2019 (COVID-19) affects the physiologic and psychological systems of humans and can lead to different degrees of depression, stress, anxiety, and insomnia. This study aimed to evaluate the effect of self-care education on sleep quality and psychological disorders in patients with COVID-19 following discharge.

Materials and Methods: This study was performed on 50 patients with COVID-19, who were educated via telephone. The average time for each interview and education was 20-40 minutes. The education included effective ways to reduce stress, anxiety, and depression as well as sleep hygiene. Data collection tools included three sections: demographic information, Pittsburgh Sleep Quality Index (PSQI) questionnaire, and Depression, Anxiety, and Stress Scale (DASS). These questionnaires were completed by three nurses once 2-3 days after discharge and again one month later by telephone. Data were analyzed using SPSS software.

Results: 69% of patients were men with a mean age of 59 years old. Significant difference was observed in each of the subscales of depression, anxiety, and stress, and their total mean (P < 0.0500), in addition, a significant difference was observed in sleep quality of patients with COVID-19 (P < 0.0500) between 2-3 days after discharge and 1 month later after education.

Conclusion: People with COVID-19 had less sleep quality and higher levels of depression, anxiety, and stress. The self-care education regarding sleep hygiene and ways to deal with stress to improve these factors had a significant impact and led to a significant level.