Effects of Psychological Intervention Based on the Self-Transcendence Theory on the Sleep Quality of Chinese Nurses

Wei  Guofang; Wei  Zhang; Zhen Zhu

doi:10.18502/ijph.v53i4.15558

Wei Guofang Rehabilitation Nursing Department, Rainbow Fish College of Rehabilitation Nursing, Hangzhou Vocational and Technical College, Hangzhou, 310000, China
Wei Zhang Nursing Department, Affiliated Hospital, Hangzhou Normal University, Hangzhou, 310015, China
Zhen Zhu Orthopedics Department, The Second Affiliated Hospital, Zhejiang University of Traditional Chinese Medicine, Hangzhou, 310053, China

DOI: https://doi.org/10.18502/ijph.v53i4.15558

Keywords: Sleep disorder; Nurses; Epidemic; Self-transcendence theory

Abstract

Background: COVID-19 infection is transmitted easily and quickly, exposing medical care workers, especially nursing workers, to tremendous stress. Therefore, identifying the factors influencing the sleep quality of nurses and implementing corresponding interventions are conducive to improving the sleep quality of nurses and enhancing their nursing quality.

Methods: Form September to December 2022, a survey-based evaluation was conducted on 1074 front-line clinical nurses randomly selected from three hospitals in Zhejiang Province, China. Based on the survey results, 152 nurses were selected and randomly divided into the experimental group and the control group, with 76 nurses in each group. A 2-month psychological intervention based on the self-transcendence theory was conducted, and the two groups were compared before and after the intervention.

Results: The average PSQI score of nurses was 7.19±3.65, with 471 of them suffering from poor sleep (PSQI>7), accounting for 45.46%. In addition, 57.10% of the nurses were under excessive stress, whereas 62% of them had a Self-Rating Anxiety Scale score of ≥50. After the intervention, the PSQI score of the experimental group was significantly lower than that of the control group, with the difference being statistically significant (P<0.05).

Conclusion: Clinical nurses in tertiary hospitals have poor sleep quality and more severe stress and anxiety problems during COVID-19 than during non-epidemic periods. Clinical interventions based on the self-transcendence theory can effectively improve the sleep quality of nurses. Results of this study provide reference for enhancing the sleep quality of nurses and ensuring their physical and mental health during epidemic.