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Sleep Pattern Changes in Nursing Students during the COVID-19 Lockdown
Cristina Romero-Blanco1, Julián Rodríguez-Almagro1, María Dolores Onieva-Zafra1
1Department of Nursing, Physiotherapy and Occupational Therapy, Ciudad Real Faculty of Nursing, University of Castilla-La Mancha, 13071 Ciudad Real, Spain.
Nursing students experienced worse sleep quality during the COVID-19 lockdown, despite spending more time in bed. Key factors affected were sleep latency, duration, and efficiency, impacting overall student well-being.
Area of Science:
- Public Health
- Sleep Medicine
- Psychology
Background:
- Poor sleep quality is prevalent among students, linked to decreased performance and behavioral changes.
- COVID-19 lockdowns may have altered lifestyles, negatively impacting student sleep patterns.
- Nursing students are particularly vulnerable to sleep disturbances due to academic and clinical demands.
Purpose of the Study:
- To investigate the changes in sleep quality among nursing students before and during the COVID-19 lockdown.
- To identify specific sleep parameters affected by the lockdown measures.
- To analyze differences in sleep quality changes across various student demographics.
Main Methods:
- Longitudinal observational study involving 207 nursing students.
- Data collected at two time points: February (pre-lockdown) and April (during lockdown).
- Sleep quality assessed using the Pittsburgh Sleep Quality Index (PSQI) and its seven components.
Main Results:
- Students spent more time in bed during lockdown (8.5 hours) compared to pre-lockdown (7.6 hours).
- Overall sleep quality worsened during lockdown, with a mean PSQI score increase of 0.91 points.
- Significant negative changes observed in sleep latency, sleep duration, and sleep efficiency.
Conclusions:
- Despite increased time in bed, nursing students' sleep quality deteriorated during the COVID-19 lockdown.
- Lockdown measures significantly impacted multiple sleep components, affecting student health and academic potential.
- Specific subgroups, including women and first/second-year students, experienced more pronounced sleep quality declines.
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