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Sleep Quality and Influencing Factors of Nurses in Fever Clinics During Closed-Loop Management: An Exploratory
Fenglin Wang1, Yue Hu2, Dongli Wei1
1Department of Infection, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Dadao, Wuhan 430022, China.
Healthcare (Basel, Switzerland)
|June 12, 2026
Summary
Fever clinic nurses experienced poor sleep quality during COVID-19 closed-loop management due to work pressure and isolation. Psychological capital and personal factors also impacted their sleep, highlighting a need for interventions.
Area of Science:
- Nursing Research
- Occupational Health
- Psychology
Background:
- COVID-19 pandemic created high occupational stress and isolation for fever clinic nurses.
- Limited evidence exists on sleep quality in this specific nursing population under strict management.
- This study aimed to assess sleep quality and identify associated factors among these nurses.
Purpose of the Study:
- To investigate the sleep quality of fever clinic nurses during COVID-19 closed-loop management.
- To identify demographic, occupational, and psychological factors influencing their sleep.
Main Methods:
- A sequential explanatory mixed-methods design was utilized.
- Quantitative data collected via Pittsburgh Sleep Quality Index (PSQI) and Nurses' Psychological Capital Scale from 33 nurses.
- Qualitative data gathered through semi-structured interviews with six nurses.
Main Results:
- Nurses reported moderate sleep disturbances with a mean PSQI score of 8.16 ± 4.25.
- Poor sleep quality was linked to night shifts, work pressure, and lower psychological capital.
- Qualitative themes revealed impacts of personal circumstances, psychological pressures, and self-regulation.
Conclusions:
- Fever clinic nurses under COVID-19 closed-loop management exhibited poor sleep quality.
- Personal circumstances, work pressure, and psychological capital are key factors affecting sleep.
- Further research is needed to develop targeted interventions for improving nurse sleep quality.
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