COMPARING FATIGUE AND SLEEP QUALITY OF NURSES WITH COVID-19 AND THEIR HEALTHY COUNTERPARTS
COVID-19 GEÇİREN HEMŞİRELER İLE SAĞLIKLI MESLEKTAŞLARININ YORGUNLUK VE UYKU KALİTESİNİN KARŞILAŞTIRILMASI
Keywords:
COVID-19, Fatigue, Nursing, Sleep qualityAbstract
The study aims to compare the fatigue and sleep quality of nurses who had COVID-19 and their healthy counterparts. A cross-sectional design was employed at a university hospital. Data were collected between September 2 and October 29, 2021, using the “Socio-demographic Form”, “Piper Fatigue Scale (PFS)”, “Pittsburgh Sleep Quality Index (PSQI)” via Google Forms. A total of 224 nurses took part in the study. Among the participants who were diagnosed with COVID-19, 76.8% were female, 57.3% were aged between 18 and 29 years, and 82.9% reported no chronic diseases. Overall, 36.6% of participants had been diagnosed with COVID-19, with 78% of these diagnoses occurring between July and December 2020. Total PFS and PSQI mean scores of the nurses who were diagnosed with COVID-19 were 6.2±2.2 and 10.1±3.2. Nurses who were not diagnosed with COVID-19 had a PFS total mean score of 5.6±2.4 and a PSQI total mean score of 9.5±3.3. Accordingly, no significant difference was found between the two groups (p>0.05). In conclusion, the results showed that the nurses experienced moderate fatigue and poor sleep quality. However, having COVID-19 did not affect the nurses' fatigue level and sleep quality.
References
Çetinol T, Özvurmaz S. Hemşirelerde Uyku Kaliİtesİ Ve İlişkili Faktörler. NWSA Academic Journals. 2018;13(4):80-9.
Knupp AM, Patterson ES, Ford JL, Zurmehly J, Patrick T. Associations Among Nurse Fatigue, Individual Nurse Factors, and Aspects of the Nursing Practice Environment. The Journal of nursing administration. 2018;48(12):642-8.
Pirinçci E, Yaraşır E, Özbey S, Özdemir S, Demir A, Deveci SE, et al. Türkiye'nin Doğusunda Bir Devlet Hastanesinde Çalışan Hemşirelerin Uyku Kalitesinin İncelenmesi. 2021.
Asi Karakaş S, Gönültaş N, Okanlı A. Vardiyalı Çalışan Hemşirelerde Uyku Kalitesi. ERÜ Sağlık Bilimleri Fakültesi Dergisi. 2017;4:17-26.
Karahan A, Abbasoğlu A, Uğurlu Z, Avcı Işık S, Kılıç G, Özhan Elbaş N. Determination of sleep quality, fatigue, and concentration in nurses according to their shifts and chronotype*. Journal of Psychiatric Nursing. 2020;11(2):98-105.
Sagherian K, Steege LM, Cobb SJ, Cho H. Insomnia, fatigue and psychosocial well-being during COVID-19 pandemic: A cross-sectional survey of hospital nursing staff in the United States. Journal of clinical nursing. 2020.
Zou X, Liu S, Li J, Chen W, Ye J, Yang Y, et al. Factors Associated With Healthcare Workers' Insomnia Symptoms and Fatigue in the Fight Against COVID-19, and the Role of Organizational Support. Front Psychiatry. 2021;12:652717-.
Chou R, Dana T, Buckley DI, Selph S, Fu R, Totten AM. Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers: A Living Rapid Review. Ann Intern Med. 2020;173(2):120-36.
Gholami M, Fawad I, Shadan S, Rowaiee R, Ghanem H, Hassan Khamis A, et al. COVID-19 and healthcare workers: A systematic review and meta-analysis. Int J Infect Dis. 2021;104:335-46.
Gomez-Ochoa SA, Franco OH, Rojas LZ, Raguindin PF, Roa-Diaz ZM, Wyssmann BM, et al. COVID-19 in Health-Care Workers: A Living Systematic Review and Meta-Analysis of Prevalence, Risk Factors, Clinical Characteristics, and Outcomes. American journal of epidemiology. 2021;190(1):161-75.
Adil MT, Rahman R, Whitelaw D, Jain V, Al-Taan O, Rashid F, et al. SARS-CoV-2 and the pandemic of COVID-19. Postgraduate medical journal. 2021;97(1144):110-6.
Cha C, Baek G. Symptoms and management of long COVID: A scoping review. Journal of clinical nursing. 2021.
Kayaaslan B, Eser F, Kalem AK, Kaya G, Kaplan B, Kacar D, et al. Post-COVID syndrome: A single-center questionnaire study on 1007 participants recovered from COVID-19. Journal of medical virology. 2021;93(12):6566-74.
Orrù G, Bertelloni D, Diolaiuti F, Mucci F, Di Giuseppe M, Biella M, et al. Long-COVID Syndrome? A Study on the Persistence of Neurological, Psychological and Physiological Symptoms. Healthcare (Basel). 2021;9(5):575.
Sykes DL, Holdsworth L, Jawad N, Gunasekera P, Morice AH, Crooks MG. Post-COVID-19 Symptom Burden: What is Long-COVID and How Should We Manage It? Lung. 2021;199(2):113-9.
Shah W, Hillman T, Playford ED, Hishmeh L. Managing the long term effects of covid-19: summary of NICE, SIGN, and RCGP rapid guideline. Bmj. 2021;372:n136.
Can G, Durna Z, Aydiner A. Assessment of fatigue in and care needs of Turkish women with breast cancer. Cancer nursing. 2004;27(2):153-61.
Piper BF, Dibble SL, Dodd MJ, Weiss MC, Slaughter RE, Paul SM. The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer. Oncology nursing forum. 1998;25(4):677-84.
Ağargün MY, Kara H, Anlar O. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi. 1996;7(2):107-15.
Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213.
Gaber TAZK, Ashish A, Unsworth A. Persistent post-covid symptoms in healthcare workers. Occup Med (Lond). 2021;71(3):144-6.
Bilgiç Ş, Çelikkalp Ü, Mısırlı C. Stress level and sleep quality of nurses during the COVID-19 pandemic. Work. 2021;70:1021-9.
Al Maskari Z, Al Blushi A, Khamis F, Al Tai A, Al Salmi I, Al Harthi H, et al. Characteristics of healthcare workers infected with COVID-19: A cross-sectional observational study. Int J Infect Dis. 2021;102:32-6.
Korkmaz S, Kazgan A, Çekiç S, Tartar AS, Balcı HN, Atmaca M. The anxiety levels, quality of sleep and life and problem-solving skills in healthcare workers employed in COVID-19 services. J Clin Neurosci. 2020;80:131-6.
Labrague LJ. Pandemic fatigue and clinical nurses’ mental health, sleep quality and job contentment during the covid-19 pandemic: The mediating role of resilience. Journal of Nursing Management. 2021;29(7):1992-2001.
Morin CM, Vézina-Im L-A, Ivers H, Micoulaud-Franchi J-A, Philip P, Lamy M, et al. Prevalent, incident, and persistent insomnia in a population-based cohort tested before (2018) and during the first-wave of COVID-19 pandemic (2020). Sleep. 2022;45(1):zsab258.
Akıncı T, Başar HM. Assessment of Sleep Quality in Healthcare Workers as Part of the COVID-19 Outbreak. COVID-19 Salgını Kapsamında Sağlık Çalışanlarında Uyku Kalitesinin Değerlendirilmesi. 2021;27(2):176-86.
Stavem K, Ghanima W, Olsen MK, Gilboe HM, Einvik G. Prevalence and Determinants of Fatigue after COVID-19 in Non-Hospitalized Subjects: A Population-Based Study. International journal of environmental research and public health. 2021;18(4).
Bell ML, Catalfamo CJ, Farland LV, Ernst KC, Jacobs ET, Klimentidis YC, et al. Post-acute sequelae of COVID-19 in a non-hospitalized cohort: Results from the Arizona CoVHORT. PLoS One. 2021;16(8):e0254347-e.
Lopez-Leon S, Wegman-Ostrosky T, Perelman C, Sepulveda R, Rebolledo PA, Cuapio A, et al. More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Scientific Reports. 2021;11(1):16144.
Fernandez-de-Las-Penas C, Palacios-Cena D, Gomez-Mayordomo V, Palacios-Cena M, Rodriguez-Jimenez J, de-la-Llave-Rincon AI, et al. Fatigue and Dyspnoea as Main Persistent Post-COVID-19 Symptoms in Previously Hospitalized Patients: Related Functional Limitations and Disability. Respiration; international review of thoracic diseases. 2022;101(2):132-41.
Akçay D, Yıldırımlar A, Aksu S. Hemşirelerin Uyku Durumlarını Etkileyen Faktörler. Factors Affecting Sleep Status of Nurses. 2021;13(1):105-13.
Downloads
Published
Versions
- 2025-10-26 (2)
- 2025-09-30 (1)
How to Cite
Issue
Section
License
Copyright (c) 2025 Göbeklitepe Medical Science Journal

This work is licensed under a Creative Commons Attribution 4.0 International License.

