Latent profile analysis of factors influencing sleep quality in ICU nurses cross-sectional study

Abstract This study aims to identify the potential classifications of sleep disturbances within the ICU nurse population, and to compare the between-group differences in demographic data and sleep characteristics. Through convenience sampling, ICU nurses from three tertiary A-level hospitals in Chin...

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Main Authors: Lili Li, Jiali Hua, Qiuwen Xu, Jing Wu, Ying Zhang, Fei Li, Huiping Yao
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-01643-6
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author Lili Li
Jiali Hua
Qiuwen Xu
Jing Wu
Ying Zhang
Fei Li
Huiping Yao
author_facet Lili Li
Jiali Hua
Qiuwen Xu
Jing Wu
Ying Zhang
Fei Li
Huiping Yao
author_sort Lili Li
collection DOAJ
description Abstract This study aims to identify the potential classifications of sleep disturbances within the ICU nurse population, and to compare the between-group differences in demographic data and sleep characteristics. Through convenience sampling, ICU nurses from three tertiary A-level hospitals in China were selected as research subjects from March to May 2024. A survey was conducted using a demographic data questionnaire, the PSQI scale, the DASS-21 scale, and the BPS scale, and the data on the sleep quality of ICU nurses was collected via electronic questionnaires. This research also utilized latent class analysis to examine the symptomatic traits of sleep quality in ICU nurses. Additionally, it applied univariate analysis and unordered multinomial logistic regression models to determine the factors influencing the various categories of their sleep quality. A total of 545 questionnaires were distributed, of which 522 were validly returned, yielding an effective response rate of 95.7%. Four potential sleep quality profiles were identified, including “high sleep quality - no sleeping pills,” “medium sleep quality - low sleeping pills,” “medium sleep quality - medium sleeping pills,” and “low sleep quality - high sleeping pills,” with proportions of 43.7%, 40.6%, 10.5%, and 5.2%, respectively. Unordered multinomial logistic regression analysis indicated that the number of night shifts per week, marital status, BPS scores, FSS scores, and DASS-21 scores were key factors affecting the sleep quality classification of ICU nurses(P < 0.05). The sleep quality characteristics of ICU nurses are diverse and can be divided into four different categories. Therefore, nursing managers should be aware of this heterogeneity and take corresponding intervention measures based on the classification of nurses to ensure their sleep quality and promote psychological health.
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spelling doaj-art-0d7608dcde3241d694f09e5dd3bab6932025-08-20T03:53:58ZengNature PortfolioScientific Reports2045-23222025-05-011511810.1038/s41598-025-01643-6Latent profile analysis of factors influencing sleep quality in ICU nurses cross-sectional studyLili Li0Jiali Hua1Qiuwen Xu2Jing Wu3Ying Zhang4Fei Li5Huiping Yao6Emergency and Critical Care Center, Intensive Care Unit, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeEmergency and Critical Care Center, Intensive Care Unit, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeEmergency and Critical Care Center, Intensive Care Unit, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeEmergency and Critical Care Center, Intensive Care Unit, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeEmergency and Critical Care Center, Intensive Care Unit, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeEmergency and Critical Care Center, Intensive Care Unit, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeEmergency and Critical Care Center, Intensive Care Unit, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeAbstract This study aims to identify the potential classifications of sleep disturbances within the ICU nurse population, and to compare the between-group differences in demographic data and sleep characteristics. Through convenience sampling, ICU nurses from three tertiary A-level hospitals in China were selected as research subjects from March to May 2024. A survey was conducted using a demographic data questionnaire, the PSQI scale, the DASS-21 scale, and the BPS scale, and the data on the sleep quality of ICU nurses was collected via electronic questionnaires. This research also utilized latent class analysis to examine the symptomatic traits of sleep quality in ICU nurses. Additionally, it applied univariate analysis and unordered multinomial logistic regression models to determine the factors influencing the various categories of their sleep quality. A total of 545 questionnaires were distributed, of which 522 were validly returned, yielding an effective response rate of 95.7%. Four potential sleep quality profiles were identified, including “high sleep quality - no sleeping pills,” “medium sleep quality - low sleeping pills,” “medium sleep quality - medium sleeping pills,” and “low sleep quality - high sleeping pills,” with proportions of 43.7%, 40.6%, 10.5%, and 5.2%, respectively. Unordered multinomial logistic regression analysis indicated that the number of night shifts per week, marital status, BPS scores, FSS scores, and DASS-21 scores were key factors affecting the sleep quality classification of ICU nurses(P < 0.05). The sleep quality characteristics of ICU nurses are diverse and can be divided into four different categories. Therefore, nursing managers should be aware of this heterogeneity and take corresponding intervention measures based on the classification of nurses to ensure their sleep quality and promote psychological health.https://doi.org/10.1038/s41598-025-01643-6NurseSleep qualityLatent profilesICUPittsburgh sleep quality index
spellingShingle Lili Li
Jiali Hua
Qiuwen Xu
Jing Wu
Ying Zhang
Fei Li
Huiping Yao
Latent profile analysis of factors influencing sleep quality in ICU nurses cross-sectional study
Scientific Reports
Nurse
Sleep quality
Latent profiles
ICU
Pittsburgh sleep quality index
title Latent profile analysis of factors influencing sleep quality in ICU nurses cross-sectional study
title_full Latent profile analysis of factors influencing sleep quality in ICU nurses cross-sectional study
title_fullStr Latent profile analysis of factors influencing sleep quality in ICU nurses cross-sectional study
title_full_unstemmed Latent profile analysis of factors influencing sleep quality in ICU nurses cross-sectional study
title_short Latent profile analysis of factors influencing sleep quality in ICU nurses cross-sectional study
title_sort latent profile analysis of factors influencing sleep quality in icu nurses cross sectional study
topic Nurse
Sleep quality
Latent profiles
ICU
Pittsburgh sleep quality index
url https://doi.org/10.1038/s41598-025-01643-6
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