The sleep quality and influencing factors among midwives in China: a cross-sectional study
ObjectiveThis study aimed to assess sleep quality and identify influencing factors among midwives in mainland China, providing a reference for obstetric managers to develop strategies that enhance sleep health among midwives.MethodsThe study was conducted from January to December 2023 across 566 hos...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1581508/full |
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| author | Dongning He Dongning He Jinling Zhang Jinling Zhang Mingxin Zhu Mingxin Zhu Yangxue Meng Yangxue Meng Na Li Na Li Guoyu Wang Guoyu Wang Biru Luo Biru Luo |
| author_facet | Dongning He Dongning He Jinling Zhang Jinling Zhang Mingxin Zhu Mingxin Zhu Yangxue Meng Yangxue Meng Na Li Na Li Guoyu Wang Guoyu Wang Biru Luo Biru Luo |
| author_sort | Dongning He |
| collection | DOAJ |
| description | ObjectiveThis study aimed to assess sleep quality and identify influencing factors among midwives in mainland China, providing a reference for obstetric managers to develop strategies that enhance sleep health among midwives.MethodsThe study was conducted from January to December 2023 across 566 hospitals in mainland China. A total of 1,948 midwives participated. A self-designed questionnaire was used to collect socio-demographic information and participants' perceived factors influencing their sleep quality. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and regression analysis was performed to identify the factors influencing sleep quality.ResultsThe median Pittsburgh Sleep Quality Index score was 9, with 71.9% (n = 1,400) of midwives reporting poor sleep quality (cutoff score >7). Additionally, 12.4% of midwives required medication to assist with sleep. Statistically significant differences (P < 0.05) in scores were observed across variables such as years of experience as a midwife, health status, hospital type, work mode, ability to leave work on time, and sleep assistance situation. Regression analysis indicated that health status, hospital type, work mode, ability to leave work on time, the need for sleep assistance, and perceived work pressure were significant factors influencing sleep quality among midwives.ConclusionThe overall sleep quality of Chinese midwives is poor, influenced by both work-related and individual factors. Obstetric managers should allocate clinical staff and resources efficiently. This can be achieved by adjusting shift rotations, reducing overtime, and implementing other measures to create an environment that supports better sleep quality among midwives, enhancing their work performance and ensuring maternal and neonatal safety. |
| format | Article |
| id | doaj-art-590dfa1bb98e4aa09816994abc39e0d8 |
| institution | DOAJ |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-590dfa1bb98e4aa09816994abc39e0d82025-08-20T03:17:18ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.15815081581508The sleep quality and influencing factors among midwives in China: a cross-sectional studyDongning He0Dongning He1Jinling Zhang2Jinling Zhang3Mingxin Zhu4Mingxin Zhu5Yangxue Meng6Yangxue Meng7Na Li8Na Li9Guoyu Wang10Guoyu Wang11Biru Luo12Biru Luo13Department of Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, ChinaDepartment of Obstetric Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, ChinaDepartment of Obstetric Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, ChinaDepartment of Obstetric Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, ChinaDepartment of Obstetric Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, ChinaDepartment of Obstetric Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, ChinaObjectiveThis study aimed to assess sleep quality and identify influencing factors among midwives in mainland China, providing a reference for obstetric managers to develop strategies that enhance sleep health among midwives.MethodsThe study was conducted from January to December 2023 across 566 hospitals in mainland China. A total of 1,948 midwives participated. A self-designed questionnaire was used to collect socio-demographic information and participants' perceived factors influencing their sleep quality. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and regression analysis was performed to identify the factors influencing sleep quality.ResultsThe median Pittsburgh Sleep Quality Index score was 9, with 71.9% (n = 1,400) of midwives reporting poor sleep quality (cutoff score >7). Additionally, 12.4% of midwives required medication to assist with sleep. Statistically significant differences (P < 0.05) in scores were observed across variables such as years of experience as a midwife, health status, hospital type, work mode, ability to leave work on time, and sleep assistance situation. Regression analysis indicated that health status, hospital type, work mode, ability to leave work on time, the need for sleep assistance, and perceived work pressure were significant factors influencing sleep quality among midwives.ConclusionThe overall sleep quality of Chinese midwives is poor, influenced by both work-related and individual factors. Obstetric managers should allocate clinical staff and resources efficiently. This can be achieved by adjusting shift rotations, reducing overtime, and implementing other measures to create an environment that supports better sleep quality among midwives, enhancing their work performance and ensuring maternal and neonatal safety.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1581508/fullsleepsleep qualitysleep deprivationmidwivesoccupational health |
| spellingShingle | Dongning He Dongning He Jinling Zhang Jinling Zhang Mingxin Zhu Mingxin Zhu Yangxue Meng Yangxue Meng Na Li Na Li Guoyu Wang Guoyu Wang Biru Luo Biru Luo The sleep quality and influencing factors among midwives in China: a cross-sectional study Frontiers in Public Health sleep sleep quality sleep deprivation midwives occupational health |
| title | The sleep quality and influencing factors among midwives in China: a cross-sectional study |
| title_full | The sleep quality and influencing factors among midwives in China: a cross-sectional study |
| title_fullStr | The sleep quality and influencing factors among midwives in China: a cross-sectional study |
| title_full_unstemmed | The sleep quality and influencing factors among midwives in China: a cross-sectional study |
| title_short | The sleep quality and influencing factors among midwives in China: a cross-sectional study |
| title_sort | sleep quality and influencing factors among midwives in china a cross sectional study |
| topic | sleep sleep quality sleep deprivation midwives occupational health |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1581508/full |
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