In all epidemics, healthcare staff are at the centre of risks and damages caused by pathogens. Today, nurses and physicians are faced with unprecedented work pressures in the face of the COVID-19 pandemic, resulting in several psychological disorders such as stress, anxiety and sleep disturbances. The aim of this study is to investigate the prevalence of sleep disturbances in hospital nurses and physicians facing the COVID-19 patients. A systematic review and metanalysis was conducted in accordance with the PRISMA criteria. The PubMed, Scopus, Science direct, Web of science, CINHAL, Medline, and Google Scholar databases were searched with no lower time-limt and until 24 June 2020. The heterogeneity of the studies was measured using I2 test and the publication bias was assessed by the Egger’s test at the significance level of 0.05. The I2 test was used to evaluate the heterogeneity of the selected studies, based on the results of I2 test, the prevalence of sleep disturbances in nurses and physicians is I2: 97.4% and I2: 97.3% respectively. After following the systematic review processes, 7 cross-sectional studies were selected for meta-analysis. Six studies with the sample size of 3745 nurses were examined in and the prevalence of sleep disturbances was approximated to be 34.8% (95% CI: 24.8-46.4%). The prevalence of sleep disturbances in physicians was also measured in 5 studies with the sample size of 2123 physicians. According to the results, the prevalence of sleep disturbances in physicians caring for the COVID-19 patients was reported to be 41.6% (95% CI: 27.7-57%). Healthcare workers, as the front line of the fight against COVID-19, are more vulnerable to the harmful effects of this disease than other groups in society. Increasing workplace stress increases sleep disturbances in the medical staff, especially nurses and physicians. In other words, increased stress due to the exposure to COVID-19 increases the prevalence of sleep disturbances in nurses and physicians. Therefore, it is important for health policymakers to provide solutions and interventions to reduce the workplace stress and pressures on medical staff.

中文翻译：

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面对COVID-19患者的医生和护士中睡眠障碍的患病率：系统评价和荟萃分析

在所有流行病中，医护人员都是病原体造成的风险和损害的中心。如今，面对COVID-19大流行，护士和医师面临着空前的工作压力，导致多种心理疾病，例如压力，焦虑和睡眠障碍。这项研究的目的是调查面对COVID-19患者的医院护士和医生中睡眠障碍的患病率。根据PRISMA标准进行了系统的审查和荟萃分析。搜索PubMed，Scopus，Science Direct，Web of Science，CINHAL，Medline和Google Scholar数据库的时间没有限制，直到2020年6月24日。使用I2检验测量研究的异质性，并评估发表偏倚由Egger检验得出的显着性水平为0.05。I2测试用于评估所选研究的异质性，根据I2测试的结果，护士和医生的睡眠障碍患病率分别为I2：97.4％和I2：97.3％。在遵循系统的审查程序后，选择了7项横断面研究进行荟萃分析。进行了六项研究，样本量为3745名护士，睡眠障碍患病率约为34.8％（95％CI：24.8-46.4％）。在5项研究中还用2123名医生的样本量来测量医生睡眠障碍的患病率。根据结果​​，据报道，护理COVID-19患者的医生的睡眠障碍患病率为41.6％（95％CI：27.7-57％）。医护人员，作为对抗COVID-19的第一线，比社会上其他群体更容易受到这种疾病的有害影响。工作场所压力的增加会增加医务人员尤其是护士和医生的睡眠障碍。换句话说，由于暴露于COVID-19而引起的压力增加会增加护士和医生的睡眠障碍发生率。因此，对于卫生政策制定者来说，提供解决方案和干预措施以减轻工作场所的压力和医务人员压力非常重要。