Sense of coherence on the relationship between COVID-19-related stress and sleep quality among nurses

Jpn J Nurs Sci. 2024 Oct;21(4):e12618. doi: 10.1111/jjns.12618. Epub 2024 Sep 5.

Abstract

Aim: We aimed to examine the mediating effects of the Sense of Coherence (SOC) on the relationship between stress and sleep in nurses during the coronavirus disease 2019 (COVID-19) pandemic.

Methods: A cross-sectional survey targeting nurses in Chiba and Tokyo during the summer of 2021 was conducted using Google Forms. Responses were obtained using the Pittsburgh Sleep Quality Index (PSQI), the 13-item version of the SOC scale (SOC-13), and questions regarding COVID-19-related stress. Structural equation modeling (SEM) was performed to investigate relevant relationships.

Results: A total of 181 valid responses were obtained from 400 surveyed nurses. SEM analysis showed that COVID-19 stress was indirectly related to PSQI via its effect on SOC-13, with higher SOC-13 negatively correlated with PSQI.

Conclusions: Our findings suggest the need for interventions designed to promote SOC for nurses working under stressful conditions.

Keywords: COVID‐19; Pittsburgh Sleep Quality Index; Sense of Coherence; nurses; structural equation modeling.

MeSH terms

  • Adult
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Nurses / psychology
  • Pandemics
  • SARS-CoV-2
  • Sense of Coherence*
  • Sleep Quality*
  • Stress, Psychological
  • Surveys and Questionnaires