Calidad del sueño en estudiantes de enfermería: revisión sistemática y metaanálisis de estudios  de prevalencia

Jhon Henry Osorio Castaño; Wilson Cañón Montañez; Óscar Augusto Bedoya Carvajal; John Camilo García Uribe; Aníbal Vicente Arteaga Noriega

doi:10.5294/aqui.2025.25.4.2

Authors

Jhon Henry Osorio Castaño Author University of Antioquia https://orcid.org/0000-0001-6272-722X
Wilson Cañón Montañez Author University of Antioquia https://orcid.org/0000-0003-0729-5342
Óscar Augusto Bedoya Carvajal Author University of Antioquia https://orcid.org/0000-0001-6343-8702
John Camilo García Uribe Author Corporación Universitaria Remington https://orcid.org/0000-0002-3810-5583
Aníbal Vicente Arteaga Noriega Author Corporación Universitaria Remington https://orcid.org/0000-0002-6612-1169

DOI:

https://doi.org/10.5294/aqui.2025.25.4.2

Keywords:

Nursing students, sleep quality, prevalence, meta-analysis, world population

Abstract

Introduction: Since there are no comprehensive studies, it is important to consolidate data on sleep quality in nursing students. Objective: To estimate the prevalence of poor sleep quality in nursing students worldwide. Materials and Methods: This is a systematic review and meta-analysis registered on the PROSPERO platform, in which primary studies were searched for in LILACS, PubMed, Science Direct, Scopus, EMBASE, and SAGE in English, Portuguese, and Spanish until May 2024, which had measured the prevalence of sleep quality and had used a scale for that purpose. The Joanna Briggs Institute’s (JBI) methodological guidelines for systematic reviews of observational studies were considered. Quality assessment was performed using the institute’s tool for prevalence studies. A meta-analysis was also done using a random-effects model, and the weighted mean prevalence, the heterogeneity, and publication bias were calculated using the I2 statistic and Egger’s test, respectively. Results: A total of 25 studies were included in the meta-analysis, representing 5,559 nursing students. A low sleep quality prevalence of 65 % (95 % CI .55-.74) was identified, with Latin America being the region with the highest prevalence, 84 % (95 % CI .65-.97), and Europe the lowest, 38 % (95 % CI .23-.54). Conclusion: In most world regions, with a higher prevalence in Latin America, the quality of sleep in nursing students is very low. For this reason, its consequences and effects in the short, medium, and long term must begin to be studied and measured systematically in university training institutions.

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References

Kavurmaci M, Dayapoğlu N, Tan M. Effect of Music Therapy on Sleep Quality. Alternative Therapies. 2020;26(14):22-26. https://pubmed.ncbi.nlm.nih.gov/31221932/

Nunes M, Pereira F, Bortolon R, Lunardi W, Ilha S, Martins A. Sleep patterns in nursing students at Public State University. Revista Cubana de Enfermería. 2016;32(2):1-8. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03192016000200003

Gallego I, González R, González R, Vera T, Balanza S, Simonelli J, et al. Relationship between Sleep Habits and Academic Performance in University Nursing Students. BMC Nursing. 2021;20(1):1-8. DOI: https://doi.org/10.1186/s12912-021-00635-x

Menon B, Karishma P, Mamatha V. Sleep Quality and Health Complaints among Nursing Students. Annals of Indian Academy of Neurology. 2015;18(3):363-364. DOI: https://doi.org/10.4103/0972-2327.157252

Fernandes C, da Silva S, da Silva R, Siqueira A, Coelho F, Dantas D, et al. Association of Sleep Quality and Academic Profile with Stress of Nursing Students. Revista Baiana de Enfermagem. 2019;33:1-9. DOI: https://doi.org/10.18471/rbe.v33.33482

Kayaba M, Matsushita T, Katayama N, Inoue Y, Sasai-Sakuma T. Sleep-Wake Rhythm and Its Association with Lifestyle, Health- Related Quality of Life and Academic Performance among Japanese Nursing Students: A Cross-Sectional Study. BMC Nursing. 2021;20(225):1-9. DOI: https://doi.org/10.1186/s12912-021-00748-3

dos Santos A, Carneiro F, da Silva C, de Souza C, Santos M. Sleep Quality and Associated Factors in Nursing Unadergraduates. Acta Paul Enferm. 2020;33:1-8. DOI: http://dx.doi.org/10.37689/actaape/2020AO0144

Chen D, Zhang Y, Lin J, Pang D, Cheng D, Si D. Factors Influencing Bedtime Procrastination in Junior College Nursing Students: A Cross-Sectional Study. BMC Nursing. 2022;21(97):1-9. DOI: https://doi.org/10.1186/s12912-022-00881-7

Lima D, de Queiroz E, da Silva R, Siqueira A, das Chagas I, Stina A. Fatores de estresse associados à sintomatologia depressiva e qualidade do sono de acadêmicos de enfermagem. REVISA. 2020;9(4):834-845. DOI: https://doi.org/10.36239/revisa.v9.n4.p834a845

Siqueira L, Marques R, Aruaste R, Vieir G, Carneiro F, Pinheiro K, et al. Estresse, má qualidade do sono e desfechos negativos a saúde em estudantes de enfermagem. Journal Health NPEPS. 2021;6(2):164-184. DOI: https://doi.org/10.30681/252610105355

Zhang Y, Peters A, Bradstreet J. Relationship among Sleep Quality , Coping Styles, and Depressive Symptoms among College Nursing Students: A Multiple Mediator Model. J Professionel Nursing. 2018;34(4):320-325. DOI: https://doi.org/10.1016/j.profnurs.2017.12.004

Park S, Lee Y, Yoo M, Jung S. Wellness and Sleep Quality in Korean Nursing Students: A Cross-Sectional Study. Applied Nursing Research. 2019;48:13-18. DOI: https://doi.org/10.1016/j.apnr.2019.05.008

Dwi M, Kuo S, Bloomfield J, Lee H, Ruhyanudin F, Yuangi M, et al. Gender Differences in the Relationship between Sleep Disturbances and Academic Performance among Nursing Students. Nurse Education Today. 2020;85:1-7. DOI: https://doi.org/10.1016/j.nedt.2019.104270

Higbee R, Gipson S, El-Saidi M. Caffeine Consumption Habits, Sleep Quality, Sleep Quantity, and Perceived Stress of Undergraduate Nursing Students. Nurse Educator. 2022;47(2):120-124. DOI: https://doi.org/10.1097/NNE.0000000000001062

Kotera Y, Cockerill V, Chircop E, Forman D. Mental Heatlh Shame, Self-Compassion and Sleep in UK Nursing Students: Complete Mediation of Self-Compassion in Sleep and Mental Health. Nursing Open. 2021;8(3):1325-1335. DOI: https://doi.org/10.1002/nop2.749

Naderi H, Dehghan H, Dehrouyeh S, Tajik E. Academic Burnout among Undergraduate Nursing Students: Predicting the Role of Sleep Quality and Healthy Lifestyle. Research and Development in Medical Education. 2021;10(1):16-16. DOI: https://doi.org/10.34172/rdme.2021.016

Owens H, Polivka B, Christian B, King K, Ridner L. Mediating Effect of Sleep Behaviors When Predicting Weight Related Behaviors in Nursing Students. Journal of the American Association of Nurse Practitioners. 2019;31(5):309-318. DOI: https://doi.org/10.1097/JXX.0000000000000151

Praxedes C, Soares S, Figueiredo M. Profile of Nursing Students: Quality of Life, Sleep and Eating Habits. Revista Brasileira de Enfermagem. 2020;73(1):1-8. DOI: https://doi.org/10.1590/0034-7167-2019-0365

Mulyadi M, Tonapa I, Luneto S, Lin T, Lee O. Prevalence of Mental Health Problems and Sleep Disturbances in Nursing Students during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Nurse Education in Practice. 2021;5(7):1-12. DOI: https://doi.org/10.1016/j.nepr.2021.103228

Buysse D, Reynolds C, Monk T, Berman R, Kupfer J. The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Res. 1989; 28(2):193-213. DOI: https://doi.org/10.1016/0165-1781(89)90047-4

Belingheri M, Luciani M, Ausili D, Paladino E, Di Mauro S, De Vito G, et al. Sleep Disorders and Night Shift Work in Nursing Students: A Cross-Sectional Study. Medicina Del Lavoro. 2022;113(1):1-7. DOI: https://doi.org/10.23749/mdl.v113i1.12150

Yilmaz D, Tanrikulu F, Dikmen Y. Research on Sleep Quality and the Factors Affecting the Sleep Quality of the Nursing Students. Current Health Sciences Journal. 2017; 43(1):20-24. DOI: https://doi.org/10.12865/CHSJ.43.01.03

Güneş Z, Arslantaş H. Insomnia in Nursing Students and Related Factors: A Cross-Sectional Study. International Journal of Nursing Practice. 2017;23(5):1-10. DOI: https://doi.org/10.1111/ijn.12578

Ghosh T, Sarkar D, Sarkar K, Dalai, Ghosal A. A Study on Smartphone Addiction and Its Effects on Sleep Quality among Nursing Students in a Municipality Town of West Bengal. Journal of Family Medicine and Primary Care. 2021;10(1):378-386. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1657_20

Gardani M, Bradford R, Russell K, Allan S, Beattie L, Ellis G, et al. A Systematic Review and Meta-Analysis of Poor Sleep, Insomnia Symptoms and Stress in Undergraduate Students. Sleep Medicine Reviews. 2022;61:1-17. DOI: https://doi.org/10.1016/j.smrv.2021.101565

Seoane A, Moschetto L, Orliacq F, Orliacq J, Serrano E, Cazenave I, et al. Sleep Disruption in Medicine Students and Its Relationship with Impaired Academic Performance: A Systematic Review and Meta-Analysis. Sleep Medicine Reviews. 2020;53:1-10. DOI: https://doi.org/10.1016/j.smrv.2020.101333

Munn Z, MClinSc M, Lisy K, Riitano D, Tufanaru C. Methodological Guidance for Systematic Reviews of Observational Epidemiological Studies Reporting Prevalence and Cumulative Incidence Data. International Journal of Evidence-Based Healthcare. 2015;13(3):147-153. DOI: https://doi.org/10.1097/XEB.0000000000000054

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffman T, Mulrow C, et al. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Rev Esp Cardiol. 2021;74(9):790-799. DOI: https://doi.org/10.1136/bmj.n71

Munn Z, Moola S, Riitano D, Lisy K. The Development of a Critical Appraisal Tool for Use in Systematic Reviews Addressing Questions of Prevalence. International Journal of Health Policy and Management. 2014;3(3):123-128. DOI: https://doi.org/10.15171/ijhpm.2014.71

McGuiness L, Higgins J. Risk-of-bias VISualization (robvis): An R Package and Shiny Web App for Visualizing Risk-Of-Bias Assessment. Res Synth Methods. 2021;12(1):55-61. DOI: https://doi.org/10.1002/jrsm.1411

Barendregt J, Doi A, Lee Y. Meta-Analysis of Prevalence. J Epidemiol Community Health. 2013; 67:974-978. DOI: https://doi.org/10.1136/jech-2013-203104

Medeiros K, Figueiredo M, Bandeira C, Lima A, da Silva D, Targino J. Stress and Quality Of Sleep In Undergraduate Nursing Students. Revista Brasileira de Enfermagem. 2020;73(1):1-6. DOI: https://doi.org/10.1590/0034-7167-2018-0227

Belingheri M, Pellegrini A, Facchetti R, De Vito G, Cesana G, Riva A. Self-Reported Prevalence of Sleep Disorders among Medical and Nursing Students. Occupational Medicine. 2020;70:127-130. DOI: https://doi.org/10.1093/occmed/kqaa011

Gianfredi V, Nucci D, Tonzani A, Amodeo R, Benvenuti A, Villarini M, et al. Sleep Disorders, Mediterranean Diet and Learning Performance among Nursing Students: Insomnia, A Cross-Sectional Study. Ann Ig. 2018;30:470-481. DOI: https://doi.org/10.7416/ai.2018.2247

Zhang Y, Peters A, Chen G. Perceived Stress Mediates the Associations between Sleep Quality and Symptoms of Anxiety and Depression among College Nursing Students. International Journal of Nursing Education Scholarship. 2018;2017:1-9. DOI: https://doi.org/10.1515/ijnes-2017-0020

Setyowati L, Dwi A, Lestari W, Karuncharernpanit S. Association between Social Media Addiction and Sleep Quality amog Undergraduate Nursing Students: A Cross-Sectional Study. Frontiers of Nursing. 2023;10(2):233-239. DOI: https://doi.org/10.2478/fon-2023-0025

Kalal N, Vel N, Angmo S, Choyal S, Bishnoi S, Dhaka S, et al. Smartphone Addiction and Its Impact on Quality of Life of Sleep and Academic Performance among Nursing Students. Institutional Based Cross-Sectional Study in Western Rajasthan (India). Invest. Educ. Enferm. 2023;41(2):135-146. DOI: https://doi.org/10.17533/udea.iee.v41n2e11

Muñoz C, Mendoza P, Olivares C, Palma C, Vidal L. Sleep in Nursing Students at a University in Southern Chile. Horizonte de Enfermería. 2023;34(3):610-623. DOI: https://doi.org/10.7764/Horiz_Enferm.34.3.610-623

Pérez B, Lara R, Aguilera P, Fang M, Flores F. Asociación entre calidad y cantidad de sueño con índice de masa corporal en adolescentes universitarios: Estudio transversal. Rev Cuid. 2023;14(3):1-11. DOI: https://doi.org/10.15649/cuidarte.3032

Fernandez I, Ruiz M, Hernández J, Granero J, Fernández C, Jiménez M, et al. Adherence to the Mediterranean Diet and Self-efficacy as Mediators in the Mediation of Sleep Quality and Grades in Nursing Students. Nutrients. 2020; 12:32-65. DOI: https://doi.org/10.3390/nu12113265

El Madani H, El Harch I, Tachfouti N, El Fakir S, Aalouane R, Berraho M. Psychological Stress and Its Related Factors among Moroccan Nursing Students: A Cross-Sectional Study. Enfermería Clínica. 2023;33:205-2015. DOI: https://doi.org/10.1016/j.enfcle.2023.02.001

Silva M, Chaves C, Duarte J, Amaral O, Ferreira M. Sleep Quality Determinants among Nursing Students. Procedia - Social and Behavioral Sciences. 2016;217:999-1007. DOI: https://doi.org/10.1016/j.sbspro.2016.02.090

Leow H, Chiang J, Chua X, Wang S, Tan C. The Relationship between Smartphone Addiction and Sleep among Medical Students: A Systematic Review and Meta-Analysis. PLoS ONE. 2023;18(9):1-14. DOI: https://doi.org/10.1371/journal.pone.0290724

Nakie G, Takelle M, Rtbey G, Andualem F, Tinsae T, Kassa A, et al. Sleep Quality and Associated Factors among University Students in Africa: A Systematic Review and Meta-Analysis Study. Frontiers in Psychiatry. 2024;15:1-15. DOI: https://doi.org/10.3389/fpsyt.2024.1370757

de la Portilla S, Dussán C, Montoya M, Taborda J, Nieto S. Sleep Quality and Excessive Day Drowsiness in University Students from Different Careers. Hacia La Promoción de La Salud. 2019;24(1):84-96. DOI: https://doi.org/10.17151/hpsal.2019.24.1.8

Granados Z, Bartra A, Bendezú D, Huamanchumo J, Hurtado E, Jiménez J, et al. Calidad del sueño en una facultad de medicina de Lambayeque. An Fac Med. 2013;74(4):311-314. http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1025-55832013000400008

Zapata S, Betancourt J. Cambios en la calidad del sueño durante el semestre académico en estudiantes de la salud. Universidad y Salud. 2023;25(1):7-14. DOI: https://doi.org/10.22267/rus.232501.290

Sosso E, Khoury T. Socioeconomic Status and Sleep Disturbances among Pediatric Population: A Continental Systematic Review of Empirical Research. Sleep Science. 2021;14(3):245-256. DOI: https://doi.org/10.5935/1984-0063.20200082

Deng J, Zhou F, Hou W, Silver Z, Wong Y, Chang O, et al. The Prevalence of Depressive Symptoms, Anxiety Symptoms and Sleep Disturbance in Higher Education Students during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Psychiatry Research. 2021;301:1-21. DOI: https://doi.org/10.1016/j.psychres.2021.113863

Akhtarul M, Barna D, Raihan H, Nafiul M, Tanvir M. Depression and Anxiety among University Students during the COVID-19 Pandemic in Bangladesh: A Web-Based Cross-Sectional Survey. PLoS ONE. 2020;15(8):1-12. DOI: https://doi.org/10.1371/journal.pone.0238162

Ibrahim K, Kelly J, Adams E, Glazebrook C. A Systematic Review of Studies of Depression Prevalence in University Students. Journal of Psychiatric Research. 2013;47(3):391-400. DOI: https://doi.org/10.1016/j.jpsychires.2012.11.015

Gao C, Guo J, Gong T, Lv J, Li X, Liu F, et al. Sleep Duration/Quality with Health Outcomes: An Umbrella Review of Meta-Analyses of Prospective Studies. Frontiers in Medicine. 2022;8:1-15. DOI: https://doi.org/10.3389/fmed.2021.813943

Binjabr A, Alalawi S, Alzahrani A, Albalawi S, Hamzah H, Ibrahim S, et al. The Worldwide Prevalence of Sleep Problems Among Medical Students by Problem, Country, and COVID-19 Status: a Systematic Review, Meta-analysis, and Meta-regression of 109 Studies Involving 59427 Participants. Current Sleep Medicine Reports. 2023;9(3):161-179. DOI: https://doi.org/10.1007/s40675-023-00258-5

Mansano C, Ceolim F. Factors Associated with Poor Sleep Quality in Women with Cancer. Revista Latino-Americana de Enfermagem. 2017;25:1-8. DOI: https://doi.org/10.1590/1518-8345.1478.2858

Sánchez S, Solarte E, Correa T, Imbachí Y, Anaya L, Mera Y, et al. Factores relacionados con la calidad del sueño y la somnolencia diurna en universitarios del suroccidente colombiano. Duazary. 2021;18(3):232-246. DOI: https://doi.org/10.21676/2389783X.4230