Journal of Saveh University of Medical Sciences

Association Between Sleep Hygiene Practices and Working Conditions with Sleep Quality Among Healthcare Workers in Hospitals of Kermanshah During the COVID-19 Pandemic: A Cross-Sectional Study

Articles in Press

Document Type : Original Article

Authors

mostafa bafandeh zendeh 1
zahra najafi 2
amir jalali 2
khalil moradi 2

1 tabriz university of medical sciencs

2 Kermanshah University of Medical Sciences, Kermanshah, Kermanshah, Iran

10.22034/sumsj.2026.581031.1096
Abstract
Background: The COVID-19 pandemic imposed substantial stress and challenging working conditions on healthcare settings, resulting in adverse physiological, psychological, and social effects on healthcare workers. These conditions may negatively influence sleep quality and sleep hygiene among healthcare personnel.
Methods: This cross-sectional correlational study was conducted among 500 healthcare workers employed in hospitals in Kermanshah, Iran (2022), who were recruited using convenience sampling. Data were collected using a demographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Mastin Sleep Hygiene Index (SHI). Data were analyzed using Pearson's correlation coefficient, one-way analysis of variance (ANOVA), and multiple linear regression in SPSS version 20.
Results: Pearson's correlation analysis revealed a significant negative correlation between sleep hygiene and sleep quality (P < 0.001). Multiple linear regression analysis showed that the predictor variables collectively explained 43.5% of the variance in sleep quality (P < 0.001). Among the predictors, sleep hygiene, gender (β = 0.130), hospital of employment (β = 0.118), shift work (β = 0.093), and sleep medication use (β = 0.080) were significant predictors of sleep quality.
Conclusion: The findings indicate a significant association between sleep hygiene and sleep quality among healthcare workers during the COVID-19 pandemic. In addition to sleep hygiene, several occupational and demographic factors were identified as significant predictors of sleep quality. These findings underscore the importance of implementing interventions and policies aimed at improving sleep hygiene, optimizing working conditions, and managing shift schedules to promote better sleep quality among healthcare workers, particularly during public health emergencies.

Keywords

Sleep hygiene
Sleep quality
Working conditions
Healthcare workers
COVID-19
Journal of Saveh University of Medical Sciences

Articles in Press, Accepted Manuscript
Available Online from 27 June 2026

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