新冠失眠之概念分析

Coronasomnia: A Concept Analysis

新冠肺炎在全球各地引發大流行迄今已超過三年，不僅讓感染者出現發燒、乾咳、倦怠、肌肉痛、腹瀉等症狀，一般民眾的心理及精神健康也受到影響。近期學者使用新冠失眠（coronasomnia）來形容人們在疫情期間的睡眠困擾情形。本文依循Walker及Avant（2019）概念分析步驟，統整字典及醫學文獻的定義，發現新冠失眠的特徵有：(1)對COVID-19疫情感到焦慮或憂鬱；(2)失眠是在COVID-19疫情爆發後出現的問題；以及(3)符合難以入睡、睡眠片斷、或早醒等睡眠障礙特性。然後以典型、邊緣、相反及相關案例說明新冠失眠的概念，確認影響新冠失眠的前因後果，並提供常用的實證性評估工具。期望藉此概念分析能增進護理師瞭解新冠失眠的概念，並將此應用於臨床照護或研究上。

COVID-19 has been a global pandemic for three years. Symptoms experienced by patients with this disease include fever, cough, fatigue, muscle pain, and diarrhea as well as mental health issues. The terms“coronasomnia”and“COVID-somnia”emerged in 2021 to describe sleep disorders attributable to stress associated with the COVID-19 pandemic. In this study, the concept analysis method proposed by Walker & Avant (2019) was utilized to define the concept of coronasomnia (Walker & Avant, 2019), with three key attributes identified, including COVID-related anxiety or depression; insomnia that emerges after the pandemic; and experiencing difficulty falling asleep, interrupted sleep, or early morning awakenings accompanied by difficulty returning to sleep. Furthermore, the concept was elucidated in this study using typical, borderline, opposite, and relative cases. Lastly, evidence-based tools for validating the antecedents and consequences of coronasomnia were introduced. We hope the results of this concept analysis enhance nurses' understanding of coronasomnia and facilitate the implementation of clinical care and research in this area.