본문 바로가기
KERD
논문KCI 등재

대학병원 간호사의 근무 형태에 따른 일주기리듬, 주간졸음 및 피로의 관계

Association of Circadian Rhythm, Daytime Sleepiness, and Fatigue According to the Type of Shift Work among Nurses Working at a Tertiary Teaching Hospital

김미란|김태훈|안민정|이연후
다문화건강학회 (The Korean Society For Multicultural Health)|2022.04|다문화건강학회지 (Journal of the Korean Society for Multicultural Health)|제12권 제1호|pp. 61-70|DOI https://doi.org/10.33502/JKSMH.12.1.061

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

피로교대근무간호사NursesFatigueCircadian rhythm일주기리듬Shift-work주간졸음Excessive somnolence
주제분류학제간연구

초록

Purpose: The purpose of this study was to examine the level of circadian rhythm, daytime sleepiness, and fatigue and their associations by type of shift work among nurses working at a tertiary teaching hospital. Methods: This study was a cross-sectional descriptive study. A total of 263 nurses were used as subjects. Using a structured survey, circadian rhythm, daytime sleepiness, and fatigue were assessed. Data were analyzed using Statistical Package For The SocialSciences (SPSS) version 26.0. Descriptive statistics were computed to explain sample and variable characteristics. Chi-squared test and independent t-test were used to compare the variables by general characteristics. Pearson’s correlation coefficients were computed to examine the association between circadian rhythm, daytime sleepiness, and fatigue. Results: The average age of the participants was 27.35±3.99 years old for shift work and 39.63±8.99 years old for non-shift work. In the circadian rhythm, most non-shift workers were intermediate type (83.3%), but approximately one-third of shift workers were evening type (31.0%). Fatigue was significantly higher in shift workers than in non-shift workers (t=2.26, p=.024). Fatigue in non-shift workers was significantly associated with circadian rhythm and daytime sleepiness (r=-.35, p=.005; r=.35, p=.006, respectively). However, fatigue in shift workers was only significantly associated with daytime sleepiness (r=.28, p<.001). Conclusion: These findings indicate that customized strategies should be prepared to reduce nurses’ fatigue considering the type of work shift rotation. Nursing administrators need to consider nurses circadian rhythm before the decision on shift work to expect better nursing outcomes.

Abstract

Purpose: The purpose of this study was to examine the level of circadian rhythm, daytime sleepiness, and fatigue and their associations by type of shift work among nurses working at a tertiary teaching hospital. Methods: This study was a cross-sectional descriptive study. A total of 263 nurses were used as subjects. Using a structured survey, circadian rhythm, daytime sleepiness, and fatigue were assessed. Data were analyzed using Statistical Package For The SocialSciences (SPSS) version 26.0. Descriptive statistics were computed to explain sample and variable characteristics. Chi-squared test and independent t-test were used to compare the variables by general characteristics. Pearson’s correlation coefficients were computed to examine the association between circadian rhythm, daytime sleepiness, and fatigue. Results: The average age of the participants was 27.35±3.99 years old for shift work and 39.63±8.99 years old for non-shift work. In the circadian rhythm, most non-shift workers were intermediate type (83.3%), but approximately one-third of shift workers were evening type (31.0%). Fatigue was significantly higher in shift workers than in non-shift workers (t=2.26, p=.024). Fatigue in non-shift workers was significantly associated with circadian rhythm and daytime sleepiness (r=-.35, p=.005; r=.35, p=.006, respectively). However, fatigue in shift workers was only significantly associated with daytime sleepiness (r=.28, p<.001). Conclusion: These findings indicate that customized strategies should be prepared to reduce nurses’ fatigue considering the type of work shift rotation. Nursing administrators need to consider nurses circadian rhythm before the decision on shift work to expect better nursing outcomes.

참고문헌 (40)

  1. "간호인력 야간근무 가이드라인" (2021)[URL]
  2. "간호사 교대제 개선 시범사업" (2022)[URL]
  3. "간호인력 근무여건 분석 및 개선방안 연구" (2018)[URL]
  4. 안영은, "교대근무 간호사의 신체증상, 수면의 질, 피로와 건강증진행위가 직무만족에 미치는 영향", 스트레스 硏究, 29(4), pp.262~270 (2021), 대한스트레스학회[DOI]
  5. Akerstedt, T., "Shift work and disturbed sleep", wakefulness, 2003, pp.53(2), 89~94
  6. 백지현, "교대근무 간호사의 일주기 유형에 따른 수면 양상, 각성도, 피로도", Journal of Korean Biological Nursing Science, 19(3), pp.198~205 (2017), 한국기초간호학회
  7. Boivin, D. B., "Impacts of shift work on sleep and circadian rhythms", Pathologie Biologie, 62(5), pp.292~301 (2014)[DOI]
  8. Booker, L. A., "Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review", Sleep Medicine Reviews, 41, pp.220~233 (2018)[DOI]
  9. Cho, Y., "The reliability and validity of the Korean version of the epworth sleepiness scale", Sleep and Breathing, 15(3), pp.377~384 (2011)[DOI]
  10. 최수정, "순환교대근무 간호사의 일주기유형에 따른 근무조별 수면시간, 사회적 시차, 주관적 수면장애 비교", Journal of Korean Biological Nursing Science, 23(3), pp.227~236 (2021), 한국기초간호학회
  11. Wendy M. Fallis, "Napping During Night Shift: Practices, Preferences, and Perceptions of Critical Care and Emergency Department Nurses", Critical Care Nurse, 31(2), pp.e1~e11 (2011), AACN Publishing[DOI]
  12. Hong, K. S., "A study on daytime sleepiness, insomnia, and the quality of sleep in clinical nurses", Master, pp.2015
  13. Patient safety and quality: An evidence-based handbook for nurses, "Hughes, R.", Agency for Healthcare Research and Quality, ~ (2008)
  14. Huibers, M. J. H., "Development of the chronic fatigue syndrome in severely fatigued employees : Predictors of outcome in the Maastricht cohort study", Journal of Epidemiology and Community Health, 58(10), pp.877~882 (2004)[DOI]
  15. Jang, S., "Standardization of the collection and measurement of health statistics data" (2000), Gyechukmunhwasa
  16. 정지영, "교대근무 간호사의 스트레스 반응, 신체활동, 수면위생이 수면의 질에 미치는 영향", 한국산학기술학회논문지, 17(6), pp.546~559 (2016), 한국산학기술학회[DOI]
  17. 정주리, "순환교대근무와 주간고정근무 여성 간호사의 회복탄력성에 대한 스트레스, 수면, 우울증의 영향", 수면정신생리, 26(2), pp.111~124 (2019), 대한수면의학회[DOI]
  18. Johns, M. W., "A new method for measuring daytime sleepiness : The Epworth Sleepiness Scale", Sleep, 14(6), pp.540~545 (1991)[DOI]
  19. 김대영, "대한민국 중기 성인에서 일주기리듬, 수면의 질, 그리고 건강 관련 삶의 질", Journal of sleep medicine, 17(1), pp.66~72 (2020), 대한수면연구학회[DOI]
  20. 김현숙, "교대근무간호사의 일주기유형과 우울한 기분이 수면의 질에 미치는 영향", 대한정신약물학회지, 22(2), pp.96~104 (2011), 대한정신약물학회
  21. Kook, S., "Cross validation of the Korean translation of Composite Scale(KtCS)to measure morningness-eveningness", Journal of The Korean Neuropsychiatric Association, 38(2), pp.297~305 (1999)
  22. 이은하, "간호대학생의 우울, 불안, 수면의 질이 주간과다졸림에 미치는 영향", 한국산학기술학회논문지, 20(12), pp.148~156 (2019), 한국산학기술학회[DOI]
  23. Eunsook Lee, "Nurses’ Fatigue, Job Stress, Organizational Culture, and Turnover Intention: A Culture–Work–Health Model", Western Journal of Nursing Research, 42(2), pp.108~116 (2019), SAGE Publications[DOI]
  24. 이진숙, "주간근무 및 교대근무 여성근로자의 여성건강 비교연구", 융합정보논문지, 11(3), pp.46~53 (2021), 중소기업융합학회[DOI]
  25. 문경미, "중환자실 간호사의 수면장애가 피로, 졸음과 근접오류에 미치는 영향", 중환자간호학회지, 13(3), pp.1~10 (2020), 한국중환자간호학회[DOI]
  26. "Circadian rhythms" (2022)[URL]
  27. 박현정, "간호사의 피로 개념분석", 예술인문사회 융합 멀티미디어 논문지, 9(6), pp.467~477 (2019), 사단법인 인문사회과학기술융합학회[DOI]
  28. Rogers, A. E., "Patient Safety and Quality: An Evidence-Based Handbook for Nurses" (2008)
  29. 류재금, "교대근무 간호사의 혈액과 체액 노출 경험과 수면장애, 피로, 직무스트레스와 상관성", Journal of Korean Biological Nursing Science, 20(3), pp.187~195 (2018), 한국기초간호학회[DOI]
  30. Schwartz, J. E., "The measurement of fatigue : A new instrument", Journal of Psychosomatic Research, 37(7), pp.753~762 (1993)[DOI]
  31. Scott, A. J., "Shiftwork : Effects on sleep and health with recommendations for medical surveillance and screening", Occupational Medicine, 5(2), pp.273~299 (1990)
  32. 심지연, "교대근무 간호사의 직무스트레스, 수면의 질, 피로가 직무몰입에 미치는 영향", 스트레스 硏究, 27(4), pp.344~352 (2019), 대한스트레스학회[DOI]
  33. 신승화, "병원 간호사의 야간 교대근무와 수면효율이 피로, 우울과 이직의도에 미치는 영향", 한국데이터정보과학회지, 31(2), pp.311~322 (2020), 한국데이터정보과학회[DOI]
  34. Smith, C. S., "Evaluation of three circadian rhythm questionnaires with suggestions for an improved measure of morningness", Journal of Applied Psychology, 74(5), pp.728~738 (1989)[DOI]
  35. Suzuki, K., "Mental health status, shift work, and occupational accidents among hospital nurses in Japan", Journal of Occupational Health, 46(6), pp.448~454 (2004)[DOI]
  36. Tiwari, V., "Impact of shift work on excessive daytime sleepiness among healthcare professionals and its association with medical incidents : A review", Adesh University Journal of Medical Sciences & Research, 3(1), pp.4~10 (2021)[DOI]
  37. Trendall, J., "Concept analysis : Chronic fatigue", Journal of Advanced Nursing, 32(5), pp.1126~1131 (2000)[DOI]
  38. 이영희, "중환자실 교대근무간호사의 수면특성과 투약오류와의 관계", 기본간호학회지, 21(4), pp.403~412 (2014), 기본간호학회[DOI]
  39. Yoon, J., "A preliminary study on the korean translation of composite scale(KtCS)to measure morningness-eveningness", Journal of The Korean Neuropsychiatric Association, 36(1), pp.122~134 (1997)
  40. Xie, J., "Factors associated with circadian rhythm, job burnout, and perceived stress among nurses in chinese tertiary hospitals: A cross-Sectional study", Research Square (2021)[DOI]

관련 논문AI추천

2~3일 밤번근무 간호사의 일주기 수면유형, 수면의 질, 밤번근무 적응도의 관계구미옥, 김수진병원간호사회 · 임상간호연구2013 · 제19권 제3호일부 종합병원 간호사들의 교대근무와 수면문제 및 피로자각증상과의 관련성김현리, 박영남, 양혜경, 조영채한국직업건강간호학회 · 한국직업건강간호학회지2007 · 제16권 제1호유연근무제를 도입한 일개 상급종합병원에서 교대근무 형태에 따른 간호사의 수면 특성주은연, 최수정대한수면연구학회 · Journal of sleep medicine2023 · 제20권 제2호한국어판 교대근무자용 뮌헨 일주기유형 설문지를 통해 분석한교대근무 간호사의 수면-각성 양상과 일주기유형서수연, 주은연, 최수정대한수면연구학회 · Journal of sleep medicine2017 · 제14권 제1호교대근무간호사의 교대근무병 증상에 따른 수면, 지각된 건강 및 직무스트레스 비교주은연, 최수정, 하이경대한수면연구학회 · Journal of sleep medicine2022 · 제19권 제1호간호사의 교대근무내성 영향요인김숙영, 서연옥한국직업건강간호학회 · 한국직업건강간호학회지2016 · 제25권 제4호

이 간행물의 다른 논문 (10건)

간호대학생의 인권의식과 다문화감수성 및 다문화효능감과의 관계황윤영, 전미순pp. 1-9북한이탈 여성의 자궁경부암에 대한 인식 : 포커스그룹 면담양진주, 정재원, 김진현, 최서연pp. 11-20치위생과 대학생의 스트레스 요인과 스트레스 대처방식 관련 연구박은선pp. 21-28종합병원 간호사의 자기효능감, 문화 간 의사소통 능력이 문화적 역량에 미치는 영향이도영, 장미미, 장선희pp. 29-39COVID-19 펜데믹 상황에서 대학생의 여가활동 참여가 스트레스와 삶의 만족도에 미치는 영향전재희pp. 41-50
원문 보기