본문 바로가기
KERD
논문KCI 등재

교대근무간호사의 교대근무병 증상에 따른 수면, 지각된 건강 및 직무스트레스 비교

Comparison of Sleep, Perceived Health, and Job Stress According to Symptoms of Shift Work Disorder in Shift Nurses

주은연|하이경|최수정
대한수면연구학회 (Korean Sleep Research Society)|2022.04|Journal of sleep medicine|제19권 제1호|pp. 21-30|DOI 10.13078/jsm.220003

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

InsomniaSleepSleep hygieneDaytime sleepinessShift work disorder

초록

Objectives: This study aimed to investigate the prevalence of symptoms of shift work disorder (SSWD) and its related factors in rapidly rotating three-shift nurses. Methods: We enrolled 344 nurses (mean age, 28.7 years) without prior history of sleep disturbance before starting shift work in a university-affiliated hospital. SSWD were defined using self-reported sleep questionnaires (insomnia severity index >14 and/or Epworth Sleepiness Scale ≥10) and without any sleep problem before shift work. Sleep pattern in each of the three shifts was measured using the Munich Chronotype Questionnaire for Shift-Workers. Mood (anxiety, depression) and job stress were also measured using self-reported questionnaires. Results: Our results showed that 62.2% of the participants presented SSWD. Compared to the non-SWD group, the SSWD group showed worse sleep hygiene, lower total sleep time (TST) during workdays, higher anxiety and depressive mood, and higher job stress. In the SSWD group, the evening chronotype individuals presented the shortest TST during day shifts, while the morning chronotype individuals presented the shortest TST during evening shifts. Conclusions: SSWD is highly prevalent in fast rotating three-shift nurses. This study suggests that intensive education on sleep hygiene and appropriate scheduling of shift work while considering individual chronotypes may improve sleep patterns and sleep quality of shift workers and minimize SSWD.

Abstract

Objectives: This study aimed to investigate the prevalence of symptoms of shift work disorder (SSWD) and its related factors in rapidly rotating three-shift nurses. Methods: We enrolled 344 nurses (mean age, 28.7 years) without prior history of sleep disturbance before starting shift work in a university-affiliated hospital. SSWD were defined using self-reported sleep questionnaires (insomnia severity index >14 and/or Epworth Sleepiness Scale ≥10) and without any sleep problem before shift work. Sleep pattern in each of the three shifts was measured using the Munich Chronotype Questionnaire for Shift-Workers. Mood (anxiety, depression) and job stress were also measured using self-reported questionnaires. Results: Our results showed that 62.2% of the participants presented SSWD. Compared to the non-SWD group, the SSWD group showed worse sleep hygiene, lower total sleep time (TST) during workdays, higher anxiety and depressive mood, and higher job stress. In the SSWD group, the evening chronotype individuals presented the shortest TST during day shifts, while the morning chronotype individuals presented the shortest TST during evening shifts. Conclusions: SSWD is highly prevalent in fast rotating three-shift nurses. This study suggests that intensive education on sleep hygiene and appropriate scheduling of shift work while considering individual chronotypes may improve sleep patterns and sleep quality of shift workers and minimize SSWD.

참고문헌 (47)

  1. Wickwire EM, "Shift work and shift work sleep disorder : clinical and organizational perspectives", Chest, 151, pp.1156~1172 (2017)
  2. Kecklund G, "Health consequences of shift work and insufficient sleep", BMJ, 355, pp.i5210~ (2016)[DOI]
  3. Chaiard J, "Short sleep duration among Thai nurses : influences on fatigue, daytime sleepiness, and occupational errors", J Occup Health, 60, pp.348~355 (2018)[DOI]
  4. D’Ettorre G, "Shift work sleep disorder and job stress in shift nurses : implications for preventive interventions", Med Lav, 111, pp.195~202 (2020)[DOI]
  5. Bjorvatn B, "Self-reported sleep and health among Norwegian hospital nurses in intensive care units", Nurs Crit Care, 17, pp.180~188 (2012)[DOI]
  6. Akerstedt T, "Sleep loss and fatigue in shift work and shift work disorder", Sleep Med Clin, 4, pp.257~271 (2009)[DOI]
  7. Hirsch Allen AJ, "Impact of work schedules on sleep duration of critical care nurses", Am J Crit Care, 23, pp.290~295 (2014)[DOI]
  8. Min A, "Sleep, fatigue and alertness during working hours among rotating-shift nurses in Korea : an observational study", J Nurs Manag, 29, pp.2647~2657 (2021)[DOI]
  9. 문경미, "중환자실 간호사의 수면장애가 피로, 졸음과 근접오류에 미치는 영향", 중환자간호학회지, 13(3), pp.1~10 (2020), 한국중환자간호학회[DOI]
  10. American Academy of Sleep Medicine, "International classification of sleep disorders–third edition(ICSD-3)" (2014), American Academy of Sleep Medicine
  11. Flo E, "Shift work disorder in nurses--assessment, prevalence and related health problems", PLoS One, 7, pp.e33981~ (2012)[DOI]
  12. Trend analysis on the survey of hospital nursing staffing and working condition in the 2010-2019, "Lee TW", Hospital Nurses Association, ~ (2022)
  13. Lee Jiyeon, "Compliance with Recommendations on Work Schedule for Shift Nurses in South Korea", Safety and Health at Work, 12(2), pp.255~260 (2021), 한국산업안전보건공단 산업안전보건연구원[DOI]
  14. Kim JY, "Prevalence of shift work sleep disorder and its impact on health and working in rapid rotating shift worker nurses", J Korean Sleep Res Soc, 2, pp.39~46 (2005)[DOI]
  15. Asaoka S, "Factors associated with shift work disorder in nurses working with rapid-rotation schedules in Japan : the nurses’ sleep health project", Chronobiol Int, 30, pp.628~636 (2013)[DOI]
  16. Yoon JS, "Sleep pattern, job satisfaction and quality of life in nurses on rotating shift and daytime fixed work schedules", J Korean Neuropsychiatr Assoc, 38, pp.713~721 (1999)
  17. 김미성, "간호사의 수면의 질, 주간졸음 및 간호업무 중 인지한 오류 경험과의 관련성", 농촌의학.지역보건, 38(4), pp.229~242 (2013), 한국농촌의학.지역보건학회[DOI]
  18. Lee KA, "Sleep and chronobiology : recommendations for nursing education", Nurs Outlook, 52, pp.126~133 (2004)[DOI]
  19. Booker LA, "Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review", Sleep Med Rev, 41, pp.220~233 (2018)[DOI]
  20. 최수정, "한국어판 교대근무자용 뮌헨 일주기유형 설문지를 통해 분석한교대근무 간호사의 수면-각성 양상과 일주기유형", Journal of sleep medicine, 14(1), pp.23~35 (2017), 대한수면연구학회[DOI]
  21. Cho YW, "The reliability and validity of the Korean version of the Epworth sleepiness scale", Sleep Breath, 15, pp.377~384 (2011)[DOI]
  22. 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
  23. Bastien CH, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research", Sleep Med, 2, pp.297~307 (2001)[DOI]
  24. Johns MW, "A new method for measuring daytime sleepiness : the Epworth sleepiness scale", Sleep, 14, pp.540~545 (1991)[DOI]
  25. Oh SM, "A study on the standardization of the hospital anxiety and depression scale for Koreans : a comparison of normal, depressed and anxious groups", J Korean Neuropsychiatr Assoc, 38, pp.289~296 (1999)
  26. Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)[DOI]
  27. Bjelland I, "The validity of the Hospital Anxiety and Depression Scale. An updated literature review", J Psychosom Res, 52, pp.69~77 (2002)[DOI]
  28. Chang SJ, "Reevaluation of the KOSS based on the items and structure", J Korean Soc Occup Stress, 1, pp.83~96 (2007)
  29. Park YM, "The morningness-eveningness questionnaire in Korean version and its relations with sleep-wake habits", J Ergon Soc Korea, 15, pp.37~49 (1996)
  30. Horne JA, "A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms", Int J Chronobiol, 4, pp.97~110 (1976)
  31. Suh S, "Who is at risk for having persistent insomnia symptoms? A longitudinal study in the general population in Korea", Sleep Med, 15, pp.180~186 (2014)[DOI]
  32. Ejebu OZ, "Nurses’ experiences and preferences around shift patterns : a scoping review", PLoS One, 16, pp.e0256300~ (2021)[DOI]
  33. 채민진, "중환자실 간호사의 2교대와 3교대근무 간 근무 만족도, 수면, 피로, 삶의 질과 환자안전사고 비교", 중환자간호학회지, 13(2), pp.1~11 (2020), 한국중환자간호학회[DOI]
  34. Ferguson SA, "12-h or 8-h shifts? It depends", Sleep Med Rev, 16, pp.519~528 (2012)[DOI]
  35. van de Ven HA, "Sleep and need for recovery in shift workers : do chronotype and age matter?", Ergonomics, 59, pp.310~324 (2016)[DOI]
  36. Hazzard B, "Work-and nonwork-related factors associated with PACU nurses’ fatigue", J Perianesth Nurs, 28, pp.201~209 (2013)[DOI]
  37. Scott LD, "The relationship between nurse work schedules, sleep duration, and drowsy driving", Sleep, 30, pp.1801~1807 (2007)[DOI]
  38. Vetter C, "Aligning work and circadian time in shift workers improves sleep and reduces circadian disruption", Curr Biol, 25, pp.907~911 (2015)[DOI]
  39. Gumenyuk V, "Sleep loss, circadian mismatch, and abnormalities in reorienting of attention in night workers with shift work disorder", Sleep, 37, pp.545~556 (2014)[DOI]
  40. Eastman CI, "How to reduce circadian misalignment in rotating shift workers", Chronophysiol Ther, 6, pp.41~46 (2016)[DOI]
  41. Smith MR, "Shift work : health, performance and safety problems, traditional countermeasures, and innovative management strategies to reduce circadian misalignment", Nat Sci Sleep, 4, pp.111~132 (2012)[DOI]
  42. Crowley SJ, "Combinations of bright light, scheduled dark, sunglasses, and melatonin to facilitate circadian entrainment to night shift work", J Biol Rhythms, 18, pp.513~523 (2003)[DOI]
  43. 이영희, "중환자실 교대근무간호사의 수면특성과 투약오류와의 관계", 기본간호학회지, 21(4), pp.403~412 (2014), 기본간호학회[DOI]
  44. 정선혜, "취침시간 지연행동군의 스마트폰 어플리케이션 사용 양상에 대한 예비연구", Journal of sleep medicine, 17(1), pp.49~57 (2020), 대한수면연구학회[DOI]
  45. "Shift work" (2020)[URL]
  46. Daley M, "Insomnia and its relationship to health-care utilization, work absenteeism, productivity and accidents", Sleep Med, 10, pp.427~438 (2009)[DOI]
  47. Chan ZC, "A systematic literature review of nurse shortage and the intention to leave", J Nurs Manag, 21, pp.605~613 (2013)[DOI]

관련 논문AI추천

유연근무제를 도입한 일개 상급종합병원에서 교대근무 형태에 따른 간호사의 수면 특성주은연, 최수정대한수면연구학회 · Journal of sleep medicine2023 · 제20권 제2호Relationship Between Shift Intensity and Insomnia Among Hospital Nurses in Korea: A Cross-sectional Study김현주, Chung Yuhjin, Koh Dong-Hee, Park Ju-Hyun, Yoon Seohyun대한예방의학회 · 예방의학회지2021 · 제54권 제1호일부 종합병원 간호사들의 교대근무와 수면문제 및 피로자각증상과의 관련성김현리, 박영남, 양혜경, 조영채한국직업건강간호학회 · 한국직업건강간호학회지2007 · 제16권 제1호한국어판 교대근무자용 뮌헨 일주기유형 설문지를 통해 분석한교대근무 간호사의 수면-각성 양상과 일주기유형서수연, 주은연, 최수정대한수면연구학회 · Journal of sleep medicine2017 · 제14권 제1호국내 교대근무자의 수면연구에 관한 체계적 문헌고찰양영란, 이연화한국직업건강간호학회 · 한국직업건강간호학회지2022 · 제31권 제3호대학병원 간호사의 근무 형태에 따른 일주기리듬, 주간졸음 및 피로의 관계김미란, 김태훈, 안민정, 이연후다문화건강학회 · 다문화건강학회지2022 · 제12권 제1호

이 간행물의 다른 논문 (5건)

웨어러블 디바이스를 이용한 수면평가SONGPAMELApp. 1-5Association Between Suggestive Symptom of Restless Legs Syndrome and COVID-19 Vaccination: A Pilot Study양광익, SONGPAMELA, 나은진, 석진명, 박은경, 박종규, 김슬기pp. 6-11액티와치로 측정한 객관적 짧은 수면시간, 주관적 짧은 수면시간, 정상 수면시간 불면증 아형의 임상적 특성조현진, 주은연, 최수정pp. 12-20A Case of Painful Legs and Moving Toes Syndrome in a Young Woman정기영, 신대섭, 강미경, 이현창, 배효은pp. 31-33A Successful Treatment of Obesity Hypoventilation Syndrome Using Bi-level Positive Airway Pressure in a Patient With Hypoxic Brain Damage임희진, 김한빛, 송민준, 모희정, 홍유하pp. 34-37
원문 보기