Relationship Between Shift Intensity and Insomnia Among Hospital Nurses in Korea: A Cross-sectional Study
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study explored the relationship between shift intensity and insomnia among hospital nurses. Methods: The participants were 386 female hospital nurses who underwent a special health examination for night workers in 2015. The Korean Insomnia Severity Index (ISI), indices of shift work intensity, and other covariates such as amount of exercise, level of alcohol consumption, employment duration, and hours worked were extracted from the health examination data. The indices for shift intensity were (1) number of 3 consecutive night shifts and (2) number of short recovery periods after a previous shift, both assessed over the prior 3 months. Multiple logistic regression analysis adjusted for the aforementioned covariates was performed to evaluate the association of shift intensity with insomnia, defined as an ISI score of ≥8. Results: The nurses with insomnia tended to be younger (p=0.029), to have worked 3 consecutive night shifts more frequently (p<0.001), to have experienced a greater number of short recovery periods after the previous shift (p=0.021), and to have worked for more hours (p=0.006) than the nurses without insomnia. Among the other variables, no statistically significant differences between groups were observed. Experiences of 3 or more consecutive night shifts (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.29 to 4.20) and 3 or more short recovery periods (OR, 2.01; 95% CI, 1.08 to 3.73) were associated with increased odds of insomnia. Conclusions: The results suggest that decreasing the shift intensity may reduce insomnia among hospital nurses working rotating shifts.
Abstract
Objectives: This study explored the relationship between shift intensity and insomnia among hospital nurses. Methods: The participants were 386 female hospital nurses who underwent a special health examination for night workers in 2015. The Korean Insomnia Severity Index (ISI), indices of shift work intensity, and other covariates such as amount of exercise, level of alcohol consumption, employment duration, and hours worked were extracted from the health examination data. The indices for shift intensity were (1) number of 3 consecutive night shifts and (2) number of short recovery periods after a previous shift, both assessed over the prior 3 months. Multiple logistic regression analysis adjusted for the aforementioned covariates was performed to evaluate the association of shift intensity with insomnia, defined as an ISI score of ≥8. Results: The nurses with insomnia tended to be younger (p=0.029), to have worked 3 consecutive night shifts more frequently (p<0.001), to have experienced a greater number of short recovery periods after the previous shift (p=0.021), and to have worked for more hours (p=0.006) than the nurses without insomnia. Among the other variables, no statistically significant differences between groups were observed. Experiences of 3 or more consecutive night shifts (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.29 to 4.20) and 3 or more short recovery periods (OR, 2.01; 95% CI, 1.08 to 3.73) were associated with increased odds of insomnia. Conclusions: The results suggest that decreasing the shift intensity may reduce insomnia among hospital nurses working rotating shifts.
참고문헌 (39)
- Qiao H, "Both frequency and duration of rotating night shifts are associated with metabolic parameters : a cross-sectional study", Sleep Med, 71, pp.89~96 (2020)
- Kervezee L, "Metabolic and cardiovascular consequences of shift work : the role of circadian disruption and sleep disturbances", Eur J Neurosci, 51(1), pp.396~412 (2020)
- Eldevik MF, "Insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder in nurses having less than 11 hours in-between shifts", PLoS One, 8(8), pp.e70882~ (2013)
- Hu Y, "The relationship between sleep pattern and depression in Chinese shift workers : a mediating role of emotional exhaustion", Aust J Psychol, 72(1), pp.68~81 (2020)
- Shen SH, "Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan", Nurs Health Sci, 18(2), pp.223~229 (2016)
- Gold DR, "Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses", Am J Public Health, 82(7), pp.1011~1014 (1992)
- Johnson AL, "Sleep deprivation and error in nurses who work the night shift", J Nurs Adm, 44(1), pp.17~22 (2014)
- 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)
- Flo E, "Shift work disorder in nurses--assessment, prevalence and related health problems", PLoS One, 7(4), pp.e33981~ (2012)
- Lin Y, "Subjective cognitive decline : preclinical manifestation of Alzheimer’s disease", Neurol Sci, 40(1), pp.41~49 (2019)
- Min A, "Work schedule characteristics and fatigue among rotating shift nurses in hospital setting : an integrative review", J Nurs Manag, 27(5), pp.884~895 (2019)
- Storemark SS, "Personality factors predict sleep-related shift work tolerance in different shifts at 2-year follow-up: a prospective study", BMJ Open, 3(11), pp.e003696~ (2013)
- Vedaa Ø, "Prospective study of predictors and consequences of insomnia: personality, lifestyle, mental health, and work-related stressors", Sleep Med, 20, pp.51~58 (2016)
- Lim S, "Shift-work nurses’ work environments and health-promoting behaviours in relation to sleep disturbance: a cross-sectional secondary data analysis", J Clin Nurs, 28(9-10), pp.1538~1545 (2019)
- Sun Q, "Sleep problems in shift nurses : a brief review and recommendations at both individual and institutional levels", J Nurs Manag, 27(1), pp.10~18 (2019)
- Byeon YS, "The effects of 2 or 3 shift rotation on the fatigue and sleep", J Korean Biol Nurs Sci, 7(2), pp.5~15 (2005)
- 채민진, "중환자실 간호사의 2교대와 3교대근무 간 근무 만족도, 수면, 피로, 삶의 질과 환자안전사고 비교", 중환자간호학회지, 13(2), pp.1~11 (2020), 한국중환자간호학회[DOI]
- 윤서현, "한국 간호사의 건강연구에서 야간근무 노출 평가에 대한 고찰", 한국산업보건학회지, 28(4), pp.331~345 (2018), 한국산업보건학회[DOI]
- Chaiard J, "Sleep disturbances and related factors among nurses", Nurs Health Sci, 21(4), pp.470~478 (2019)
- Härmä M, "Developing register-based measures for assessment of working time patterns for epidemiologic studies", Scand J Work Environ Health, 41(3), pp.268~279 (2015)
- 윤서현, "한 종합병원 간호사들의 노동시간 유형에 대한 평가", 대한인간공학회지, 37(6), pp.759~769 (2018), 대한인간공학회[DOI]
- 신승화, "병원 간호사의 연속 야간 교대근무와 근무시간이 불면증에 미치는 영향", 한국직업건강간호학회지, 29(2), pp.133~139 (2020), 한국직업건강간호학회[DOI]
- 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
- Bastien CH, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research", Sleep Med, 2(4), pp.297~307 (2001)
- "Counseling manual of national health screening program" (2017)[URL]
- "Helping patients who drink too much: a clinician’s guide" (2005)[URL]
- Sami Lee, "Korean Alcohol Guidelines for Moderate Drinking Based on Facial Flushing", Korean Journal of Family Medicine, 40(4), pp.204~211 (2019), 대한가정의학회[DOI]
- "2008 Physical activity guidelines for Americans: fact sheet for health professionals on physical activity guidelines for adults"[URL]
- Kim Y, "Development of guideline for physical activity and self-help for Koreans", pp.38~51 (2012), Ministry of Health and Welfare
- Portela LF, "Job strain and self-reported insomnia symptoms among nurses: what about the influence of emotional demands and social support?", Biomed Res Int, 2015, pp.820610~ (2015)
- Yazdi Z, "Sleep quality and insomnia in nurses with different circadian chronotypes : morningness and eveningness orientation", Work, 47(4), pp.561~567 (2014)
- Øyane NM, "Associations between night work and anxiety, depression, insomnia, sleepiness and fatigue in a sample of Norwegian nurses", PLoS One, 8(8), pp.e70228~ (2013)
- Thun E, "Trajectories of sleepiness and insomnia symptoms in Norwegian nurses with and without night work and rotational work", Chronobiol Int, 33(5), pp.480~489 (2016)
- Härmä M, "Association of changes in work shifts and shift intensity with change in fatigue and disturbed sleep : a within-subject study", Scand J Work Environ Health, 44(4), pp.394~402 (2018)
- Knauth P, "Experimental shift work studies of permanent night, and rapidly rotating, shift systems. I. Circadian rhythm of body temperature and re-entrainment at shift change", Int Arch Occup Environ Health, 37(2), pp.125~137 (1976)
- "R178 - night work recommendation, 1990 (No. 178)"[URL]
- Choi BN, "The working conditions of night shift nurses in general wards and issuess related to nursing policy", pp.2018
- Ropponen A, "Exposure to working-hour characteristics and short sickness absence in hospital workers : a case-crossover study using objective data", Int J Nurs Stud, 91, pp.14~21 (2019)
- Thun E, "Circadian clock gene variants and insomnia, sleepiness, and shift work disorder", Sleep Biol Rhythms, 14(1), pp.55~62 (2016)