Relationship Between Shift Intensity and Insomnia Among Hospital Nurses in Korea: A Cross-sectional Study

Chung Yuhjin; Kim Hyunjoo; Koh Dong-Hee; Park Ju-Hyun; Yoon Seohyun

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자료유형: 학술저널

저자정보: Chung Yuhjin (Graduate School of Public Health Seoul National University Seoul Korea) Kim Hyunjoo (Ewha Womans University Mokdong Hospital Seoul Korea) Koh Dong-Hee (International St. Mary’s Hospital Incheon Korea) Park Ju-Hyun (Department of Statistics Dongguk University Seoul Korea) Yoon Seohyun (Ewha Womans University School of Medicine Seoul Korea)

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제54권 제1호

발행연도: 2021.1

수록면: 46 - 54 (9page)

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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.

#Nurses #Shift work #Night work #Insomnia #Shift intensity

참고문헌 (39)

참고문헌 신청

Qiao H / 2020 / Both frequency and duration of rotating night shifts are associated with metabolic parameters : a cross-sectional study / Sleep Med 71:89~96

Kervezee L / 2020 / Metabolic and cardiovascular consequences of shift work : the role of circadian disruption and sleep disturbances / Eur J Neurosci 51(1):396~412

Eldevik MF / 2013 / 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):e70882

Hu Y / 2020 / The relationship between sleep pattern and depression in Chinese shift workers : a mediating role of emotional exhaustion / Aust J Psychol 72(1):68~81

Shen SH / 2016 / Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan / Nurs Health Sci 18(2):223~229

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