護理人員的輪班工作與睡眠品質、身心健康及家庭功能之間的相關性

洪瑜嬬; 林佩蓁; 潘純媚; 陳秋蓉; 何啟功; 吳明蒼

doi:10.7005/JOSH.200703.0017

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来源数据

P17 - 30

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学
社会科学 > 社会学

DOI： 10.7005/JOSH

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护理人员的轮班工作与睡眠品质、身心健康及家庭功能之间的相关性

Association of Shift-time Schedule with Sleep Quality, Bio-psychological Health, and Family Function among Taiwanese Nurses

洪瑜嬬(Yu-Ju Hung) ；林佩蓁(Pei-Chen Lin) ；潘纯媚(Shung-Mei Pan) ；陈秋蓉(Chiou-Jong Chen) ；何启功(Chi-Kung Ho) ；吴明苍(Ming-Tsang Wu)

劳工安全卫生研究季刊； 15 卷 1 期 (2007 / 03 / 01) ， P17 - 30

繁体中文 DOI： 10.7005/JOSH.200703.0017

轮班工作；睡眠品质；自觉身心健康；家庭功能； Shift-time work ； Quality of sleep ； Bio-psychological health ； Family function

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摘要 │ 参考文献 (37) │ 被引用文献 (2) │ 国际计量

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An increasing number of people are working on shift-time schedules in spite of the fact that the adverse health effects of shift work have been reported for decades in other countries. Few studies, however, have evaluated its impact in the Taiwanese population. Therefore, the goal of this study is to investigate the effect of shift-time work on the quality of sleep, bio-psychological health, and family function among Taiwanese nurses.
A total of 467 nurses aged 20-45 years in Kaohsiung city and county answered a self-administrated questionnaire between August 31 and November 1, 2005. The study subjects were divided into three groups based on their working schedules: regular schedule, shift-time schedule without overnight shift, and shift-time schedule with overnight shift. Quality of sleep, measured by the Pittsburgh Sleep Quality Index (PSQI), bio-psychological health, measured by the Chinese Health Questionnaire-2 (CHQ-2), and family function, measured by the Family APGAR score, were compared among these three groups.
Nurses working on day shift were older and had more work experience than the other two groups, and a higher proportion of them were married and had children (60.3%). Those with an overnight shift, on the other hand, were the youngest, and the highest proportion them were unmarried and had no children (63.%). After adjusting for potential confounding factors, there were still significant differences in the quality of sleep, bio-psychological health, and family function among these three groups. Compared to nurses with a regular schedule, those with an overnight shift were at a significantly higher risk for poor quality of sleep (PSQI＞5) with an odds ratio of 2.26 (95% CI:1.58~3.22) and those on a shift-time schedule without an overnight shift work were at significantly higher risk of family dysfunction (family APGAR score＜7) with an odds ratio of 1.62(95% CI:1.15~2.29).
Shift-time work is associated with poor quality of sleep and bio-psychological health as well as family dysfunction in nurses. To ameliorate the negative impacts of shift-time work, further study on the application of healthier shift-work systems is needed.

参考文献 ( 37 ) 〈TOP〉

Akerstedt T(2003).Shift work and disturbed sleep/wakefuleness.Occupational Medicine (Oxford),53,89-94.
Akerstedt T,Froberg JE(1976).Interindividual differences in circadian patterns of catecholamine excretion, body temperature, performance, and subjective arousal.Biol Psychol,4,277-292.
Barnes RG.,Deacon SJ,Forbes MJ,Arendt J(1998).Adaptation of the 6-sulphatoxymelationin rhythm in shiftworkers on offshore oil installations during a 2-week 12-h night shift.Neurosci Lett,241,9-12.
Barton J(1994).Choosing to work at night: A moderating influence on individual tolerance to shift work.J Appl Psychol,79,449-454.
Benjamin GA(1984).Shift workers: Improve the quality of life for employees who aren`t on the 9-to-5 rouine.Pers J,63,72-76.

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