Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
권호 표지

The Relations between Shiftwork and Sleep Disturbance in a University Hospital Nurses

일개 대학병원 간호사의 교대근무와 수면장애와의 관련성

Lee, Jung-Tak;Park, Jae-Beom;Lee, Kyu-Won;Jang, Kyu-Yeob;Lee, Kyung-Jong
이정탁;박재범;이규원;장규엽;이경종

  • Published : 20070900
⟨ Previous Next ⟩

Abstract

Objectives: Nurses working in a hospital operate in a special environment where patients require a 24-hour day service. In order to meet the need for manpower, nurses in the wards, ICU, and ER work in 3 shifts per day. This study was designed to evaluate their sleeping patterns and the factors that influence them. Methods: The subjects were 114 female nurses working at a University Hospital in Kyungi-do. To evaluate their sleeping pattern, a survey containing 11 questions was used. Their were differentiated into insomnia, sleep deprivation, daytime sleepiness, and snoring. Statistical analysis was conducted with independent t test, chi - square test and analysis of covariance. Results: A statistical difference was found between shiftworkers and nonshiftworkers, in terms of sleep initiation time (p<0.05). The occurrences of insomnia, sleep deprivation, daytime sleepiness and snoring differed between the two groups, but not significantly. Conclusions: Of the numerous factors affecting sleeping patterns, shiftwork has the most deteriorative effect.

목적: 병원은 환자들을 위해 24시간 서비스가 필요한 특수한 작업환경을 갖는다. 이러한 필요성으로 병동, 중환자실 그리고 응급실의 간호사들은 3교대근무를 하게 된다. 본 연구는 이들의 수면형태와 이에 영향을 미치는 요소들에 대해 평가하려 한다. 방법: 2004년 6월에 경기도에 위치한 한 대학병원의 여자간호사 114명을 대상으로 설문조사를 시행하였다. 이들의 수면상태 평가를 위해 11개 항목으로 구성된 설문지를 이용하였다. 이를 토대로 연구 대상자들의 수면장애(불면증, 수면박탈, 주간졸리움, 코골이)의 차이를 평가하였다. 결과: 교대근무자와 비교대근무자의 입면시간에서 유의한 차이를 보였다. 교대근무자와 비교대근무자의 수면장애(불면증, 수면박탈, 주간졸리움, 코골이) 유병률은 교대근무자에서 더 높았지만 통계학적인 유의성은 없었다. 결론: 수면에 영향을 미치는 요인에는 여러 가지가 있다. 그 중에서도 교대근무는 간호사들의 수면에 악영향을 준다.

Keywords

References

  1. Akerstedt T. Psychological and psychophysiological effects of shiftwork. Scan J Work Environ Health 1990;16:67-73 https://doi.org/10.5271/sjweh.1819
  2. Akerstedt T. Shiftwork and disturbed sleep/wakefulness. Occup Med 2003;53(2):89-94 https://doi.org/10.1093/occmed/kqg046
  3. Bae JH, Jeong JH. Combined effects of individual background, workshift and job stress on the prevalence of sleep problems in hospital employers. J Korean Acad Fam Med 2003; 24:232-44. (Korean)
  4. Boivin DB. Circadian adaptation to night-shift work by judicious light and darkness exposure J Biol Rhythms 2002;17(6):556-67 https://doi.org/10.1177/0748730402238238
  5. Byeon YS, Jeong YS. Sleep pattern according to the personality type and depression. Nursing Science 1999;11(1):43-5. (Korean)
  6. Cho YW, Lee H, Lee JH, Han SY, Lee MY. Sleep disorder in maintenance dialysis patients with end stage renal disease. J Korean Neurol Assoc 2003;21(5):492-8. (Korean)
  7. Choi SK, Lee KS, Lee JW, Koo JW, Park JI. Health behavior practices and needs for health promotion program according to shift work pattern in subway workers. Korean J Occup Environ Med 2003;15(1):37-51. (Korean)
  8. Fitzpatrick. Shift work and its impact upon nurse performance: current knowledge and research issues. J Adv Nurs 1999; 29(1):18-27 https://doi.org/10.1046/j.1365-2648.1999.00861.x
  9. Ha MN, Kim JY, Park JS, Jung HK. Influence of shiftwork duration and blood pressure and heart rate variablity in short rotating 8-hour shiftworkers. Korean J Occup Environ Med 2001;13(2):180-9. (Korean)
  10. Ha MN, Roh SC, Park JS. Shiftwork duration and metabolic risk factors of cardiovascular disease. Korean J Occup Environ Med 2003;15(2):132-9. (Korean)
  11. Harrington JM. Health effect of shiftwork and extended hours of job. Occup Environ Med 2001;58:68-72 https://doi.org/10.1136/oem.58.1.68
  12. Harma M, Tenkanen L, Sjoblom T, Alikoski T, Heinsalmi P. Combined effects of shift work and life-style on the prevalence of insomnia, sleep deprivation and daytime sleepiness. Scand J Work Environ Health 1998;24(4):300-7 https://doi.org/10.5271/sjweh.324
  13. Hwang AR, Chung HS, Lim YS, Lee HW, Kim CJ. Effect of shift interval for the clinical nurse on the circadian rhythm. J Korean Acad Nurs 1991;21(2):129-49. (Korean)
  14. Jung JJ. The Solidarity for Health Labor World. The Solidarity for Health Labor World. Incheon. 2004. pp 12-5
  15. Kalimo R, Tekanen L, Harma M, Poppius E, Heinsalmi P. Job stress and sleep disorders: Finding from Helsinki Heart Study. Stress Med 2000;16(2):65-75 https://doi.org/10.1002/(SICI)1099-1700(200003)16:2<65::AID-SMI834>3.0.CO;2-8
  16. Kim HC, Kwon KS, Koh DH, Leem JH, Park SG, Shin JY, Lee YC, Kim YK. The relationship between job stress and physical stress among nurses at a university hospital. Korean J Occup Environ Med 2005;18(1):25-34. (Korean)
  17. Kim JY. A study on the safety accidents by shift systems. Korean J Occup Med 1996;8(2):330-9. (Korean)
  18. Kim YG, Yoon DY, Kim JI, Chea CH, Hong YS, Yang CG, Kim JM, Jung KY, Kim JY. Effect of health on shiftwork: General and psychological health, sleep, stress, quality of life. Kor J Occup Environ Med 2002;14(3):247-56. (Korean)
  19. Knutsson A. Shift work and coronary heart disease. Scand J Soc Med Suppl 1989;44:1-36
  20. Ko HJ, Kim MA, Kwon YS, Kim JN, Park KM, Park JS, Park YS, Park CJ, Shin YH, Lee KH, Lee BS & Lee EJ. The fatigue experience of shiftwork nurse. J Korean Community Health Nurs Acad 2004;18(1):103-18. (Korean)
  21. Korean Neuro-Psychiatric Association. Neuro-Psychiatry. Hana Medical Publishing Company. Seoul. 1998. pp512-3
  22. Kroemer H.E. Grandjean E. Fitting the Task to the Human. 5th ed. Taylor & Francis Publishing. London. 1997. pp 264-8
  23. LaDou J. Occupational and Environmental Medicine. 3rd ed. Appleton & Lange. Singapore. 2004. pp 608-11
  24. Ministry of Labor. Working Environment of the Manufacturing Industries in Korea. 2004. pp 62-86
  25. Moog R. Optimization of shift work. Physiological contributions. Ergonomics 1987; 30(9):1249-59 https://doi.org/10.1080/00140138708966020
  26. National Sleep Foundation. NSF Statement on the NIH State of the Science Conference on Manifestations and Management of Chronic Insomnia in Adults. Available: http://www.sleepfoundation. org, Press release 2005
  27. Rosa RR, Bonnet MH, Bootzin RR, Eastman CI, Monk T, Penn PE, Tepas DI, Walsh JK. Intervention factors for promoting adjustment to nightwork and shiftwork. Occup Med 1990;5(2):391-414
  28. Schernhammer ES. Night-shift work and risk of colorectal cancer in the nurses' health study. J Natl Cancer Inst 2003 Jun 4;95(11):825-8
  29. Schmeider RA, Smith CS. Moderating effects of social support in shifting and non shifting nurses. Work Stress 1996; 10:128-40 https://doi.org/10.1080/02678379608256792
  30. Son KH, Kim SG, Jin YW, Kim SH, Kim SY, Bang YS, Kweon SS, Shin MH, Jeong SK, Nam HS. Daytime sleepiness and fatigue in male adults in relation to shift work. Korean J Occup Environ Med 2005;17(3):199-207. (Korean)
  31. Son MA. The relationship of working hours and working intensity with sleep disturbance among continuous 12hours day and night shift workers in an automobile factory in Korea. Korean J Occup Environ Med 2003;16(1):13-24. (Korean)
  32. Son MA. What is the origin of inequalities in work and health? J Prev Med 2005;38(3):241-51. (Korean)
  33. Yang CK. Normal sleep physiology. Clin Otolaryngol 2001;11:3-14. (Korean)
  34. Yoon JS, Kook SH, Lee HY, Shin IS, Kim AJ. Sleep pattern, job satisfaction and quality of life in nurse on rotating shift and daytime fixed work schedules. J Korean Neuropsychiatr Assoc 1999;38(4):713-22. (Korean)