The Effect of Shift Work on the Diurnal Rhythm of Blood Pressure in Nurses

간호사의 야간교대근무로 인한 혈압의 일중 변동 양상

  • Lee, An-Saeng (Wonkwang University Hospital) ;
  • Rhee, Sang-Jae (Department of Internal Medicine, Wonkwang University School of Medicine) ;
  • Kim, Nam-Ho (Department of Internal Medicine, Wonkwang University School of Medicine, The Institute of Medical Sciences)
  • 이안생 (원광대학교병원) ;
  • 이상재 (원광대학교 의과대학 내과학교실) ;
  • 김남호 (원광대학교 의과대학 내과학교실, 원광대학교병원 임상의학연구소)
  • Received : 2009.03.26
  • Accepted : 2009.05.20
  • Published : 2009.05.31

Abstract

Purpose: This study was performed to investigate the effect of shift work on diurnal blood pressure (BP) pattern in nurses. Method: We studied 20 healthy nurses engaged in 3 shift work. 24-hour ambulatory BP monitoring was performed to each nurse two times during the day and night shift. Five nurses were excluded because of inadequate BP measurement. Results: All subjects were female. The mean age was 27.4 years (range: 23-33 years) and mean body mass index was 19.7 Kg/$m^2$ (range: 18.0-21.2 Kg/$m^2$). The changes of systolic BP ($17.8{\pm}9.1$ vs. $13.2{\pm}4.7%$, p=0.031), diastolic BP ($22.3{\pm}8.7$ vs. $17.3{\pm}9.0%$, p=0.061), and heart rate ($25.2{\pm}5.2$ vs. $12.5{\pm}8.7%$, p=0.001) during the sleeping period were decreased after a night shift compared with day shift. The non-dipper group significantly increased from 20% to 40% after a night shift (p=0.018). Conclusion: Working night shift is significantly associated with non-dipper status in nurses.

Keywords

References

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