Department of Public Health and Primary Health Care, University of Bergen, Norway.
Nurs Crit Care. 2012 Jul-Aug;17(4):180-8. doi: 10.1111/j.1478-5153.2012.00504.x. Epub 2012 Apr 4.
Shift work, and especially night work, is associated with poor health. Nurses, work a variety of work schedules including night work. So far, few studies have specifically investigated sleep and health among intensive care nurses.
We investigated sleep, sleepiness, fatigue, subjective health complaints, anxiety and depression in 150 intensive care nurses (convenience sample representing a response rate of 56·2%). The nurses worked at two major University hospitals in Norway and answered a questionnaire survey.
The intensive care nurses reported poorer sleep, more sleepiness, more fatigue, more anxiety and more depression compared to normative data. Poor sleep was reported by 70% and excessive sleepiness by 25% of the nurses; however, the design of the study did not allow us to determine the causes underlying these findings. Multiple linear regression analyses showed that age was positively associated with sleep problems, fatigue, subjective health complaints and anxiety and depression. In contrast, shift work experience was negatively associated with sleep problems, suggesting better coping with shift work over time.
Nurses working in intensive care units reported poorer sleep, more sleepiness, more fatigue, more anxiety and more depression compared to Norwegian norm groups. Age was positively related to these complaints, whereas shift work experience was negatively related to poor sleep. More studies are needed on strategies to improve sleep and health in nurses.
轮班工作，尤其是夜班，与健康状况不佳有关。护士的工作时间多种多样，包括夜班。到目前为止，很少有研究专门调查重症监护护士的睡眠和健康状况。
我们调查了 150 名重症监护护士（代表 56.2%的回应率的便利样本）的睡眠、嗜睡、疲劳、主观健康投诉、焦虑和抑郁情况。这些护士在挪威的两家主要大学医院工作，并回答了一份问卷调查。
与常模数据相比，重症监护护士报告的睡眠质量较差、嗜睡、疲劳、焦虑和抑郁程度更高。70%的护士报告睡眠质量差，25%的护士报告过度嗜睡；然而，研究设计不允许我们确定这些发现的根本原因。多元线性回归分析表明，年龄与睡眠问题、疲劳、主观健康投诉以及焦虑和抑郁呈正相关。相比之下，轮班工作经验与睡眠问题呈负相关，这表明随着时间的推移，轮班工作的应对能力更好。
与挪威常模群体相比，在重症监护病房工作的护士报告睡眠质量较差、嗜睡、疲劳、焦虑和抑郁程度更高。年龄与这些抱怨呈正相关，而轮班工作经验与睡眠质量差呈负相关。需要更多的研究来制定改善护士睡眠和健康的策略。
