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长期护理机构中工作环境对护理助理睡眠数量和质量的影响因素:一项横断面研究。

Contributing influences of work environment on sleep quantity and quality of nursing assistants in long-term care facilities: A cross-sectional study.

作者信息

Zhang Yuan, Punnett Laura, McEnany Geoffry Phillips, Gore Rebecca

机构信息

School of Nursing, University of Massachusetts Lowell, 113 Wilder Street, Lowell, MA 01854, USA.

Department of Work Environment, One University Ave., University of Massachusetts Lowell, Lowell, MA 01854, USA.

出版信息

Geriatr Nurs. 2016 Jan-Feb;37(1):13-8. doi: 10.1016/j.gerinurse.2015.08.010. Epub 2015 Sep 16.

Abstract

The effect of shift work on nurses' sleep is well-studied, but there are other challenging aspects of health care work that might also affect the sleep of direct caregivers. This study examined the influence of the long-term care work environment on sleep quantity and quality of nursing assistants. A cross-sectional survey collected data from 650 nursing assistants in 15 long-term care facilities; 46% reported short sleep duration and 23% reported poor sleep quality. A simple additive index of the number of beneficial work features (up to 7) was constructed for analysis with Poisson regression. With each unit increase of beneficial work features, nursing assistants were 7% less likely to report short sleep duration and 17% less likely to report poor sleep quality. These results suggest that effective workplace interventions should address a variety of work stressors, not only work schedule arrangements, in order to improve nursing assistants' sleep health.

摘要

轮班工作对护士睡眠的影响已得到充分研究,但医疗保健工作还有其他具有挑战性的方面,也可能影响直接护理人员的睡眠。本研究调查了长期护理工作环境对护理助理睡眠数量和质量的影响。一项横断面调查收集了15家长期护理机构中650名护理助理的数据;46%的人报告睡眠时长较短,23%的人报告睡眠质量较差。构建了一个有益工作特征数量(最多7个)的简单相加指数,用于泊松回归分析。有益工作特征每增加一个单位,护理助理报告睡眠时长较短的可能性降低7%,报告睡眠质量较差的可能性降低17%。这些结果表明,有效的工作场所干预措施应应对各种工作压力源,而不仅仅是工作时间表安排,以改善护理助理的睡眠健康。

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