Faculty of Nursing, Chiang Mai University.
Nursing Research Unit, Maharaj Nakorn Chiang Mai Hospital.
J Occup Health. 2018 Sep 26;60(5):348-355. doi: 10.1539/joh.2017-0258-OA. Epub 2018 May 9.
This study was conducted to: 1) describe sleep duration, fatigue, daytime sleepiness, and occupational errors among Thai nurses and 2) explore the influence of sleep duration on fatigue, daytime sleepiness, and occupational errors.
A cross-sectional design was implemented. A convenience sample of 233 full-time nurses with at least one year of work experience was recruited to participate in the study. Data were collected using self-reported questionnaires and 1-week sleep diaries. Descriptive and logistic regression statistics were performed using SPSS software.
The mean total sleep time was 6.2 hours. Of the total participants, 75.9% (n=167) experienced short sleep duration, 38.2% (n=84) experienced fatigue, and 49.5% (n=109) experienced excessive daytime sleepiness. Occupational errors were reported by 11.7% (n=25). Medication errors, incorrectly performed procedures, and needle stick injuries were reported by 6.5% (n=13), 5.6% (n=12), and 4.7% (n=10), respectively, of participants performing the associated activities. The "Short Sleep Duration" group experienced more fatigue (p=.044) and excessive daytime sleepiness (p=.001) compared with the "Adequate Sleep Duration" group. Although occupational errors were more common in the "Short Sleep Duration" group, the difference between the two groups did not reach the level of statistical significance. Multivariable logistic regression analysis found that short sleep duration was a statistically significant risk factor for excessive daytime sleepiness (OR=2.47, 95% CI=1.18-5.19).
The majority of registered nurses experience short sleep duration. Short sleep duration increased the risk of excessive daytime sleepiness but not fatigue or occupational errors. Adequate night-time sleep is paramount for preventing daytime sleepiness and achieving optimal work performance.
本研究旨在：1）描述泰国护士的睡眠时长、疲劳、日间嗜睡和职业错误；2）探讨睡眠时长对疲劳、日间嗜睡和职业错误的影响。
采用横断面设计。招募了 233 名具有至少一年工作经验的全职护士作为便利样本参与研究。使用自报告问卷和 1 周睡眠日记收集数据。使用 SPSS 软件进行描述性和逻辑回归统计分析。
总的睡眠时间平均为 6.2 小时。在所有参与者中，75.9%（n=167）经历了短睡眠时长，38.2%（n=84）经历了疲劳，49.5%（n=109）经历了过度日间嗜睡。11.7%（n=25）报告了职业错误。执行相关活动的参与者中，有 6.5%（n=13）报告了用药错误、操作程序不正确和针刺伤，5.6%（n=12）报告了错误执行程序，4.7%（n=10）报告了针刺伤。与“充足睡眠时长”组相比，“短睡眠时长”组经历了更多的疲劳（p=.044）和过度日间嗜睡（p=.001）。尽管“短睡眠时长”组的职业错误更为常见，但两组之间的差异未达到统计学显著性。多变量逻辑回归分析发现，短睡眠时长是过度日间嗜睡的一个统计学显著的危险因素（OR=2.47，95%CI=1.18-5.19）。
大多数注册护士经历了短睡眠时长。短睡眠时长增加了过度日间嗜睡的风险，但没有增加疲劳或职业错误的风险。充足的夜间睡眠对于预防日间嗜睡和实现最佳工作表现至关重要。
