晨班和轮班工作对卡拉奇三级医院护士身体健康的影响。
Impact of morning and rotational duties on physical health of nurses working in tertiary care hospitals of Karachi.
作者信息
Ali Amjad, Rasheed Abdur, Naz Subia
机构信息
Mr. Amjad Ali, Institute of Nursing MS-Nursing, Lecturer, Dow University of Health Sciences Karachi, Pakistan.
Dr. Abdur Rasheed, Research Department, PhD Statistic Senior Lecturer, Dow University of Health Science, Karachi, Pakistan.
出版信息
Pak J Med Sci. 2018 Nov-Dec;34(6):1545-1549. doi: 10.12669/pjms.346.16187.
BACKGROUND & OBJECTIVES: In the system related to health care, shifting duties are considered essential and obligatory to make sure the stability of care in hospitals. Scheduling and shifting are the key uniqueness of shift work and nurses are mostly bounded into different schedules that facilitate 24-hour care. Our objective was to identify the impact of morning and rotational duties on physical health of nurses working in tertiary care hospitals.
METHODS
A total of 154 nurses from two tertiary care hospitals in Karachi were included in this study. Data were collected through the Short Form Health Servay-26 between May to June 2017. Questionnaire form consisted of five domains including Physical functioning, Role limitations due to physical health, Energy/Fatigue, Pain and General health.
RESULTS
Most of the study participants were staff nurses (66.9%) and few were head nurse and assistant head nurses 13.6% and 8.4% respectively. Nurses' characteristics such as gender, age, educational level, designation and monthly income were found significant with duty shift with p-values 0.049, 0.007, <0.001 and 0.017 respectively. Energy/Fatigue was only domain of SF-26 which showed significant mean difference (p-value <0.001) between morning and rotational duties.
CONCLUSION
This research concludes that nurses working in rotational duties were more prone to develop physical problem as compared to morning duties. Energy/Fatigue showed significant mean difference.
背景与目的
在医疗保健系统中，轮班被认为对于确保医院护理的稳定性至关重要且必不可少。排班和轮班是轮班工作的关键特性，护士大多被纳入不同的排班，以便利提供24小时护理。我们的目的是确定早班和轮班对三级医院护士身体健康的影响。
方法
本研究纳入了卡拉奇两家三级医院的154名护士。2017年5月至6月期间通过简短健康调查问卷-26收集数据。问卷形式包括五个领域，即身体功能、因身体健康导致的角色限制、精力/疲劳、疼痛和总体健康。
结果
大多数研究参与者是 staff nurses（66.9%），少数是护士长和助理护士长，分别占13.6%和8.4%。护士的性别、年龄、教育水平、职位和月收入等特征在不同值班班次间存在显著差异，p值分别为0.049、0.007、<0.001和0.017。精力/疲劳是简短健康调查问卷-26中仅有的一个在早班和轮班之间显示出显著平均差异（p值<0.001）的领域。
结论
本研究得出结论，与早班相比，从事轮班工作的护士更容易出现身体问题。精力/疲劳显示出显著的平均差异。
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