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[新手与经验丰富的轮班护士睡眠质量及相关因素的二次数据分析]

[Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses].

作者信息

Yu Minjeong, Choi-Kwon Smi

机构信息

College of Nursing, Seoul National University, Seoul, Korea.

College of Nursing · Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2020 Oct;50(5):646-657. doi: 10.4040/jkan.19238.

DOI:10.4040/jkan.19238
PMID:33142297
Abstract

PURPOSE

The purpose of this study was to identify the quality of sleep in novice and experienced shift work nurses and compare the factors associated with their quality of sleep.

METHODS

We analyzed the data of 192 and 256 novice and experienced nurses, respectively. The quality of sleep, sleep hygiene, job stress, and fatigue were measured using Insomnia Severity Index, Sleep Hygiene Practice Scale, the Korean Occupational Stress Scale, and Fatigue Severity Scale. Data were analyzed using SPSS 25.0 to calculate descriptive statistics and logistic regression.

RESULTS

Sleep quality was lower in experienced nurses (12.55 ± 5.71) than in novice nurses (11.18 ± 5.78). Fatigue was more severe in experienced nurses (4.47 ± 1.13) than in novice nurses (4.23 ± 1.12). In the logistic regression, factors related to sleep quality in novice nurses were sleep hygiene (odds ratio; OR = 1.06, < .001) and fatigue (OR = 2.49, < .001). Factors related to sleep quality in the experienced nurses were also sleep hygiene (OR = 1.04, = .001) and fatigue (OR = 1.53, = .012).

CONCLUSION

Sleep quality of experienced nurses is lower than those of novice nurses. Factors associated with sleep quality in novice and experienced nurses are equally identified as sleep hygiene and fatigue. Therefore, personal efforts to improve sleep hygiene, such as providing comfortable sleep environment, are needed. Furthermore, organized efforts to decrease fatigue, such as constructing a working environment with a bright light at night and providing a fatigue-decreasing program that includes meditation, are required.

摘要

目的

本研究旨在确定新手和经验丰富的轮班护士的睡眠质量,并比较与他们睡眠质量相关的因素。

方法

我们分别分析了192名新手护士和256名经验丰富护士的数据。使用失眠严重程度指数、睡眠卫生实践量表、韩国职业压力量表和疲劳严重程度量表来测量睡眠质量、睡眠卫生、工作压力和疲劳程度。使用SPSS 25.0对数据进行分析,以计算描述性统计量和逻辑回归。

结果

经验丰富护士的睡眠质量(12.55±5.71)低于新手护士(11.18±5.78)。经验丰富护士的疲劳程度(4.47±1.13)比新手护士(4.23±1.12)更严重。在逻辑回归中,新手护士睡眠质量相关因素为睡眠卫生(比值比;OR = 1.06,P <.001)和疲劳(OR = 2.49,P <.001)。经验丰富护士睡眠质量相关因素同样是睡眠卫生(OR = 1.04,P =.001)和疲劳(OR = 1.53,P =.012)。

结论

经验丰富护士的睡眠质量低于新手护士。新手和经验丰富护士与睡眠质量相关的因素均被确定为睡眠卫生和疲劳。因此,需要个人努力改善睡眠卫生,例如提供舒适的睡眠环境。此外,还需要有组织的努力来减轻疲劳,例如营造夜间光线明亮的工作环境,并提供包括冥想在内的减轻疲劳计划。

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