Yang Shu-Ling, Wang Hsiu-Hung, Huang Hsin-Shu
MSN, RN, Health Manager, Occupational Medicine, Dalin Tzu Chi Hospital, Taiwan, ROC.
PhD, RN, FAAN, Professor, School of Nursing, Kaohsiung Medical University, Taiwan, ROC.
Hu Li Za Zhi. 2021 Dec;68(6):43-52. doi: 10.6224/JN.202112_68(6).07.
Night-shift work affects the physical and mental health of employees. Early identification of relevant high-risk groups may be referenced in health promotion, job analysis, and job design.
To explore the differences in workplace fatigue, physiological index of metabolic syndrome, and risk of cardiovascular disease between long-term and non-long-term night-time working nursing staff.
The health examination data of 91 long-term and 119 non-long-term night-shift nurses were collected. A sub-data analysis approach was used and t-test, chi-square, Pearson`s correlation, and hierarchical multiple regression were used to conduct statistical analysis.
A positive correlation between cardiovascular risk and workplace fatigue was found in the long-term night-shift working group. Moreover, a lower average duration of sleep was found in the non-long-term night-shift working group. Finally, the participants with workplace fatigue and metabolic syndrome were found to have higher levels of cardiovascular risk.
CONCLUSIONS / IMPLICATIONS FOR PRACTICE: Nursing staff who work night shifts for long-term and non-long-term periods should all receive regular health check-ups and practice healthy eating, exercise, and sleep habits. Employers should provide regular health checkups to their nursing staff and implement measures to identify health hazards in accordance with laws on labor standards, occupational safety, and health and labor health protection regulations, and then adopt appropriate plans and necessary safety and health measures to achieve a mutually beneficial result for both employers and employees in the healthcare industry.
夜班工作会影响员工的身心健康。在健康促进、工作分析和工作设计中,可参考早期识别相关高危人群。
探讨长期与非长期夜间工作的护理人员在工作场所疲劳、代谢综合征生理指标以及心血管疾病风险方面的差异。
收集了91名长期夜班护士和119名非长期夜班护士的健康检查数据。采用子数据分析方法,运用t检验、卡方检验、Pearson相关性分析和分层多元回归进行统计分析。
长期夜班工作组中发现心血管风险与工作场所疲劳之间存在正相关。此外,非长期夜班工作组的平均睡眠时间较短。最后,发现有工作场所疲劳和代谢综合征的参与者心血管风险水平较高。
结论/实践启示:长期和非长期值夜班的护理人员都应定期进行健康检查,并养成健康的饮食、运动和睡眠习惯。雇主应按照劳动标准、职业安全与健康以及劳动健康保护法规,为护理人员提供定期健康检查,并采取措施识别健康危害,然后采取适当计划和必要的安全与健康措施,以实现医疗行业雇主和员工的互利共赢。