School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.
Department of Nursing, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Front Public Health. 2021 Dec 2;9:785518. doi: 10.3389/fpubh.2021.785518. eCollection 2021.
Nurses have a high incidence of shift work sleep disorder, which places their health and patient safety in danger. Thus, exploring the factors associated with shift work sleep disorder in nurses is of great significance in improving their sleep health, nursing personnel staffing, and scheduling during the COVID-19 pandemic. The purpose of this study was to investigate the incidence of shift work sleep disorder during the COVID-19 pandemic and explore the factors associated with shift work sleep disorder in Chinese nurses. This was a multicenter cross-sectional study using an online survey. Stratified cluster sampling was used to include 4,275 nurses from 14 hospitals in Shandong, China from December 2020 to June 2021. Stepwise multivariate logistic regression analysis and random forest were used to identify the factors associated with shift work sleep disorder. The prevalence of shift work sleep disorder in the sampled shift nurses was 48.5% during the COVID-19 pandemic. Physical fatigue, psychological stress, shift work more than 6 months per year, busyness during night shift, working more than 40 h per week, working more than four night shifts per month, sleeping more than 8 h before night shift, using sleep medication, irregular meals, and high-intensity physical activity were associated with increased odds of shift work sleep disorder. Good social support, good work-family balance, napping two or three times per week, resting more than one day after shifts, intervals of 8 days or more between shifts, and taking turns to rest during the night shift were associated with decreased odds of shift work sleep disorder. Shift work sleep disorder may be associated with scheduling strategies and personal behavior during the COVID-19 pandemic. To reduce the incidence of shift work sleep disorders in nurses, nursing managers should increase night shift staffing, extend rest days after shift, increase night shift spacing, and reduce overtime, and nurses need to seek more family and social support and control their sleep schedules and diet.
护士轮班工作睡眠障碍的发生率较高，这使他们的健康和患者安全处于危险之中。因此，探讨与护士轮班工作睡眠障碍相关的因素，对于改善他们在 COVID-19 大流行期间的睡眠健康、护理人员配置和排班具有重要意义。本研究旨在调查 COVID-19 大流行期间轮班工作睡眠障碍的发生率，并探讨与中国护士轮班工作睡眠障碍相关的因素。这是一项多中心横断面研究，使用在线调查。采用分层聚类抽样，于 2020 年 12 月至 2021 年 6 月，从中国山东的 14 家医院纳入 4275 名轮班护士。采用逐步多元逻辑回归分析和随机森林，确定与轮班工作睡眠障碍相关的因素。在抽样的轮班护士中，COVID-19 大流行期间轮班工作睡眠障碍的患病率为 48.5%。身体疲劳、心理压力、每年轮班工作超过 6 个月、夜班繁忙、每周工作超过 40 小时、每月工作超过 4 个夜班、夜班前睡眠超过 8 小时、使用睡眠药物、不规律的饮食和高强度的体力活动与轮班工作睡眠障碍的发生风险增加有关。良好的社会支持、良好的工作-家庭平衡、每周打盹 2 到 3 次、轮班后休息 1 天以上、轮班间隔 8 天或以上、夜间轮班时轮流休息与轮班工作睡眠障碍的发生风险降低有关。轮班工作睡眠障碍可能与 COVID-19 大流行期间的排班策略和个人行为有关。为了降低护士轮班工作睡眠障碍的发生率，护理管理人员应增加夜班人员配置、延长轮班后休息日、增加夜班间隔时间、减少加班，并要求护士寻求更多家庭和社会支持，控制睡眠时间表和饮食。
