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睡眠特征变化对护士执业过渡期生活质量的影响:一项前瞻性队列研究。

Influence of Sleep Characteristic Changes on Nurses' Quality of Life during Their Transition to Practice: A Prospective Cohort Study.

机构信息

Department of Nursing, College of Medicine, Inha University, Incheon 22212, Korea.

College of Nursing, Ajou University, Suwon 16499, Korea.

出版信息

Int J Environ Res Public Health. 2022 Jan 5;19(1):573. doi: 10.3390/ijerph19010573.

Abstract

AIM

To explore the effect of changes in sleep characteristics on changes in quality of life during the transition period of new graduate nurses.

BACKGROUND

Sleep problems among nurses are associated with negative physical and psychological consequences.

METHODS

This prospective cohort study was conducted at a tertiary hospital in South Korea. Participants included 88 newly graduated nurses. Data were collected twice, prior to shift work and after 4 months of working as a nurse, via online structured self-report questionnaires created using Survey Monkey from March 2018 to February 2020. A generalized linear mixed model was used to analyze the influence of changes in sleep characteristics on quality of life.

RESULTS

A generalized linear mixed model showed that changes in the subjective quality of sleep, subjective health perception, and daytime dysfunction influenced quality of life changes during the transition. This implies that deterioration already existed. From their undergraduate period to four months after they began working as nurses, a significant decrease was observed in the quality of sleep. Participants' quality of life significantly decreased.

CONCLUSIONS

Changes in the quality of life of new graduate nurses may show deterioration with a significant drop in subjective sleep quality. Institutions should improve existing work adaptation programs provided during new graduate nurses' transition to practice by including information on changes in nurses' health caused by changes in sleep characteristics and sleep quality.

摘要

目的

探讨新毕业护士过渡期睡眠特征变化对生活质量变化的影响。

背景

护士的睡眠问题与负面的身心后果有关。

方法

这是一项在韩国一家三级医院进行的前瞻性队列研究。参与者包括 88 名新毕业的护士。数据收集两次,分别在轮班工作前和作为护士工作 4 个月后,使用 Survey Monkey 在线结构化自我报告问卷,时间为 2018 年 3 月至 2020 年 2 月。使用广义线性混合模型分析睡眠特征变化对生活质量的影响。

结果

广义线性混合模型显示,睡眠主观质量、主观健康感知和日间功能障碍的变化影响了过渡期生活质量的变化。这意味着已经存在恶化。从本科阶段到开始工作后的四个月,睡眠质量明显下降。参与者的生活质量显著下降。

结论

新毕业护士的生活质量变化可能会随着主观睡眠质量的显著下降而出现恶化。各机构应通过在新毕业护士过渡到实践期间提供的现有工作适应计划中纳入有关由于睡眠特征和睡眠质量变化导致的护士健康变化的信息,来改善这些计划。

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Newly qualified nurses' transition from learning to doing: A scoping review.新手护士从学习到实践的转变:范围综述。
Int J Nurs Stud. 2021 Jan;113:103792. doi: 10.1016/j.ijnurstu.2020.103792. Epub 2020 Oct 13.

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