Choi Da-Som, Kim Sang-Hee
Department of Nursing, Inje University Paik Hospital, Busan, Republic of Korea.
Department of Nursing, College of Nursing, Inje University, Busan, Republic of Korea.
Saf Health Work. 2022 Mar;13(1):3-8. doi: 10.1016/j.shaw.2021.09.001. Epub 2021 Sep 24.
This study aims to allow the development of efficient measures to improve occupational health of shift-working nurses focusing on job stress, health promotion behavior, resilience, and sleep disturbance.
It was conducted on a subject panel of 137 nurses who were aware of the purpose of the study and agreed to participate. They worked three shifts at a tertiary hospital or a general hospital located in metropolitan city B. The collected data were analyzed by the independent test and one-way analysis of variance and post-tested by Scheffe's test, Pearson's correlation coefficients, and multiple linear regression analysis using SPSS/WIN 25.0.
The significant influencing factors on sleep disturbance were of those whose subjective health status was 'normal' (β = 0.29, < .001), 'not healthy' (β = .40, < .001), who have job stress (β = .22, = .003), and who have health promotion behavior (β = -0.17, = .023). The overall explanatory power was 31.1% (F = 16.31, < .001).
Through this study, nurses' subjective health status and job stress of working shifts were found to be important factors influencing the sleep disturbance level, and the most influencing factor was identified as the subjective health status.
本研究旨在制定有效措施，以改善轮班护士的职业健康状况，重点关注工作压力、健康促进行为、心理弹性和睡眠障碍。
对137名知晓研究目的并同意参与的护士组成的样本进行研究。他们在位于B市的一家三级医院或综合医院进行三班倒工作。使用SPSS/WIN 25.0对收集的数据进行独立样本t检验和单因素方差分析，并通过谢弗检验、皮尔逊相关系数和多元线性回归分析进行事后检验。
对睡眠障碍有显著影响的因素包括主观健康状况为“正常”者（β = 0.29，P <.001）、“不健康”者（β =.40，P <.001）、有工作压力者（β =.22，P =.003）以及有健康促进行为者（β = -0.17，P =.023）。总体解释力为31.1%（F = 16.31，P <.001）。
通过本研究发现，护士的主观健康状况和轮班工作压力是影响睡眠障碍水平的重要因素，其中最具影响的因素是主观健康状况。
