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加拿大新冠疫情期间上夜班护士的生活方式行为:一项试点研究。

Lifestyle behaviors among Canadian nurses working night shifts in the COVID-19 era: a pilot study.

机构信息

Department of Public health and Infectious Diseases, Sapienza University of Rome, Italy.

Canadian Hub for Applied and Social Research, University of Saskatchewan.

出版信息

Clin Ter. 2023 Mar-Apr;174(2):152-158. doi: 10.7417/CT.2023.2513.

Abstract

Working night shifts has been associated with negative mental health consequences such as depression, anxiety, and sleep problems. The objectives of this study were to determine the lifestyle behaviors (prevalence of nicotine, caffeine, cannabis, sleep-promoting medication, and alcohol use) and the association between job stress, sleep quality, anxiety, and depression among registered nurses working night shifts in the Canadian province of Saskatchewan in the COVID-19 era. Twenty-two registered nurses ranging from ages 25-65 that work permanent or rotating night shifts participated in an online survey from April 11th to July 15th, 2022. The results showed a strong positive association between sleep disturbance, and depression r (19) = 0.50, [p = 0.029, 95% CI, 0.06, 0.78]. A positive correlation was found between higher levels of reported anxiety and sleep disturbance r (19) = 0.69, [p = 0.001, 95% CI, 0.34, 0.87]. There was a positive correlation between depression and occupational exhaustion r (17) = 0.56, [p = 0.021, 95% CI, 0.10, 0.82]. Anxiety was significantly related to occupational exhaustion r (17) = 0.65, [p = 0.005, 95% CI, 0.24, 0.86] and depersonalization r (17) = 0.52, [p = 0.005, 95% CI, 0.06, 0.80], but not significantly related to personal accomplishment r (17) = -0.34, [p = 0.185, 95% CI, -0.70, 0.17]. In conclusion, a sample of Canadian nurses working night shifts in the province of Saskatchewan during the COVID-19 pandemic showed a significant positive relationship among sleep disturbance, anxiety, and depression. Furthermore, most nurses reported using at least one or more of the following substances: sleep-promoting medication, nicotine, alcohol, and cannabis.

摘要

上夜班与负面心理健康后果有关,例如抑郁、焦虑和睡眠问题。本研究的目的是确定在 COVID-19 时代,萨斯喀彻温省的加拿大注册护士的生活方式行为(尼古丁、咖啡因、大麻、促进睡眠的药物和酒精使用的流行率)以及工作压力、睡眠质量、焦虑和抑郁之间的关联。2022 年 4 月 11 日至 7 月 15 日,22 名年龄在 25-65 岁之间的注册护士参加了一项在线调查。结果表明,睡眠障碍与抑郁之间存在强烈的正相关关系 r(19)=0.50,[p=0.029,95%CI,0.06,0.78]。报告的焦虑水平较高与睡眠障碍之间存在正相关 r(19)=0.69,[p=0.001,95%CI,0.34,0.87]。抑郁与职业倦怠之间存在正相关关系 r(17)=0.56,[p=0.021,95%CI,0.10,0.82]。焦虑与职业倦怠 r(17)=0.65,[p=0.005,95%CI,0.24,0.86]和去个性化 r(17)=0.52,[p=0.005,95%CI,0.06,0.80]显著相关,但与个人成就 r(17)=-0.34,[p=0.185,95%CI,-0.70,0.17]无显著相关性。总之,在 COVID-19 大流行期间,萨斯喀彻温省上夜班的加拿大护士样本显示睡眠障碍、焦虑和抑郁之间存在显著的正相关关系。此外,大多数护士报告至少使用了一种或多种以下物质:促进睡眠的药物、尼古丁、酒精和大麻。

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