Kim Soyeon, Ki Jison, Choi Ji Yun, Choi Woan Heui, Choi-Kwon Smi
College of Nursing, Seoul National University, Seoul, Korea.
Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Korean J Women Health Nurs. 2023 Mar;29(1):32-43. doi: 10.4069/kjwhn.2023.02.21.1. Epub 2023 Mar 2.
This study investigated the dietary behavior of experienced shiftwork nurses and aimed to identify factors related to dietary behavior.
This study was a secondary analysis based on the Shift Work Nurses' Health and Turnover study (2018-2021) among Korean nurses. In total, 247 experienced (>12 months) shiftwork nurses were included in this study. The participants' dietary behavior, depression, level of occupational stress, fatigue, physical activity, and general characteristics were measured. Descriptive statistics, Pearson correlation coefficients, independent t-test, one-way analysis of variance, the Kruskal-Wallis test, and multiple regression analysis were conducted.
The dietary behavior score of the participants using the Mini-Dietary Assessment Index was 29.35±5.67. Thirty percent of the participants were depressed, the participants experienced moderate occupational stress, and 74.1% of the participants engaged in an inadequate amount of physical activity. The factors influencing shiftwork nurses' dietary behavior were having child(ren) (β=.16, p=.027), depression (β=-.13, p=.032), level of occupational stress related to occupational climate (β=-.13, p=.035), and an inadequate amount of physical activity (β=-.17, p=.006). These factors explained 10.4% of the variance in experienced shiftwork nurses' dietary behavior scores.
Experienced nurses with child(ren) tended to have healthier diets. However, a higher level of occupational stress related to occupational climate, depression, and engaging in an inadequate amount of physical activity were associated with a higher risk of having an unhealthy diet. Therefore, strategies are needed to encourage physical activity and alleviate adverse occupational climate and depression among experienced nurses.
本研究调查了经验丰富的轮班护士的饮食行为，并旨在确定与饮食行为相关的因素。
本研究是基于韩国护士的轮班工作护士健康与离职率研究（2018 - 2021年）进行的二次分析。本研究共纳入247名经验丰富（>12个月）的轮班护士。测量了参与者的饮食行为、抑郁、职业压力水平、疲劳、身体活动情况和一般特征。进行了描述性统计、Pearson相关系数、独立t检验、单因素方差分析、Kruskal - Wallis检验和多元回归分析。
使用小型饮食评估指数得出，参与者的饮食行为得分为29.35±5.67。30%的参与者有抑郁症状，参与者经历中度职业压力，74.1%的参与者身体活动量不足。影响轮班护士饮食行为的因素有生育子女（β = 0.16，p = 0.027）、抑郁（β = -0.13，p = 0.032）、与职业氛围相关的职业压力水平（β = -0.13，p = 0.035）以及身体活动量不足（β = -0.17，p = 0.006）。这些因素解释了经验丰富的轮班护士饮食行为得分差异的10.4%。
有子女的经验丰富护士往往饮食更健康。然而，与职业氛围相关的较高职业压力水平、抑郁以及身体活动量不足与不健康饮食的较高风险相关。因此，需要采取策略来鼓励身体活动，并减轻经验丰富护士的不良职业氛围和抑郁情绪。
