Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, and Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Department of Public Health, Faculty of Applied Medical Sciences, Albaha University, Albaha, Saudi Arabia.
Work. 2024;79(3):1477-1490. doi: 10.3233/WOR-230500.
Shift work affects the mental and physical health of nurses, yet the effect of working irregular shifts on sleep and its association with the need for recovery is under-explored.
The purpose of this study was to investigate the sleep quality of nurses working irregular shifts, including night shifts, and to determine whether sleep quality is associated with the need for recovery.
This cross-sectional study included 405 nurses working irregular shifts. Data were collected using an online questionnaire that included sociodemographic characteristics, the Sleep-Wake Experience List, sleep problems, sleep duration, and the Need for Recovery scale. Data analyses included descriptive statistics, chi-square tests, t-tests, logistic and multiple linear regressions.
Nurses who worked irregular shifts had poor sleep quality. Those who also worked night shifts, had significantly poorer sleep quality and experienced more difficulties in daily functioning than those who did not work night shifts. Sleep quality was significantly associated with the need for recovery and this remained so after controlling for confounding variables (β= .554, p = .001).
The findings indicate that in nurses who work irregular shifts, the sleep quality is low. In this group, the sleep quality in nurses who work night shifts is lower than in nurses who do not work night shifts. Furthermore, better sleep quality was associated with lower need for recovery. These findings suggest that improving sleep quality in nurses working irregular shifts may lower their need for recovery, which may improve health, and reduce burnout and sickness absence.
轮班工作会影响护士的身心健康，但轮班工作对睡眠的影响及其与恢复需求的关系尚未得到充分探索。
本研究旨在调查上不规则班次（包括夜班）的护士的睡眠质量，并确定睡眠质量是否与恢复需求相关。
这是一项横断面研究，共纳入 405 名上不规则班次的护士。使用在线问卷收集数据，问卷内容包括人口统计学特征、睡眠-觉醒体验清单、睡眠问题、睡眠时间和恢复需求量表。数据分析包括描述性统计、卡方检验、t 检验、逻辑回归和多元线性回归。
上不规则班次的护士睡眠质量较差。与不轮值夜班的护士相比，同时轮值夜班的护士睡眠质量更差，日常功能障碍更明显。睡眠质量与恢复需求显著相关，且在控制混杂变量后仍如此（β=0.554，p=0.001）。
研究结果表明，上不规则班次的护士睡眠质量较低。在这组护士中，上夜班的护士睡眠质量低于不上夜班的护士。此外，更好的睡眠质量与较低的恢复需求相关。这些发现表明，改善上不规则班次护士的睡眠质量可能会降低其恢复需求，从而改善健康状况，减少倦怠和病假。
