Yu Liangmeng, Zhou Huiyue, Li Jiamei, Yu Xiaoling
Department of Nursing, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310000, China.
Ninth People's Hospital of Zhengzhou, Zhengzhou, Henan, China.
BMC Nurs. 2025 Jan 7;24(1):18. doi: 10.1186/s12912-024-02651-z.
This study seeks to elucidate the concept of shift work sleep disorder (SWSD) among nurses, thereby offering a comprehensive understanding that can inform future research and practical interventions.
Walker and Avant's concept analysis method was employed to guide the study. A systematic literature review was conducted utilizing various databases, including PubMed, Embase, EBSCO, Web of Science, CNKI, WanFang, and Sino Med. The inclusion criteria were specifically designed to focus on studies that define SWSD, along with its attributes, antecedents, consequences, and assessment tools relevant to nursing professionals.
The analysis identified four key attributes of SWSD: internal/external circadian rhythm imbalance, impaired sleep, multidimensional health problems, and dynamic changes in symptoms. Antecedents include individual factors like personal health, lifestyle, family support, shift patterns, work environment, and other organizational factors. Consequences of SWSD encompass physiological health issues, mental health challenges, impaired social adaptability, and decreased nursing performance.
SWSD has a significant impact on the health and performance of nurses. Understanding its attributes, antecedents, and consequences is crucial for developing targeted interventions. Enhancing sleep hygiene, fostering supportive work environments, and implementing appropriate shift scheduling can help mitigate the adverse effects associated with SWSD.
本研究旨在阐明护士群体中的轮班工作睡眠障碍（SWSD）概念，从而提供全面的理解，为未来的研究和实际干预提供参考。
采用沃克和阿凡特的概念分析方法指导本研究。利用多个数据库进行系统的文献综述，包括PubMed、Embase、EBSCO、Web of Science、中国知网、万方和中国生物医学文献数据库。纳入标准专门针对定义SWSD及其属性、前因、后果以及与护理专业人员相关的评估工具的研究。
分析确定了SWSD的四个关键属性：内部/外部昼夜节律失衡、睡眠受损、多维度健康问题以及症状的动态变化。前因包括个人健康、生活方式、家庭支持、轮班模式、工作环境等个人因素以及其他组织因素。SWSD的后果包括生理健康问题、心理健康挑战、社会适应能力受损以及护理绩效下降。
SWSD对护士的健康和绩效有重大影响。了解其属性、前因和后果对于制定有针对性的干预措施至关重要。加强睡眠卫生、营造支持性工作环境以及实施适当的轮班安排有助于减轻与SWSD相关的不利影响。
