Associations Between Night Work and Anxiety, Depression, Insomnia, Sleepiness and Fatigue in a Sample of Norwegian Nurses
Associations Between Night Work and Anxiety, Depression, Insomnia, Sleepiness and Fatigue in a Sample of Norwegian Nurses
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DOI：
10.1371/journal.pone.0070228
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发表时间：
2013-08-07
期刊：
影响因子：
3.7
通讯作者：
Bjorvatn, Bjorn
中科院分区：
文献类型：
--
作者：
Oyane, Nicolas M. F.;Pallesen, Stale;Bjorvatn, Bjorn
背景：据报道，夜间工作与各种精神障碍和主诉有关。我们调查了夜间工作和焦虑，抑郁，失眠，嗜睡和疲劳之间的关系，挪威nurs.Methods：研究设计是横截面，基于验证的自我评估问卷。共有5400名护士被邀请参加一项健康调查，通过挪威护士组织，其中2059同意参加（响应率38.1%）。护士完成一份问卷，内容包括人口统计学变量（性别、年龄、护士工作年限、婚姻状况和在家居住的子女）、工作时间表、焦虑/抑郁（医院焦虑和抑郁量表）、失眠（卑尔根失眠量表）、嗜睡（埃普沃思嗜睡量表）和疲劳（疲劳问卷）。他们还被要求报告过去12个月的夜班次数（NNL）。首先，使用二元逻辑回归分析，比较护士i）从不上夜班，ii）目前上夜班，iii）以前上夜班的参数。随后，采用累积方法调查NNL与分层多元回归分析中相同因变量的连续得分之间的关联。目前夜间工作的护士更常被归类为失眠（OR = 1.48，95% CI = 1.10-1.99）和慢性疲劳（OR = 1.78，95% CI = 1.02-3.11）。既往夜间工作经历与失眠相关（OR = 1.45，95%CI = 1.04-2.02）。NNL与回归分析中的任何参数无关。结论：护士与当前或以前的夜间工作报告失眠比护士没有任何夜间工作经验，目前夜间工作也与慢性疲劳。焦虑、抑郁和嗜睡与夜间工作无关，在过去12个月内，夜班对任何参数都没有累积影响。
Background: Night work has been reported to be associated with various mental disorders and complaints. We investigated relationships between night work and anxiety, depression, insomnia, sleepiness and fatigue among Norwegian nurses.Methods: The study design was cross-sectional, based on validated self-assessment questionnaires. A total of 5400 nurses were invited to participate in a health survey through the Norwegian Nurses' Organization, whereof 2059 agreed to participate (response rate 38.1%). Nurses completed a questionnaire containing items on demographic variables (gender, age, years of experience as a nurse, marital status and children living at home), work schedule, anxiety/depression (Hospital Anxiety and Depression Scale), insomnia (Bergen Insomnia Scale), sleepiness (Epworth Sleepiness Scale) and fatigue (Fatigue Questionnaire). They were also asked to report number of night shifts in the last 12 months (NNL). First, the parameters were compared between nurses i) never working nights, ii) currently working nights, and iii) previously working nights, using binary logistic regression analyses. Subsequently, a cumulative approach was used investigating associations between NNL with the continuous scores on the same dependent variables in hierarchical multiple regression analyses.Results: Nurses with current night work were more often categorized with insomnia (OR = 1.48, 95% CI = 1.10-1.99) and chronic fatigue (OR = 1.78, 95% CI = 1.02-3.11) than nurses with no night work experience. Previous night work experience was also associated with insomnia (OR = 1.45, 95% CI = 1.04-2.02). NNL was not associated with any parameters in the regression analyses.Conclusion: Nurses with current or previous night work reported more insomnia than nurses without any night work experience, and current night work was also associated with chronic fatigue. Anxiety, depression and sleepiness were not associated with night work, and no cumulative effect of night shifts during the last 12 months was found on any parameters.