Cross-sectional survey on risk factors for insomnia in Japanese female hospital nurses working rapidly rotating shift systems.
Cross-sectional survey on risk factors for insomnia in Japanese female hospital nurses working rapidly rotating shift systems.
复制标题
日本医院快速轮班制女护士失眠危险因素的横断面调查。
DOI：
10.11183/jhe1972.30.149
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
M. Kawashima
中科院分区：
文献类型：
--
作者：
T. Kageyama;N. Nishikido;T. Kobayashi;J. Oga;M. Kawashima
一项横断面调查的目的是检查工作压力与失眠之间的关系，在轮班制度下工作的护士。一份关于睡眠和心理健康的自填式问卷被分发给了日本五家医院的875名护士。在调查的785名(89.7%)调查对象中，有555名从事快速、无规律轮班的专职护士。失眠患病率(29.2%)是一般人群的3~4倍。在失眠症患者中，23%的人目前正在使用药物处方的催眠药。多因素Logistic回归分析显示，年龄在24岁以下、每月上夜班3次或更少、每月非工作日6天或更少、从同事和上级那里得到的支持较少、照顾重病患者是失眠的独立危险因素。考虑到上述变量，夜班的小时数与失眠无关。这些结果表明，至少有三个因素，即1)年轻护士不适应倒班工作，2)护士在非工作日需要弥补睡眠不足，3)护士的部分工作压力，对他们的睡眠有不利影响。
A cross-sectional survey was carried out for the purpose of examining the association of work stress with insomnia among nurses working rotating shift systems. A self-administered questionnaire on sleep and mental health was distributed to 875 nurses at five hospitals in Japan. Out of the data from 785 (89.7%) respondents, those from 555 women engaged in rapidly and irregularly rotating shift systems as full-time nurses were examined. The prevalence of insomnia (29.2%) was three to four times higher than that in the general population. Among the insomniacs, 23% were current users of medically prescribed hypnotics. Multiple logistic analysis revealed that being 24 or less years old, working three or less night shifts per month, having six or less non-working days per month, receiving less support from colleagues and superiors, and taking care of severely ill patients were independent risk factors for insomnia. The number of hours of a night shift was found not associated with insomnia, taking the above variables into account. These results suggest that at least three factors, i.e., 1) young nurses not adapted to shiftwork, 2) the nurses requiring to remedy sleep deficits on non-working days, and 3) the work stress partly characteristic of nurses, have an adverse influence on their sleep.