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Insomnia in shift-workers : a survey for hospital nurses taking account of sleep environment and work stress

倒班工人失眠：考虑睡眠环境和工作压力的医院护士调查

基本信息

批准号：
10470116
负责人：
KAGEYAMA Takayuki
金额：
$ 2.05万
依托单位：
Oita University of Nursing and Health Sciences
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B).
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 2000
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-10470116/
关键词：
sleep insomnia nurse shift-work stress noise 照度

项目摘要

1) Sound environment in the apartment houses of hospital nurses occupied with rotating shift-work was assessed during sleep periods by measuring sound levels. Their sleep environment was often inadequate in terms of sound levels regardless of day or night. It was also suggested that intermittent waking was likely to occur when sound level was high. It should be stressed that shift-workers' sleep environment needs to be kept quiet not only at night but also at daytime. Further research should focus on whether the desirable sound environment at daytime is similar to that at night.2) The work stress in hospital nurses was compared with that in the general white-collar workers. The characteristics of work stress in hospital nurses were high demand and much feeling of reward from work. Their job-control and support from co-workers were at the same levels of the other white-collars'. The nurses were much more depressed and felt much more mental fatigue, compared with the general white-collar … More workers. Their mental health was associated with physical/mental workload and the stress due to interpersonal relationships with co-workers, but not with the work stress which is proper to hospital nurses. This suggests that the main causes of their mental health problems are rather the general working conditions than the nurses' particular situations.3) The prevalence of insomnia in hospital nurses was much higher than that in the general population As for day-to-day variation in self-rated sleep quality, they seemed to experience poor sleep after night shift and also after holidays. The results of multivariate analysis for risk factors of insomnia were as follows. a) Insomnia was frequent among those who recently experienced night shift fewer times, suggesting the adaptation effect to shift-work. b) Insomnia was frequent among those who recently had fewer holidays, suggesting the need of free time for the adjustment of disturbed sleep-wake rhythm. c) Insomnia was also associated with the work stress related to the severity of patients and the less reward from world. d) There was no factors which explains the high prevalence of insomnia in hospital nurses ; it seems to be caused by their shift-work itself. e) There were more users of hypnotic in some hospitals, compared with in the general population. f) There was no evidence that their insomnia is related to the incidence of errors in work. Less

1)通过测量声级来评价轮班工作的医院护士公寓内的声环境。无论白天还是晚上，他们的睡眠环境通常都不足以达到音量。还有人提出，当声级较高时，可能会出现间歇性唤醒。需要强调的是，倒班工人的睡眠环境不仅在夜间需要保持安静，白天也需要保持安静。2)比较医院护士和普通白领的工作压力。医院护士工作压力的特点是工作要求高、工作回报感强。他们的工作控制力和来自同事的支持与其他白领的水平相同。与普通白领…相比，护士的抑郁程度更高，精神疲劳感也更强更多的工人。他们的心理健康状况与体力/精神负荷和与同事的人际关系带来的压力有关，而与医院护士特有的工作压力无关。3)医院护士的失眠患病率明显高于一般人群。在自测睡眠质量的日常变化上，医院护士在夜班和节假日后的睡眠质量似乎较差。失眠危险因素的多因素分析结果如下。A)最近上夜班次数较少的人经常失眠，这表明他们对倒班工作的适应效果。2)近期节假日较少者失眠较多，提示需要空闲时间来调整紊乱的睡眠-觉醒节律。C)失眠还与工作压力与患者病情严重程度有关，与来自世界的回报较少有关。D)没有任何因素可以解释医院护士失眠的高患病率；这似乎是由他们轮班工作本身造成的。E)与普通人群相比，一些医院使用催眠药的人数更多。F)没有证据表明他们的失眠与工作失误的发生率有关。较少