Explore the impact of Morning-Evening patterns for nurses''sleep, fatigue, alertness under the influence of the fixed shift system

• Main Authors: Chuage,Shu-Chuan, 莊淑娟
• Other Authors: 郭青萍
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/45115194069949763217

碩士 === 中山醫學大學 === 護理研究所 === 103 === Introduction：Shift-working causes the irregular working period and confusing of liferhythm of nurse leading to sleep disorder, physiological and psychological health problems. The individual Morning-Evening patterns could be one of important factors which affect the adaptation of shift-working conditions, but so far related studies are still lacking. Methods：The subjects are divided into three groups of day-shifting (n = 37), night-shifting (n = 37) and overnight-shifting (n = 35) from two medical center (Northern and Central of Taiwan). The collecting periods are 6 continuing days from 2nd to 3rd week in one-month fixed shifts. Data including personal characteristics, Morning-Evening patterns (Morningness-Eveningness questionnaire), sleeping quality(wear Actiwatch 24 hourscontinuously and sleep diary for 6 days) and fatigue (SSICFS) and alert (VAS). Data were analyzed by Chi-Square Test,one-way ANOVA and Generalized Linear Model. Result：There are no significant differences between shift-working groups in sleep duration, sleep latency, sleep efficiency and wake-up time. Comparing Morning-Evening patterns tosleep quality in each groups, the sleep latency is longest in night-shift group (p=.026). Nointeraction between three groups, Morning-Evening patterns, sleep quality, fatigue and alerthas found. The sleep duration in overnight-group is shortest, less than 8 hours in average. In each group,Morning-Evening patterns had no interferes to sleep quality, fatigue and alert. In future, consider Morning-Evening patterns effect, when recruiting new staffs individual can select fit Morning-Evening patterns shift-work may be applied.