PDF(Pubmed)
Abstract：
Background: Nurses have a high incidence of shift work sleep disorder, which places their health and patient safety in danger. Thus, exploring the factors associated with shift work sleep disorder in nurses is of great significance in improving their sleep health, nursing personnel staffing, and scheduling during the COVID-19 pandemic. Objectives: The purpose of this study was to investigate the incidence of shift work sleep disorder during the COVID-19 pandemic and explore the factors associated with shift work sleep disorder in Chinese nurses. Methods: This was a multicenter cross-sectional study using an online survey. Stratified cluster sampling was used to include 4,275 nurses from 14 hospitals in Shandong, China from December 2020 to June 2021. Stepwise multivariate logistic regression analysis and random forest were used to identify the factors associated with shift work sleep disorder. Results: The prevalence of shift work sleep disorder in the sampled shift nurses was 48.5% during the COVID-19 pandemic. Physical fatigue, psychological stress, shift work more than 6 months per year, busyness during night shift, working more than 40 h per week, working more than four night shifts per month, sleeping more than 8 h before night shift, using sleep medication, irregular meals, and high-intensity physical activity were associated with increased odds of shift work sleep disorder. Good social support, good work-family balance, napping two or three times per week, resting more than one day after shifts, intervals of 8 days or more between shifts, and taking turns to rest during the night shift were associated with decreased odds of shift work sleep disorder. Conclusions: Shift work sleep disorder may be associated with scheduling strategies and personal behavior during the COVID-19 pandemic. To reduce the incidence of shift work sleep disorders in nurses, nursing managers should increase night shift staffing, extend rest days after shift, increase night shift spacing, and reduce overtime, and nurses need to seek more family and social support and control their sleep schedules and diet.
摘要：
背景:护士倒班工作睡眠障碍发生率高,这将他们的健康和患者安全置于危险之中。因此，探讨护士倒班工作睡眠障碍的相关因素对改善护士睡眠健康具有重要意义,护理人员人员配备，以及COVID-19大流行期间的日程安排。目的：本研究的目的是调查COVID-19大流行期间倒班工作睡眠障碍的发生率，并探讨与倒班工作睡眠障碍相关的因素。方法：这是一项使用在线调查的多中心横断面研究。采用分层整群抽样的方法，对山东省14家医院的4275名护士进行了抽样调查，中国从2020年12月到2021年6月。采用逐步多因素logistic回归分析和随机森林方法对轮班工作睡眠障碍相关因素进行分析。结果：在COVID-19大流行期间，抽样的轮班护士的轮班睡眠障碍患病率为48.5％。身体疲劳,心理压力,每年轮班工作超过6个月，夜班时的忙碌，每周工作40小时以上，每月工作超过四个夜班，夜班前睡8小时以上，使用睡眠药物，饮食不规律,高强度体力活动与轮班工作睡眠障碍的几率增加相关。良好的社会支持,良好的工作-家庭平衡，每周午睡两到三次，轮班后休息一天以上，班次间隔8天或更长时间，夜班期间轮流休息与轮班工作睡眠障碍的几率降低有关。结论：轮班工作睡眠障碍可能与COVID-19大流行期间的日程安排策略和个人行为有关。减少护士倒班工作睡眠障碍的发生率,护理管理者应该增加夜班人员，轮班后延长休息日，增加夜班间距，减少加班,护士需要寻求更多的家庭和社会支持，并控制他们的睡眠时间表和饮食。
