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The Influence of Stress Response, Physical Activity, and Sleep Hygiene on Sleep Quality of Shift Work Nurses

교대근무 간호사의 스트레스 반응, 신체활동, 수면위생이 수면의 질에 미치는 영향

  • Jeong, Ji-Yeong (Department of Nursing, Samsung Changwon Hospital) ;
  • Gu, Mee-Ock (College of Nursing, Gyeongsang National University)
  • Received : 2016.05.04
  • Accepted : 2016.06.02
  • Published : 2016.06.30
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Abstract

This study was conducted to analyze the relationship between sleep quality, stress response, physical activity and sleep hygiene in shift work nurses and identify factors influencing sleep quality. The participants were 168 shift nurses from university hospitals and general hospitals located in C city, Gyeongnam. Data were collected from March 25 to 31, 2016. The study instrument use to the Pittsburgh Sleep Quality Index, Stress Response Inventory, Korean version of the International Physical Activity Questionnaire Short Form and Sleep Hygiene Scale. Date were analyzed by frequency, t-test, ANOVA, Pearson's correlation and hierarchical multiple regression using SPSS/win18.0. The sleep quality index was 7.35 (range 0-21), stress response was 2.20 (range 1-5), physical activity was 3986MET-min/week, and sleep hygiene was 2.73 (range 1-6 points). There were significant differences in sleep quality according to shift work experience, health status and circadian rhythm type. Factors influencing sleep quality included shift work experience, sleep hygiene, stress response and physical activity, which together explained 40% of the total variance of sleep quality. Therefore, it is recommended that sleep hygiene education be implemented as a strategy to reduce stress response, and that shift work nurses engage in a moderate level of physical activity to improve their sleep quality.

본 연구의 목적은 교대근무 간호사를 대상으로 스트레스 반응, 신체활동, 수면위생과 수면의 질의 관계를 분석하고, 수면의 질에 미치는 영향요인을 파악하기 위함이다. 연구대상은 경남 C시에 소재한 대학병원과 종합병원에서 교대근무 하는 간호사 168명이었고, 자료수집기간은 2016년 3월 25일부터 2016년 3월 31일까지 였다. 연구도구는 Pittsburgh Sleep Quaility Index, Stress Response Inventory, Korean version International Physical Activity Questionnaire Short Form 및 Sleep Hygiene Practice Scale을 사용하였다. SPSS WIN 18.0을 이용하여 빈도, 백분율, 평균, 표준편차, t-test, ANOVA 및 사후검증, Pearson correlation coefficient, Hierarchical mutiple regression으로 분석하였다. 연구결과, 교대근무 간호사의 수면의 질은 7.35점(범위 0-21점), 스트레스 반응은 2.20점(범위 1-5점), 신체활동량은 3986MET-min/week, 수면위생은 2.73점(범위 1-6점)이었다. 수면의 질은 교대근무 간호사의 특성 중 교대근무 경력, 건강상태, 일주기 리듬에서 유의한 차이를 보였다. 수면의 질에 영향을 미친 변수는 교대근무경력, 수면위생, 스트레스 반응, 신체활동으로 나타났으며 설명력은 40%(F=8.16, p<.001)였다. 따라서, 교대근무 간호사의 수면의 질을 향상시키기 위하여 수면위생 증진 교육을 실시하고, 스트레스 반응을 줄이기 위한 전략을 사용하도록 하며, 중간정도의 신체활동을 권장하는 것이 필요하다.

Keywords

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