Korean Journal of Occupational Health Nursing (한국직업건강간호학회지)

Korean Academic Society of Occupational Health Nursing (한국직업건강간호학회)
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A Study on Daytime Sleepiness, Insomnia, and the Quality of Sleep in Clinical Nurses

임상간호사의 주간 졸림, 불면증, 수면의 질에 관한 연구

  • Received : 2019.01.01
  • Accepted : 2019.02.19
  • Published : 2019.02.28
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Abstract

Purpose: The purposes of this study were to investigate sleep quality and the related factors among clinical nurses. Methods: Data were collected from 208 nurses in general hospitals through self-report. Pittsburgh Sleep Quality Index (PSQI), Korean Epworth Sleepiness Scale (KESS), Insomnia Severity Index (ISS) were used. The data were analyzed t-test, ANOVA, $Scheff{\acute{e}}$ test, and multiple regression using the SPSS 20.0 program. Results: The mean scores of the subjects were $7.58{\pm}3.61$ on daytime sleepiness, $9.93{\pm}6.22$ on insomnia, and $7.29{\pm}3.05$ on sleep quality. The sleep quality in clinical nurses significantly influenced by insomnia (${\beta}=.55$, t=8.14, p<.001), daytime sleepiness (${\beta}=.16$, t=2.83, p=.005), and work satisfaction (${\beta}=-.15$, t=-2.35, p=.020). The three variables explained 55.9% of variance of sleep quality (F=10.73, p<.001). Conclusion: Sleep quality was influenced by daytime sleepiness, insomnia, and job satisfaction. To improve sleep quality, hospitals managers or leaders need to provide sleep promotion programs for preventing daytime sleepiness and insomnia.

Keywords

Table 1. General and Health-related Characteristics of the Subjects

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Table 2. Level of Daytime Sleepiness, Insomnia, and Quality of Sleep

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Table 3. Comparison of Daytime Sleepiness, Insomnia, and Quality of Sleep by General and Health-related Characteristics

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Table 4. Factors Affecting Quality of Sleep by Multiple Regression Analysis

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References

  1. Alapin, I., Fichten, C. S., Libman, E., Creti, L., Bailes, S., & Wright, J. (2000). How is good and poor sleep in older adults and college students related to daytime sleepiness, fatigue, and ability to concentrate? Journal of Psychosomatic Research, 49(5), 381-390. https://doi.org/10.1016/S0022-3999(00)00194-X
  2. American Academy of Sleep Medicine. (2014). International classification of sleep disorders: Diagnostic and coding manual (3rd ed.). Darien, IL: American Academy of Sleep Medicine.
  3. Bastien, C. H., Vallieres, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297-307. https://doi.org/10.1016/S1389-9457(00)00065-4
  4. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  5. Cho, Y. W., Lee, H., Lee, J. H., Han, S. Y., & Lee, M. Y. (2003). Sleep disorders in maintenance dialysis patients with end-stage renal disease. Journal of the Korean Neurological Association, 21(5), 492-497.
  6. Cho, Y. W., Lee, J. H., Son, H. K., Lee, S. H., Shin, C., & Johns, M. W. (2011). The reliability and validity of the Korean version of the Epworth sleepiness scale. Sleep and Breathing, 15(3), 377-384. https://doi.org/10.1007/s11325-010-0343-6
  7. Donners, A., Bury, D., Fernstrand, A., Garssen, J., Roth, T., & Verster, J. (2015). The association between insomnia and perceived health status. Sleep Medicine, 16(S1), 105. https://doi.org/10.1016/j.sleep.2015.02.1389
  8. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  9. Feinsilver, S. H. (2003). Sleep in the elderly. What is normal? Clinics in Geriatric Medicine, 19(1), 177-188. https://doi.org/10.1016/s0749-0690(02)00064-2
  10. Han, K. S., Park, E. Y., Park, Y. H., Lim, H. S., Lee, E. M., Kim, L., et al. (2011). Factors influencing sleep quality in clinical nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 20(2), 121-131. https://doi.org/10.12934/jkpmhn.2011.20.2.121
  11. Hospital Nurses Association. (2012). A survey on nursing workforce management in the hospitals. Seoul: Author.
  12. Johns, M. W. (1991). A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep, 14(6), 540-545. https://doi.org/10.1093/sleep/14.6.540
  13. Kamel, N. S., & Gammack, J. K. (2006). Insomnia in the elderly: Cause, approach, and treatment. The American Journal of Medicine, 119(6), 463-469. https://doi.org/10.1016/j.amjmed.2005.10.051
  14. Karagozoglu, S., & Bingol, N. (2008). Sleep quality and job satisfaction of Turkish nurses. Nursing Outlook, 56(6), 298-307. e293. https://doi.org/10.1016/j.outlook.2008.03.009
  15. Kim, G. H., & Yoon, H. S. (2013). Factors influencing sleep quality in nursing students and non nursing students. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 22(4), 320-329. https://doi.org/10.12934/jkpmhn.2013.22.4.320
  16. Kim, M. S., Kim, J. R., Park, K. S., Kang, Y. S., & Choe, M. S. (2013). Associations between sleep quality, daytime sleepiness, with perceived errors during nursing work among hospital nurses. Journal of Agricultural Medicine and Community Health, 38(4), 229-242. https://doi.org/10.5393/JAMCH.2013.38.4.229
  17. Kwak, E. J. (2009). Relationships between sleep disorder, fatigue and job satisfaction in shifting nurses. Unpublished master's thesis, Kyungpook National University, Daegu.
  18. Lee, J. T. (2005). Sleep quality evaluation of shift workers. Unpublished master's thesis, Kyungpook National University, Daegu. Retrieved from http://www.riss.kr/link?id=T10414584
  19. Lee, J. T., Lee, K. J., Park, J. B., Lee, K. W., & Jang, K. Y. (2007). The relations between shiftwork and sleep disturbance in a university hospital nurses. Korean Journal of Occupational and Environmental Medicine, 19(3), 223-230. https://doi.org/10.35371/kjoem.2007.19.3.223
  20. Lee, K. S., Kwon, I. S., & Cho, Y. C. (2011). Relationships between quality of sleep and job stress among nurses in a university hospital. Journal of the Korea Academia-Industrial cooperation Society, 12(8), 3523-3531. https://doi.org/10.5762/KAIS.2011.12.8.3523
  21. Liu, X., Uchiyama, M., Kim, K., Okawa, M., Shibui, K., Kudo, Y., et al. (2000). Sleep loss and daytime sleepiness in the general adult population of Japan. Psychiatry Research, 93(1), 1-11. https://doi.org/10.1016/S0165-1781(99)00119-5
  22. Ministry of Health and Welfare, & Center for Disease Control. (2013). Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3) (No. 11702). Sejong: Author.
  23. Moul, D. E., Nofzinger, E. A., Pilkonis, P. A., Houck, P. R., Miewald, J. M., & Buysse, D. J. (2002). Symptom reports in severe chronic insomnia. Sleep, 25(5), 553-563.
  24. Niu, S. F., Chung, M. H., Chen, C. H., Hegney, D., O'Brien, A., & Chou, K. R. (2011). The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: A systematic review. Journal of Nursing Research, 19(1), 68-81. https://doi.org/10.1097/JNR.0b013e31820c1879
  25. Ohayon, M. M., Caulet, M., Philip, P., Guilleminault, C., & Priest, R. G. (1997). How sleep and mental disorders are related to complaints of daytime sleepiness. Archives of Internal Medicine, 157(22), 2645-2652. https://doi.org/10.1001/archinte.1997.00440430127015
  26. Park, E., Lee, H. Y., & Park, C. S-Y. (2018). Association between sleep quality and nurse productivity among Korean clinical nurses. Journal of Nursing Management, 26(8), 1051-1058. https://doi.org/10.1111/jonm.12634
  27. Park, Y. N. (2006). The relationship between the shift work, and sleep problems and fatigue of nurses in a general hospital. Unpublished master's thesis, Chungnam National University, Daejeon. Retrieved from http://www.riss.kr/link?id=T11003151
  28. Shao, M. F., Chou, Y. C., Yeh, M. Y., & Tzeng, W. C. (2010). Sleep quality and quality of life in female shift-working nurses. Journal of Advanced Nursing, 66(7), 1565-1572. https://doi.org/10.1111/j.1365-2648.2010.05300.x
  29. Shin, S. H. (2013). The influence of health promoting behaviors on quality of sleep and fatigue among rotating shift-nurses. Unpublished master's thesis, Kyungpook National University, Daegu.
  30. Sohn, S. I., Kim, D. H., Lee, M. Y., & Cho, Y. W. (2012). The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath, 16, 803-812. https://doi.org/10.1007/s11325-011-0579-9
  31. Sun, Q., Ji, X., Zhou, W., & Liu, J. (2019). Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels. Journal of Nursing Research, 27, 10-18. https://doi.org/10.1111/jonm.12656
  32. Suzuki, K., Ohida, T., Kaneita, Y., Yokoyama, E., Miyake, T., Harano, S., et al. (2004). Mental health status, shift work, and occupational accidents among hospital nurses in Japan. Journal of Occupational Health, 46(6), 448-454. https://doi.org/10.1539/joh.46.448
  33. Yi, H. R. (2013). Sleep quality and its associated factors in adults. Journal of Korean Public Health Nursing, 27(1), 76-88. https://doi.org/10.5932/JKPHN.2013.27.1.76