• 한방안이비인후피부과학회지
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• 제19권3호통권31호
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• pp.180-188
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• 2006

Objectives : The purpose of this study is to investigate the differences of skin disease, particularly Acne between the rotating shift work nurses and the nurses on a fixed day schedule. Methods : Questionnaries were distributed to 30 rotating shift work nurses(the rotating group) and 34 nurses on a fixed day schedule(the daytime group). The questionnaris included questions on general health concepts, insomnia skin disease(particularly Acne), gastroenteric trouble, menstrual irregularity. Result : 1. There was significant difference on skin disease(particularly Acne) between two groups. 2. There was no significant relation between Gastroenteric trouble and Acne. But, in particular, there was significant relation between Constipation, Gastritis and Acne. 3. There was no significant relation between menstrual irregularity and Acne. 4. In Acne group, more than 70% felt the necessity of treatment, but only 2.5% used Korean Oriental Medical therapy. Conclusion : Disorder of circadian rhythm affects the skin disease(particularly Acne) more than Gastroenteric trouble and menstrual irregularity. But in this study, the total number of the nurse is not enough. So we need more accurate study about the aspects of skin disease. And about the Acne, publicity of Korean Oriental Medical therapy is required.

• Safety and Health at Work
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• 제4권4호
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• pp.210-215
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• 2013

Background: This study aimed to identify the impacts of job stress and cognitive failure on patient safety incidents among hospital nurses in Korea. Methods: The study included 279 nurses who worked for at least 6 months in five general hospitals in Korea. Data were collected with self-administered questionnaires designed to measure job stress, cognitive failure, and patient safety incidents. Results: This study showed that 27.9% of the participants had experienced patient safety incidents in the past 6 months. Factors affecting incidents were found to be shift work [odds ratio (OR) = 6.85], cognitive failure (OR = 2.92), lacking job autonomy (OR = 0.97), and job instability (OR = 1.02). Conclusion: Patient safety incidents were affected by shift work, cognitive failure, and job stress. Many countermeasures to reduce the incidents caused by shift work, and plans to reduce job stress to reduce the workers' cognitive failure are required. In addition, there is a necessity to reduce job instability and clearly define the scope and authority for duties that are directly related to the patient's safety.

• Journal of Korean Biological Nursing Science
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• 제7권2호
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• pp.5-15
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• 2005

The purpose of this study was to compare the sleep and fatigue between groups with two shift and three shift nurses. A total of 14 nurses working in Neonatal Intensive Care Unit(NIC) were included with the seven for two shifts and the other seven for three shifts. Data were collected by Korean version of sleep tool(Oh et al., 1998) and fatigue symptom tool(Kim et al., 2001) and analyzed using SPSS PC 12.0. The results of the study were as follows: 1) There was statistically a significant difference in the number of total sleep hour and no difference in fatigue between groups. 2) There were no significant differences found in both sleep and fatigue by demographic characteristics between groups. 3) There were no correlations between sleep and fatigue in both groups. Through the further future studies, the findings of this study were expected to provide an opportunities for exploring the information on 2-shift nurses as well as 3-shift nurses and to offer the fundamental data on an arrangement of work force according to the types of shift work.

• 정신신체의학
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• 제22권2호
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• pp.79-86
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• 2014

연구목적 일 종합병원에 근무하는 여성 간호사 중 순환교대자와 주간고정근무자 두 군 간의 정신신체 증상의 차이를 조사하였다. 방 법 일 종합병원에서 근무하는 여성 간호사의 인구학적 정보를 수집하여, 두통의 강도(VAS), 두통의 유형, 두통의 빈도를 알기위한 질문지와 우울척도(BDI), 전반적 수면평가지(GSAQ)를 사용하였다. 통계분석은 Mann-Whitney test와 ${\chi}^2$ test를 사용하였다. 결 과 전체 대상군 84명 중 순환군이 37명, 주간군이 47명이었다. 순환군이 주간군보다 젊고 미혼이 많았고 근무연수가 적었다. 순환군이 주간군보다 두통, 불면, 과다 주간졸리움증, 우울, 불안과 같은 정신신체 증상이 통계학적으로 유의하게 많았다. 결 론 종합병원의 순환교대근무 여성간호사가 주간근무자보다 더 많은 두통, 불면, 과다 주간졸리움증, 우울, 불안을 보였다.

• 한국보건간호학회지
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• 제26권2호
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• pp.268-279
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• 2012

Purpose: The purpose of this study was to compare and contrast health promoting behaviors, mental health, and quality of life between shift nurses and non-shift nurses and to evaluate factors influencing their quality of life. Method: Data were collected by questionnaires from 113 non-shift nurses and 265 shift nurses who had been working at one of five hospitals in Incheon for more than one year. Descriptive statistics, ANCOVA, logistic regression, and multiple regression were used in performance of data analysis. Results: For shift nurses' mean total scores for health promoting behaviors and quality of life were significantly lower than those for non-shift nurses'(p<.05). Result of logistic regression analyses indicated that marital status (OR=2.092, 95%CI=1.174-3.729) and quality of life (OR=3.397, 95%CI=1.694-6.812) were significant between shift nurses and non-shift nurses. Non-shift work, low stress, provision of health-welfare programs, high score for health promoting behavior, and good mental health status showed an association with better quality of life (explained 48.3% of variance). Conclusion: Educational, policy, and regulatory approaches are required in order to improve mental health and quality of life for nurses, which may be influenced by their unhealthy behaviors such as irregular dietary patterns, while provision of counseling programs may be helpful to enhancement of nurses' mental health.

• Safety and Health at Work
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• 제11권2호
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• pp.244-247
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• 2020

The occurrence of the shift work disorder (SWD) in health-care workers (HCWs) employed in 24/7 hospital wards is a major concern through the world. In accordance with literature, SWD is the most frequent work-related disturb in HCWs working on shift schedules including night shift. In agreement with the Luxembourg Declaration on workplace health promotion (WHP) in the European Union, a WHP program has been developed in a large Hospital, involving both individual-oriented and organizational-oriented measures, with the aim to prevent the occurrence of SWD in nurses working on shifts including night shift. The objective assessment of rotating shift work risk and the excessive sleepiness were detected before and after the implementation of the WHP program, by using the Rotating Shiftwork-questionnaire and the Epworth Sleepiness Scale. The findings of this study showed the effectiveness of the implemented WHP program in minimizing the impact of shift work on workers' health and in preventing the misalignment between sleep-wake rhythm and shift working.

• 한국융합학회논문지
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• 제7권4호
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• pp.107-121
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• 2016

본 연구는 교대근무 간호사의 직무스트레스가 간호업무성과에 미치는 영향을 융합적으로 규명하여 간호 업무수행 성과를 제고하여 교대근무 간호사의 직무스트레스를 효과적으로 관리할 수 있는 방안을 모색하고자 한다. 연구방법은 2015년 3월 2일부터 2015년 3월15일까지 B광역시에 소재하는 모대학병원에서 교대근무를 하고 있는 간호사를 대상으로 설문조사한 자료 244부를 SPSS 21.0 프로그램을 이용하여 분석하였다. 그 결과 직무스트레스 평균점수는 3.57점, 간호업무성과 평균점수는 3.69점이었다. 직무스트레스는 간호업무성과의 하위영역인 대인관계 업무에 유의한 양(+)의 영향을 미쳤다. 따라서 교대근무 간호사의 직무스트레스를 보다 정확히 파악하여 효율적인 간호인력 관리가 이루어질 수 있도록 노력해야 할 것이다. 아울러 간호업무성과의 지속적인 향상을 위하여 실제적인 직무스트레스관리 중재 프로그램이 마련되어 교대근무간호사의 직무스트레스가 효과적으로 관리된다면 질 높은 간호업무성과를 통한 양질의 의료서비스가 제공 될 것으로 기대된다.

• 융합정보논문지
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• 제7권6호
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• pp.35-43
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• 2017

본 연구의 목적은 교대근무 간호사의 운동행위변화단계에 미치는 융합적 영향요인을 분석하는데 있다. 연구대상자는 병원에 근무하는 교대근무 간호사로 연구의 목적을 이해하고 연구에 참여할 것을 동의한 120명의 간호사이다. 연구 자료는 빈도, 백분율, 평균, 표준편차, t-test, $X^2$ test, 다중 로지스틱 회귀분석을 이용하여 분석하였다. 교대근무 간호사의 운동행위변화단계에 유의한 영향을 미치는 요인은 운동 동기(${\beta}=2.480$, p=.022), 건강상태 지각(${\beta}=1.151$, p=.013), 사회적지지(${\beta}=1.819$, p=.002)와 결혼유무(${\beta}=-1.820$, p=.004)로 나타났다. 즉, 운동행위 변화가 있는 대상자가 운동행위 변화가 없는 대상자에 비해 운동 동기가 11.9배 높고, 건강상태 지각은 3.1배 높았으며 사회적 지지는 6.1배, 미혼인 대상자는 기혼인 대상자에 비해 .16배 높았다. 그러므로 교대근무간호사의 운동행위 변화단계에 영향을 미치는 요인이 운동동기와 사회적지지, 건강상태 지각인 점을 고려하여 지속적이고 규칙적인 운동을 실천하기 위한 전략을 개발하는 것이 중요하다.

• 기본간호학회지
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• 제1권1호
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• pp.77-97
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• 1994

The circadian system represents a temporal order which is mediated by the mutual coupling of oscillators and by the synchronizing effects of zeitgebers. It is known that well-being of man depends partly on the maintenance of this order, and that repeated or long lasting disturbances to it such as shift work will Cause harmful effects. This study was a quasi-experimental study to test the effect of shift directions for the clinical nurses on the circadian rhythm. Fourteen nurses working at the general units of Y hospital were selected according to the established criteria. Fourteen subjects were assigned to a weekly shift but the directions of shift work were phase delay first and then phase advance or vice versa. Oral temperature, total sleeping time, frequency of sleep-wake cycle, fatigue, mental performance, and physical symptom were measured during these days except holidays. The data collection period was from April 26, 1993 to July 3, 1993. MANOVA and Wilcoxon signed rank test were used for statistical analysis. The results are summarized as follows. 1. Having worked on evening and night shifts in either phase delay or phase advance schedules, temperature rhythms of shift workers were gradually adapted to the new sleep-wake cycles. A complete adaptation to work on the night shift was achieved the sixth day of the night shift in the phase delay schedule compared to the partial adaptation to the work on the night shift in the phase advance schedule. Accordingly, by putting evening shift between day and night shifts, it will be possible for circadian rhythm to adapt easily to the night shift. 2. There were differences in the total sleeping time, frequency of steep-wake cycle, fatigue, and physical symptom except for mental performance between night shift and day, evening shift. This indicates further that shift workers working on the night shift have a hard time adapting to the shift work compared to the other shifts. 3. Evaluating all the acrophases of temperature rhythm either in phase delay or phase ad-vance schedules, it was shown that night to evening shift in the phase ad-vance schedule revealed the smallest phase move. Also phase advance schedule showed poorer adaptation to shift work than phase delay schedule in connection with total sleeping time, frequency of sleep-wake cycle, fatigue, mental performance, and physical symptom. It is suggested, taken together, these findings reflect that phase delay schedule facilitated the degree of adjustment to the shift work compared to the phase advance schedule.

• Journal of Korean Biological Nursing Science
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• 제1권1호
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• pp.100-114
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• 1999

This study was done to investigate the effects of rapidly-rotating shift work of two-day interval on fatigue level and the concentration of urinary 17-KS, $Na^+,\;Cl^-$. The subjects were 20 nursing college students(control group) and 15 nurses in a university hospital and the study was done from Apr. 21 to May 4th, 1999. In the test group, each 5 nurses were allocated to day shift(8 AM-4 PM), evening shift(4 PM-12 MN) and night shift(12 MN-8 AM) respectively. The fatigue level were measured 30 minutes after work start on the 2nd day of work shift. Urine specimens were collected at 8 AM, 4 PM and 12 MN on the 2nd day of work shift in the control group and 30 minutes before and after work on the 2nd day of work shift in the test group. The data were analyzed with SPSS(for Window, ver 7.5). Statistical analysis was performed by using t-test, paired t-test and ANOVA. The results were as follows. 1. The perceived fatigue level in shift work 1) The physical and mental fatigue level were significantly higher in night shift than that in day or evening shift(p<0.05). In the neuro-sensory fatigue level, night shift showed higher tendency than that in day or evening shift, but there were no significant differences between each shifts. 2) Comparison between the control group and the test group: Physical fatigue level was significantly higher in night shift than that in day or evening shift of the control group(P<.001). Mental fatigue level was significantly higher in day or night shift than that in evening shift of the control group(P<.05). In the neuro-sensory fatigue level, test group showed higher tendency than that in the control group, but there were no significant differences between two groups. 3) The total fatigue level was higher in night shift than that in day shift or evening shift(P<.05). In comparing with the control group, night shift and day shift showed higher total fatigue level than that in the control group(p<0.05). 2. The concentration of urinary 17-KS, $Na^+$ and $Cl^-$ In the control group, urinary 17-KS, $Na^+$ and $Cl^-$ showed higher level in afternoon that in morning and night. In the test group, cr in day and evening shift and $Na^+$ in evening shift showed higher level at the end of work. The 17-KS concentration at the begining and the end of work in three shift groups were lower than those in control group(p<0.05), however, $Cl^-$ concentration at the begining of work in day shift, and the end of work in day and evening shift were higher than those in control group(p<0.05). $Cl^-$ concentration at the begining and end of work in night shift were considerably higher than those in control group repectively(p<0.1, p<001). $Na^+$ concentration showed a higher tendency in three shift groups except at the begining of work in night shift, but there were no statistical difference. In comparing concentration of the 17-KS, $Na^+$ and $Cl^-$ among the shift groups, 17-KS concentration showed a lower tendency and $Na^+,\;Cl^-$ showed a higher tendency in night shift: The result of this study showes that biorhythm of shift work nurse was irregular. Fatigue level as the subjective index for evaluating the health problem concerning shift work was higher in night shift and proved to be in accordance with the concentration of urinary 17-KS, $Na^+$ and $Cl^-$ used as objective indices. Disturbation of biorhythm and work stress due to night shift seems to cause the health problem of nurses and decrease of work efficiency. It is considered that work regualtion is necessary for the rational management of the nursing administration.