輪班護理人員之睡眠品質及自律神經系統功能

Sleep Quality and Function of the Autonomic Nervous System in Shift Work Nurses

樊修珊(Shiou-Shan Fan) ； 許承先(Cheng-Sheng Hsu) ； 余錦美(Ching-Mei Yu)

《北市醫學雜誌》 10卷2期 (2013/06) Pp. 144-156

https://doi.org/10.6200/TCMJ.2013.10.2.05

摘要

目的：本研究在探討輪班護理人員睡眠品質與自律神經系統之間的變化。方法：主觀分析以匹茲堡睡眠品質量表測量，客觀分析以自我居家睡眠檢測儀為工具分析睡眠品質外，同時分析心率變異度來了解自律神經的變化，以30位輪班護理人員為對象。結果：主觀部份約73.4%睡眠品質差，客觀部份約60.0%睡眠品質差；在心率變異度部分：輪班護理人員比較下，在總功率部分輪班護理人員整體心率變異度易受影響；在常規化低頻、低頻／高頻功率比部份在夜班明顯被提升，顯示易受交感神經的調控高，但輪班之間無差異性。結論：普遍輪班護理人員主客觀睡眠品質不佳，同時影響自律神經系統，尤其是輪夜班的護理人員。將研究結果提供醫療院所、及單位主管為參考，希望能重視輪班護理人員睡眠品質的議題。

關鍵字

輪班 ； 護理人員 ； 睡眠品質 ； 心率變異度

並列摘要

Objectives: The purpose of this research was to investigate the relationship between sleep quality and the autonomic nervous system using shift-work nurses as the study group. Methods: The subjective and objective analysis for 30 shift-work nurses were achieved using the Pittsburgh Sleep Quality Index (PSQI) and a self-home sleep test instrument, which was followed by heart rate variability (HRV) analysis of the autonomic nervous system. Results: Approximately 73.4% and 60.0% of the nurses showed poor sleeping quality via the subjective and objective analyses, respectively; moreover, an increase in nLF and LF/HF ratio and a decreased in TP of HRV was also found among the shift-work nurses, but this difference was not statistically significant. Conclusion: The subjective and objective analyses of general-shift nurses found that their sleeping quality was poor and that this had affected their autonomic nervous system. This was especially true among the night shift-work nurses. These research results are important to medical institutions and suggest there is a need to focus attention in the area of shift-work nurse sleep quality.

並列關鍵字

shift-work nurse ； sleeping quality ； heart rate variability

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