女性護理人員輪值大夜班對生理狀況及出生性別比之影響

目的：觀察高雄縣市女性護理人員，輪值大夜班生理情況及其子代新生兒的出生性別。藉此探討輪值大夜班對生殖健康及新生兒出生結果的影響。方法：以高雄縣市從事護理工作的女性護理人員為研究對象，進行問卷調查；問卷內容包含個人基本資料、睡眠品質、及妊娠資料，其中有年齡、身高、體重、婚姻、目前工作單位、初經年齡、生理周期、活產數、胎兒性別、妊娠史，將資料依有無輪值大夜班區分成兩組做進一步的統計分析。統計分析：利用SPSS套裝軟體作Z-test、Chi-square、Regression，觀察輪值大夜班與女性生理週期新生兒出生結果是否有所變化。結果：需輪值大夜班的女性護理人員比正常上下班者月經週期有疼痛的症狀及明顯的月經不規則，容易發生早產，懷孕的過程中比較需要安胎 (P<0.05)；女性護理人員的子代男性性別比0.9，輪值大夜班性別比1.008高於從未輪值大夜班0.67。結論：護理人員的子代女生比例較高，輪值大夜班對女性的月經週期容易不適且有明顯的不規則現象，懷孕過程中比較需要安胎、容易發生早產及流產，但是新生兒為男性的機會較高。關鍵字：護理人員、輪值大夜班、性別比、出生結果

關鍵字

護理人員；輪值大夜班；性別比；出生結果

並列摘要

Objective：The main purpose of this study is to examine the impact of night-shift task on the health of reproductive system, such as menstrual cycle, and sex ratio of birth outcome among the female nurses. Method ：The study subjects were female nurses who were 20-45 years old and lived in Kaohsiung metropolitan. All the study nurses were asked by questionnaire about their time-shift working status, status of menstruation, quality of sleep, lives birth, and reproductive system. Data were analyzed by Statistical Package for Social Science (SPSS). Results：Compared to day-shift nurses, night-shift nurses had a higher opportunity to have irregular menstruation cycles and premature babies (p<0.05). The averaged sex ratio among the study nurses’ babies was 0.9. The sex ratio among the night-shift nurses’ babies was 1.008, which was significantly higher than that in day-shift nurses’ babies (0.67). Conclusion：Night-shift task can cause female nurses to have irregular menstruation and premature babies. In addition, night-shift nurses have more chances to have male babies than day-shift nurses. Key words：Nurse, night-shift task, sex ratio, birth outcome