Sleep disorder in Taiwanese nurses: a random sample survey.
This study determined the prevalence of and factors associated with insomnia in rotating-shift nurses. A two-stage, cross-sectional, hospital-based study was conducted in eastern Taiwan. Participants were randomly-sampled, rotating-shift nurses (n=661), ranging in age from 21 to 62 years, with a mean age of 31.86 (standard deviation=8.09). Insomnia disorder was identified using the Pittsburgh Sleep Quality Index. Nurses completed the self-reported Index, together with other questionnaires designed by the researchers for the purpose of the study. The prevalence of insomnia disorder was 59% (n=390). Multivariate logistic regression analyses revealed that poor sleepers are more likely to have higher anxiety, feelings of depression, and a poor working atmosphere. Anxiety, depression, and working atmosphere are independent predictors of insomnia. These results suggest that it is crucial to implement a more appropriate shift system and to develop prevention programs for nurses with insomnia to improve their occupational health.
Department of Nursing, Tzu Chi University, Buddhist Tzu Chi General Hospital, 707 Section 3 Chung Yang Road, Hualien, Taiwan.
Mei-Lin
ML
Hsieh
Yin-Ming
YM
Li
En-Ting
ET
Chang
Hui-Ling
HL
Lai
Wan-Hsiang
WH
Wang
Shu-Chen
SC
Wang
D000328:Adult; D001007:Anxiety; D003863:Depression / Q000453:epidemiology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009784:Occupational Diseases / Q000453:epidemiology* / Q000523:psychology; D016272:Occupational Health / Q000706:statistics & numerical data*; D010147:Pain Measurement; D015995:Prevalence; D011594:Psychometrics; D057566:Self Report; D012893:Sleep Wake Disorders / Q000453:epidemiology* / Q000523:psychology; D013624:Taiwan / Q000453:epidemiology; D055815:Young Adult