Atypical work schedules are associated with poor sleep quality and mental health in Taiwan female nurses

Pei Chen Lin, Chung-Hey Chen, Shung Mei Pan, Chih Hong Pan, Chiou Jong Chen, Yao Mei Chen, Hsin Chia Hung, Ming Tsang Wu

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43 Citations (Scopus)

Abstract

Purpose To investigate the eVects of shift work schedules on sleep quality and mental health in female nurses in south Taiwan. Methods This study recruited 1,360 female registered nurses in the Kaohsiung area for the Wrst survey, and among them, 769 nurses had a rotation shift schedule. Among the 769 rotation shift work nurses, 407 completed another second survey 6-10 months later. Data collection included demographic variables, work status, shift work schedule, sleep quality (Pittsburgh Sleep Quality Index), and mental health (Chinese Health Questionnaire-12). Results Nurses on rotation shift had the poor sleep quality and mental health compared to nurses on day shift. The nurses on rotation shift had a relatively higher OR of reporting poor sleep quality and poor mental health (OR, 2.26; 95% CI, 1.57-3.28; and OR, 1.91; 95% CI, 1.39- 2.63, respectively). Additionally, rotation shift nurses who had ≥2 days oV after their most recent night shifts showed signiWcantly improved sleep quality and mental health (PSQI decreased of 1.23 and CHQ-12 decreased of 0.86, respectively). Comparison of sleep quality between the Wrst and second surveys showed aggravated sleep quality only in nurses who had an increased frequency of night shifts. Conclusion Female nurses who have a rotation shift work schedule tend to experience poor sleep quality and mental health, but their sleep quality and mental health improve if they have ≥2 days oV after their most recent night shifts. This empirical information is useful for optimizing work schedules for nurses.

Original languageEnglish
Pages (from-to)877-884
Number of pages8
JournalInternational Archives of Occupational and Environmental Health
Volume85
Issue number8
DOIs
Publication statusPublished - 2012 Nov 1

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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