Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan

Shu Hua Shen, Miaofen Yen, Shou Lin Yang, Chiung Ying Lee

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

This cross-sectional comparative study investigated the levels of insomnia, anxiety, and heart rate variability of nurses members working different shift systems. One hundred and twenty-four participants were recruited from members of the nurses of two Taiwanese hospitals. Data were collected using the Chinese versions of the Athens Insomnia Scale and Beck Anxiety Scale questionnaires and electrocardiograms recorded immediately upon completion of each participant's work shift. A binary logistic regression model was used for analysis. Insomnia, anxiety, and abnormal parasympathetic activity were more acute in nurses who worked a rotating shift than in those performing day or night shift work. Logistic regression analysis showed that age significantly increased the incidence and level of insomnia. Age, years of service, and nurses' status as a parent significantly intensified incidences of anxiety and abnormal parasympathetic activity. Rotating shift work is one of the main factors causing adverse effects on the physical and psychological health of nurses; therefore, when a shift work system cannot be avoided, a practice of day and night shifts for nurses is preferable to rotating shifts.

Original languageEnglish
Pages (from-to)223-229
Number of pages7
JournalNursing and Health Sciences
Volume18
Issue number2
DOIs
Publication statusPublished - 2016 Jun 1

Fingerprint

Sleep Initiation and Maintenance Disorders
Taiwan
Anxiety
Heart Rate
Nurses
Logistic Models
Incidence
Electrocardiography
Cross-Sectional Studies
Regression Analysis
Psychology
Health

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

Shen, Shu Hua ; Yen, Miaofen ; Yang, Shou Lin ; Lee, Chiung Ying. / Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan. In: Nursing and Health Sciences. 2016 ; Vol. 18, No. 2. pp. 223-229.
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Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan. / Shen, Shu Hua; Yen, Miaofen; Yang, Shou Lin; Lee, Chiung Ying.

In: Nursing and Health Sciences, Vol. 18, No. 2, 01.06.2016, p. 223-229.

Research output: Contribution to journalArticle

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