Exploring the effect of Health promoting lifestyle on insomnia among psychiatric nurses with shift work in Taiwan: A Nationwide Survey

Abstract

Background: Hospitals provide uninterrupted medical care services that require nursing staff to work in shifts to assist in providing care services However the circadian rhythm of shift work may affect physical and mental health of nursing staff Physical and mental burden among psychiatric nursing staff are heavier when compared with nurses in other departments due to the behavioral problems generated from the mental and emotional disorders of psychiatric patients Therefore it is an important issue to pay attention to health problems of psychiatric nursing staff Objectives: To explore the relationship between health promoting lifestyle and insomnia among psychiatric nurses in Taiwan Methods: This study was a cross-sectional research The subjects of psychiatric nurses were recruited from psychiatric hospitals in Taiwan with a nationwide survey approach Instruments used in the study includes 52-item “Chinese Health Promoting Lifestyle Profile-IIC” and an 8-item “Chinese Version of the Athens Insomnia Scale (CAIS- 8) Hierarchical regression analysis was used to test the effects of healthy lifestyles on insomnia after controlling demographic characteristics health risk factors and different shift patterns among psychiatric nurses Results: Of 1669 nurses participated in this study Most of the subjects were females (n = 1 549 ; 92 8％); the average age was 34 39 years (SD = 8 72); 68 4％ (n = 1 142) had a bachelor’s degree or above the average years of service was 11 8 years (SD = 8 55) whereas 29 8％ (n = 498) had less than 5 years of service; 10 4% (n = 174) had health risk factors; The mean score of health promotion lifestyle was 2 45 points (SD = 0 41) with a scale of 1 to 4 and the sub-scales with the highest mean scores were Interpersonal Relationship (Mean = 2 69 points; SD = 0 47) and Spiritual Growth (Mean = 2 60 points; SD = 0 53) while Physical Activity (Mean = 2 08 points; SD = 0 57) and Nutrition (Mean = 2 40 points; SD = 0 44) scored lower Of 696 (42%) nurses reported having insomnia It was found through hierarchical regression that demographic variables shift patterns and health promotion lifestyles provided 23 5% of explanatory power in the prediction of insomnia Among them health risk factors (β= 160; p < 001) nursing staff working in shifts including night shifts (β = 066; p < 05) evening shift (β = 148; p < 001) and non-fixed shift (β = 121; p < 001) as well as the sub-scales in Health Promotion Lifestyle including Health Responsibility (β = - 121; p < 01) Spiritual Growth (β = - 202; p < 001) Interpersonal Relationship (β = - 155; p < 001) and Stress Management (β= - 427; p < 001) all reached statistical significance Conclusion: In this study psychiatric nurses are found shift work and unhealthy lifestyle would cause insomnia among psychiatric nurses Hospital managers still need to pay attention to the health promotion lifestyle of nursing staff working in the evening and night shifts and plan health promotion activities for different shifts The health promotion behavior in the sub-scales of the Health Promotion Lifestyle Health Responsibility Spiritual Growth Interpersonal Relationship and Stress Management in particular should be enhanced to reduce health risk factors and insomnia

Date of Award	2020
Original language	English
Supervisor	Miao-Fen Yen (Supervisor)