REPERCUSSIONS OF NIGHT SHIFT WORK ON NURSING PROFESSIONALS' HEALTH AND SLEEP QUALITY

Cattani, Ariane Naidon; Silva, Rosângela Marion da; Beck, Carmem Lúcia Colomé; Miranda, Fernanda Moura D’Almeida; Dalmolin, Graziele de Lima; Camponogara, Silviamar

doi:10.1590/1980-265X-TCE-2021-0346en

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Original Article • Texto contexto - enferm. 31 • 2022 • https://doi.org/10.1590/1980-265X-TCE-2021-0346en copy

REPERCUSSIONS OF NIGHT SHIFT WORK ON NURSING PROFESSIONALS' HEALTH AND SLEEP QUALITY

REPERCUSIONES DEL TRABAJO NOCTURNO EN LA CALIDAD DEL SUEÑO Y LA SALUD DE PROFESIONALES DE ENFERMERÍA

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to analyze the association between sleep quality, health symptoms and the physical, psychological and social effects of work in Nursing professionals working the night shift.

Method:

a cross-sectional study conducted with Nursing professionals working the night shift of a hospital institution. The instruments used were a socio-occupational and health symptoms questionnaire, the Assessment Scale for Work-Related Harms, and the Pittsburgh Sleep Quality Index. Data were collected between September 2017 and April 2018.The analysis was performed by means of descriptive and analytical statistics.

Results:

a total of 139 workers took part in the study and a statistical difference was identified between poor sleep quality and the female gender and physical illness variables and health symptoms such as appetite disorder, sensation of indigestion, flatulence, insomnia, difficulty concentrating, unhappiness, sensation of decreased self-esteem and mood lability.

Conclusion:

it was verified that Nursing professionals working the night shift experienced poor sleep quality, and that this relationship exerts an impact on physical, psychological and social health. Interventions targeted at raising awareness about sleep hygiene can promote better outcomes in these individuals' health.

DESCRIPTORS:
Work in shifts; Night shift work; Sleep; Health; Worker's health; Nursing

Health symptoms	Illness						Sleep quality
	Physical		Psychological		Social		Good	Poor
	n (%)	p	n (%)	p	n (%)	p	n (%)	n (%)	p
Appetite disorder
One or more times/week	43 (54.4)	<0.001^*	19 (59.4)	0.012^*	20 (52.6)	0.069	3 (11.1)	53 (47.3)	0.001^*
Not once during the week	36 (45.6)	<0.001^*	13 (40.6)	0.012^*	18 (47.4)	0.069	24 (88.9)	59 (52.7)	0.001^*
Sensation of indigestion
One or more times/week	53 (67.1)	<0.001^*	20 (62.5)	0.065	22 (57.9)	0.161	7 (74.1)	60 (53.6)	0.010^*
Not once during the week	26 (32.9)	<0.001^*	12 (37.5)	0.065	16 (42.1)	0.161	20 (25.9)	52 (46.4)	0.010^*
Heartburn or burning sensation
One or more times/week	40 (50.6)	0.004^*	18 (56.3)	0.036^*	23 (60.5)	0.003^*	7 (74.1)	49 (43.8)	0.0903
Not once during the week	39 (49.4)	0.004^*	14 (43.8)	0.036^*	15 (39.5)	0.003^*	20 (25.9)	63 (56.2)	0.0903
Flatulence/Abdominal distension
One or more times/week	56 (70.9)	<0.001^*	22 (68.8)	0.101	20 (52.6)	0.612	9 (33.3)	69 (61.6)	0.008^*
Not once during the week	23 (29.1)	<0.001^*	10 (31.3)	0.101	18 (47.4)	0.612	18 (66.7)	43 (38.4)	0.008^*
Weight gain
One or more times/week	58 (73.4)	0.203	27 (84.4)	0.033^*	30 (78.9)	0.122	15 (55.6)	81 (72.3)	0.091
Not once during the week	21 (26.6)	0.203	5 (15.6)	0.033^*	8 (21.1)	0.122	12 (44.4)	31 (27.7)	0.091
Irritability
One or more times/week	65 (82.3)	<0.001^*	30 (93.8)	0.001*	37 (97.4)	<0.001^*	15 (55.6)	81 (72.3)	0.091
Not once during the week	14 (17.7)	<0.001^*	2 (6.3)	0.001*	1 (2.6)	<0.001^*	12 (44.4)	31 (27.7)	0.091
Insomnia
One or more times/week	45 (57.0)	0.006^*	20 (62.5)	0.042^*	23 (60.5)	0.046^*	5 (18.5)	60 (53.6)	0.001^*
Not once during the week	34 (43.0)	0.006^*	12 (37.5)	0.042^*	15 (39.5)	0.046^*	22 (81.5)	52 (46.4)	0.001^*
Headaches
One or more times/week	55 (69.6)	<0.001^*	25 (78.1)	0.004^*	26 (68.4)	0.073	11 (40.7)	67 (59.8)	0.073
Not once during the week	24 (30.4)	<0.001^*	7 (21.9)	0.004^*	12 (31.6)	0.073	16 (59.3)	45 (40.2)	0.073
Difficulty concentrating
One or more times/week	57 (72.2)	0.008^*	28 (87.5)	0.001^*	30 (78.9)	0.015^*	11 (40.7)	76 (67.9)	0.009^*
Not once during the week	22 (27.8)	0.008^*	4 (12.5)	0.001^*	8 (21.1)	0.015^*	16 (59.3)	36 (32.1)	0.009^*
Feeling of depression/unhappiness
One or more times/week	41 (51.9)	0.005^*	26 (81.3)	<0.001*	21 (55.3)	0.047^*	5 (18.5)	53 (47.3)	0.006^*
Not once during the week	38 (48.1)	0.005^*	6 (18.8)	<0.001*	17 (44.7)	0.047^*	22 (81.5)	59 (52.7)	0.006^*
Sensation of decreased self-esteem
One or more times/week	42 (53.2)	<0.001^**	26 (81.3)	<0.001^*	17 (44.7)	0.445	2 (7.4)	53 (47.3)	<0.001^*
Not once during the week	37 (46.8)	<0.001^**	6 (18.8)	<0.001^*	21 (55.3)	0.445	25 (92.6)	59 (52.7)	<0.001^*
Mood lability
One or more times/week	57 (72.2)	<0.001^*	29 (90.6)	<0.001^*	32 (84.2)	<0.001^*	10 (37.0)	68 (60.7)	0.026^*
Not once during the week	22 (27.8)	<0.001^*	3 (9.4)	<0.001^*	6 (15.8)	<0.001^*	17 (63.0)	44 (39.3)	0.026^*
Total	79 (100)		32 (100)		38 (100)		27 (100)	112 (100)

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Ariane Naidon Cattani arianecattani@yahoo.com.br