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Exploring the Association between Sleep Quality and Heart Rate Variability among Female Nurses

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  • Hsiu-Chin Hsu

    (Department of Graduate Institute of Health Care, Chang Gung University of Science and Technology, and Department of Internal Medicine, Chang Gung Memorial Hospital, Tao-Yuan 333, Taiwan)

  • Hsiu-Fang Lee

    (Department of Nursing, Chang Gung Memorial Hospital, Tao-Yuan 333, Taiwan)

  • Mei-Hsiang Lin

    (School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan)

Abstract

The quality of nurses’ work has a direct effect on patient health, and poor sleep has been positively associated with nurses’ medical errors. The aim of this study was to investigate the relationship between quality of sleep and heart rate variability (HRV) among female nurses. A descriptive cross-sectional correlational study design was used in January 2014 to study female nurses ( n = 393) employed in a medical center in Taiwan. Data were obtained from several questionnaires. HRV was analyzed with five-minute recordings of heart rate signals obtained using a Heart Rater SA-3000P. Approximately 96% of the participants self-reported a poor quality of sleep. Compared to non-shift nurses, significant decreases were found in total power (TP) and low-frequency HRV among shift-work nurses. However, negative correlations were found between sleep quality and HRV, including total power, low frequency, and the low frequency/high frequency ratio ( r = −0.425, p < 0.05; r = −0.269, −0.266, p < 0.05). In a stepwise multiple regression analysis, 23.1% of variance in quality of sleep can be explained by TP and heart rate. The sleep quality of female nurses was poor and this affected their autonomic nervous system, which can contribute unfavorable consequences for their health.

Suggested Citation

  • Hsiu-Chin Hsu & Hsiu-Fang Lee & Mei-Hsiang Lin, 2021. "Exploring the Association between Sleep Quality and Heart Rate Variability among Female Nurses," IJERPH, MDPI, vol. 18(11), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5551-:d:560104
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    References listed on IDEAS

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    1. Ari Min & Minkyung Kang & Hye Chong Hong, 2021. "Sickness Presenteeism in Shift and Non-Shift Nurses: Using the Fifth Korean Working Conditions Survey," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    2. Silvio A. Oliveira-Junior & Daniel Boullosa & Maria L. M. Mendonça & Larissa F. C. Vieira & Wania W. Mattos & Bruna O. C. Amaral & Dayanne S. Lima-Borges & Filipe A. Reis & Marcelo D. M. Cezar & Luiz , 2021. "Effects of Circuit Weight-Interval Training on Physical Fitness, Cardiac Autonomic Control, and Quality of Life in Sedentary Workers," IJERPH, MDPI, vol. 18(9), pages 1-18, April.
    3. Dana Shiffer & Maura Minonzio & Franca Dipaola & Mattia Bertola & Antonio Roberto Zamuner & Laura Adelaide Dalla Vecchia & Monica Solbiati & Giorgio Costantino & Raffaello Furlan & Franca Barbic, 2018. "Effects of Clockwise and Counterclockwise Job Shift Work Rotation on Sleep and Work-Life Balance on Hospital Nurses," IJERPH, MDPI, vol. 15(9), pages 1-10, September.
    4. Yeoun Soo Kim-Godwin & Meen Hye Lee & Jeongok G. Logan & Xiaoyue Liu, 2021. "Factors Influencing Sleep Quality among Female Staff Nurses during the Early COVID-19 Pandemic in the United States," IJERPH, MDPI, vol. 18(9), pages 1-10, April.
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    Cited by:

    1. Bernhard Grässler & Milos Dordevic & Fabian Herold & Sabine Darius & Corinna Langhans & Nicole Halfpaap & Berit K. Labott & Patrick Müller & Achraf Ammar & Beatrice Thielmann & Irina Böckelmann & Notg, 2021. "Relationship between Resting State Heart Rate Variability and Sleep Quality in Older Adults with Mild Cognitive Impairment," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    2. Kampanat Wangsan & Naesinee Chaiear & Kittisak Sawanyawisuth & Piyanee Klainin-Yobas & Kanjana Simajareuk & Watchara Boonsawat, 2022. "Which Shiftwork Pattern Is the Strongest Predictor for Poor Sleep Quality in Nurses?," IJERPH, MDPI, vol. 19(21), pages 1-7, October.

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