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

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  • Shu‐Hua Shen
  • Miaofen Yen
  • Shou‐Lin Yang
  • Chiung‐Ying Lee

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.

Suggested Citation

  • Shu‐Hua Shen & Miaofen Yen & Shou‐Lin Yang & Chiung‐Ying Lee, 2016. "Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan," Nursing & Health Sciences, John Wiley & Sons, vol. 18(2), pages 223-229, June.
    • Handle: RePEc:wly:nuhsci:v:18:y:2016:i:2:p:223-229
    DOI: 10.1111/nhs.12257
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    References listed on IDEAS

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    1. Annabel Matheson & Louise O'Brien & Jo‐Anne Reid, 2014. "The impact of shiftwork on health: a literature review," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(23-24), pages 3309-3320, December.
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    Cited by:

    1. Sara P Carvalho & Francielly Correa & Elbert EN Macau & Elbert EN Macau & Laurita dos Santos, 2018. "Stress Level of Critical Care Nurses- Evaluation by Heart Rate Variability," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 4(3), pages 3984-3991, May.
    2. Yuanmay Chang & Calvin Lam & Su‐Ru Chen & Trevor Sithole & Min‐Huey Chung, 2017. "Seasonal variations in sleep disorders of nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(7-8), pages 1085-1094, April.

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