韩国轮班护士的社会时差与体重指数:一项横断面研究。

IF 1.4 4区 医学 Q3 NURSING International Journal of Nursing Knowledge Pub Date : 2023-01-10 DOI:10.1111/2047-3095.12410
Kyu Rim Hwang RN, MSN, Miyoung Lee RN, PhD, Sun Joo Jang RN, PhD
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引用次数: 0

摘要

目的:轮班工作的护士必须与自然昼夜节律系统相悖,因此必然会受到社交时差的不利影响。昼夜节律在调节体内平衡方面起着至关重要的作用,而倒时差可能会增加肥胖的风险。因此,本研究旨在确定轮班工作的护士中社会时差与肥胖之间的关联:这项横断面研究包括 183 名在韩国轮班工作的护士。分别使用 "晨起--活力问卷 "和 "轮班工作者慕尼黑时型问卷 "测量时型和社会时差。肥胖的定义是体重指数达到或超过 25.0,该指数是根据自我报告的身高和体重数据计算得出的。研究采用多元逻辑回归分析法调查了时差型、社会时差和肥胖之间的关系:共有 183 名护士参与了分析(81.4% 为女性,80.3% 为单身,年龄中位数 = 27.00 岁)。大多数参与者(95.1%)的时差类型为中度傍晚型或中间型。平均整体社会时差为 3 小时 31 分钟。在控制时差、运动时间和饮食习惯的情况下,时差超过 3 小时 31 分钟的轮班护士患肥胖症的几率要高出 8.44 倍(95% 置信区间:1.66-42.99):社会时差可能会增加轮班护士肥胖的可能性:为了在促进护士健康方面取得积极成果,上层护理管理者在安排轮班时应考虑护士个人的社交时差问题。此外,护理管理者有责任向轮班工作的护士宣传社会时差的不良影响。
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Social jetlag and body mass index among shift-working nurses in Korea: A cross-sectional study

Purpose

Shift-working nurses must function against their natural circadian system and are, thus, bound to be detrimentally affected by social jetlag. Circadian rhythms play a crucial role in regulating homeostasis, and social jetlag may increase one's risk for obesity. Therefore, this study aimed to identify associations between social jetlag and obesity among shift-working nurses.

Methods

This cross-sectional study included 183 nurses working rotating shifts in South Korea. Chronotype and social jetlag were measured using the Morningness-Eveningness Questionnaire and the Munich Chronotype Questionnaire for Shift-Workers, respectively. Obesity was defined as a body mass index of 25.0 or higher, which was calculated using self-reported height and weight data. The associations between chronotype, social jetlag, and obesity were investigated using multiple logistic regression analysis.

Findings

A total of 183 nurses were included in the analysis (81.4% women and 80.3% single, median age = 27.00 years). Majority of the participants’ (95.1%) chronotypes were moderate evening or intermediate type. The mean overall social jetlag was 3 h and 31 min. The odds for obesity were 8.44 times higher among shift-working nurses whose social jetlag was over 3 h and 31 min (95% confidence interval: 1.66–42.99) while controlling for chronotype, exercise time, and eating habits.

Conclusions

Social jetlag may increase the likelihood of obesity among rotating shift-working nurses.

Implications for Nursing Practice

To achieve positive outcomes for promoting nurses’ health, upper nursing management should consider individual nurses’ social jetlag when scheduling shifts. In addition, nursing managers should have the responsibility to educate nurses involved in shift work about the adverse effects of social jetlag.

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来源期刊
CiteScore
2.90
自引率
14.30%
发文量
47
审稿时长
>12 weeks
期刊介绍: The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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