Association between sleep quality and quality of life in nursing professionals working rotating shifts

Palhares, Valéria de Castilho; Corrente, José Eduardo; Matsubara, Beatriz Bojikian

doi:10.1590/s0034-8910.2014048004939

Cited by 69 publications

(62 citation statements)

References 23 publications

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“…Higher scores for vigor at the beginning and lower scores for confusion and tension at the end were found as well. Previous studies have found an association between sleep and quality of life (10,23) and sleep and mental disorders (24)(25) . Although generalizations of this data are limited by our transversal study, nurses with a chronic exposure to poor quality of sleep and higher levels of anger, depression and fatigue might be at higher risk to develop mental disorders.…”

Section: Discussionmentioning

confidence: 95%

“…Comparisons between day and night shift workers are frequently performed (9)(10)(11) . Night shift workers have disrupted circadian rhythms as they sleep when melatonin is low and cortisol is high (12) .…”

Section: Introductionmentioning

confidence: 99%

“…Intensive care unit nurses usually work shifts; according to a number of studies 12-h shifts are associated with difficulty in staying awake, sleep deprivation and a threefold risk of making mistakes (6)(7) . A number of studies have quantified the negative impact of sleep deprivation on shift work, fatigue, performance and learning (8) .Comparisons between day and night shift workers are frequently performed (9)(10)(11) . Night shift workers have disrupted circadian rhythms as they sleep when melatonin is low and cortisol is high (12) .…”

mentioning

confidence: 99%

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Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses

Ferreira¹,

Moreira

Guo

et al. 2017

Rev. esc. enferm. USP

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Objective:To assess the effect of a 12-hour shift on mood states and sleepiness at the beginning and end of the shift. Method: Quantitative, cross-sectional and descriptive study. It was conducted with 70 neonatal intensive care unit nurses. The Brunel Mood Scale (BRUMS), Karolinska Sleepiness Scale (KSS), and a socio-demographic profile questionnaire were administered. Results: When the KSS and BRUMS scores were compared at the beginning of the shift associations were found with previous sleep quality (p ≤ 0.01), and quality of life (p ≤ 0.05). Statistical significant effects on BRUMS scores were also associated with previous sleep quality, quality of life, liquid ingestion, healthy diet, marital status, and shift work stress. When the beginning and end of the shift were compared, different KSS scores were seen in the group of all nurses and in the night shift one. Significant vigor and fatigue scores were observed within shift groups. Conclusion: A good night's sleep has positive effects on the individual`s mood states both at the beginning and the end of the shift. The self-perception of a good quality of life also positively influenced KSS and BRUMS scores at the beginning and end of the shift. Proper liquid ingestion led to better KSS and BRUMS scores. DESCRIPTORS INTRODUCTIONIntensive care unit (ICU) nurses have to provide high quality care for fragile patients (1) . Such care occurs in a technology-rich and rapidly changing environment, which gives rise to both human and nonhuman sources of error (2) . Workers with high demands have significantly enhanced risks of developing psychiatric disorders, with stress and fatigue as important contributing factors. Both acute fatigue and chronic fatigue negatively affect quality of life and performance (2) . Stress is a complex phenomenon that includes the psychophysiological stress event and its perception, intrinsic and extrinsic mediating factors, and the response (3) . It has been suggested that perceptions of stress in work situations are more influential than the stressors themselves. Stress can affect the physical health of nurses, manifesting as headaches, skin rashes, intestinal disorders and weight variations. Ultimately, and importantly, it affects the quality of patient care. Care of children with poor prognoses, workload, distrust of nurses' opinions by physicians, lack of knowledge and the limited experience of staff are possible stressors (4) . In addition, lack of support and respect within a team, long hours of work and the responsibility of taking care of critically ill patients, can be added to the list of stressors (5) . ICU nurses must also deal with the patients' family members (3) . Intensive care unit nurses usually work shifts; according to a number of studies 12-h shifts are associated with difficulty in staying awake, sleep deprivation and a threefold risk of making mistakes (6)(7) . A number of studies have quantified the negative impact of sleep deprivation on shift work, fatigue, performance and learning (8) .Comparisons betw...

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses

Ferreira¹,

Moreira

Guo

et al. 2017

Rev. esc. enferm. USP

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“…In contrast, fewer studies have addressed the relation between shift work and its effect on sleep quality and it is negative consequences on sleep patterns and mood. Shift work schedule has numerous effects on the quality of sleep and wakefulness of workers 25,27 . Some studies mentioned that the irregular work hours seem to exert acute effects on sleep and alertness of individuals similar to those witnessed in clinical insomnia, which could be responsible for major negative human ISSN: 2320-5407 Int.…”

mentioning

confidence: 99%

“…5(3), 2281-2287 2282 and economic impacts due to fatigue related accidents and diminished productivity 25 . There is a definite association between low sleep quality and shift work 27,28 . A previous study done in Kingdom of Saudi Arabia revealed that the quality of sleep of shift-workers was significantly affected in comparison to those without shift work 29 .…”

mentioning

confidence: 99%

Sleep Quality, Daytime Sleepiness, and Depression Among Er Physicians in Riyadh’s Referral Hospitals..

Bahammam¹,

Olaish²,

Al-Ghonimy³

et al. 2017

IJAR

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Objectives:To assess the prevalence of daytime sleepiness, poor sleep quality and depression among (emergency room) ER physicians in comparison to family medicine physicians. Methods: We compared 68 ER physicians with 69 family medicine physicians in an observational case control study. A self-administered questionnaire composed of the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index (PSQI) and the Beck Depression Inventory Scale (BDI). Results: The mean total ESS score of ER physicians was significantly higher than the score of family medicine physicians as 41.2% of ER physicians scored ≥ 10, while only 14.5% of family medicine physicians scored ≥ 10. Moreover, ER physicians had a higher on the PSQI (indicating poorer sleep quality), and 83.8% of them had poor sleep quality (≥ 5) in comparison to 50.7% of family medicine physicians. The BDI scores of the ER and family medicine physicians indicated that 41% and 22% suffered from some level of mood disturbance, respectively. Pearson correlation showed a positive and significant relationship between sleep quality and depression among ER physicians (P < 0.001, r = 0.437). Conclusion: Our study demonstrated that daytime sleepiness, poor sleep quality and depression are prevalent among ER physicians. Moreover, there was a strong correlation between poor sleep quality and depression.

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Serum testosterone/cortisol ratio in people with obstructive sleep apnea

Mohammadi

Rezaei

Sharafkhaneh

et al. 2019

Clinical Laboratory Analysis

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Objectives Obstructive sleep apnea (OSA) is a major health problem that has been associated with endocrine dysfunction in the hypothalamic‐pituitary‐gonadal (HPG) and hypothalamic‐pituitary‐adrenal (HPA) axes. This study investigated cortisol, testosterone, and the testosterone/cortisol ratio in patients with OSA compared to normal sleepers. Methods Thirty‐nine OSA patients diagnosed by overnight polysomnography (PSG) were divided into three groups, including ten mild OSA patients, 16 patients with moderate OSA, and 13 patients with severe OSA according to the apnea‐hypopnea index (AHI). In addition, 13 normal sleepers with normal PSG findings were recruited as the control group. Serum levels of cortisol, testosterone, and sex hormone‐binding globulin (SHBG) were measured using enzyme‐linked immunosorbent assay (ELISA). Results There were no significant differences between the normal sleepers and the three subtypes of OSA in terms of total and free testosterone levels (P > .1). The results showed significantly higher levels of cortisol in the severe OSA group compared to the normal sleepers and the two other subtypes of OSA (P < .01). In addition, the testosterone/cortisol (T/C) ratio was significantly lower among the severe OSA compared to the moderate OSA patients (P = .01). A significant correlation was observed between minimal SpO2 and AHI (r=−0.69, P < .01), cortisol and AHI (r = .47, P < .01) and cortisol and minimal SpO2 (r = −.26, P = .06). Conclusion According to the findings, OSA is linked to HPA axis activity in severe OSA patients but not among the mild and moderate subtypes of the disorder.

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Association between sleep quality and quality of life in nursing professionals working rotating shifts

Cited by 69 publications

References 23 publications

Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses

Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses

Sleep Quality, Daytime Sleepiness, and Depression Among Er Physicians in Riyadh’s Referral Hospitals..

Serum testosterone/cortisol ratio in people with obstructive sleep apnea

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