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Which Shiftwork Pattern Is the Strongest Predictor for Poor Sleep Quality in Nurses?

Kampanat Wangsan, Naesinee Chaiear (), Kittisak Sawanyawisuth, Piyanee Klainin-Yobas, Kanjana Simajareuk and Watchara Boonsawat
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Kampanat Wangsan: Department of Community, Family and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
Naesinee Chaiear: Department of Community, Family and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
Kittisak Sawanyawisuth: Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
Piyanee Klainin-Yobas: Alice Lee Center for Nursing Studies, Yong Loo Lin School of Medicine Clinical Research Centre, National University of Singapore, Singapore 119077, Singapore
Kanjana Simajareuk: Nursing Division, Srinagarind Hospital, Faculty of Medicine, Khon Kaen 40002, Thailand
Watchara Boonsawat: Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand

IJERPH, 2022, vol. 19, issue 21, 1-7

Abstract: Shiftwork is related to an increased risk of several diseases, including gastric ulcers, myocardial infarction, and diabetes. Several shiftwork patterns are related to poor sleep quality, such as a quick returns or extended shifts. This study aimed to find the shiftwork patterns strongly associated with poor sleep quality amongst nurses. A cross-sectional analytical study was conducted among nurses working for at least one month. The sub-groups were the good sleep quality group (n = 150) and the poor sleep quality group (n = 472). Eligible participants were asked to complete a self-reported questionnaire comprising personal characteristics, job characteristics, shiftwork characteristics, and sleep quality. Factors associated with poor sleep quality were determined using logistic regression analysis. Two factors associated with poor sleep quality remained in the final model: viz., depression and backward rotational shift. The only independent factor for poor sleep quality was a backward rotational shift with an adjusted odds ratio (95% CI) of 1.946 (1.344, 2.871). In conclusion, compared with other shift patterns, backward shiftwork was the most significant factor associated with poor sleep quality and should be avoided.

Keywords: backward; sleep; risk factors; nurse; shiftwork (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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