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대학병원 간호사들의 수면의 질과 직무스트레스와의 관련성

Relationships Between Quality of Sleep and Job Stress Among Nurses in a University Hospital

  • 이광성 (대전보건대학 방사선과) ;
  • 권인선 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소)
  • Lee, Kwang-Sung (Department of Radiological Techniology Daejeon Health Science College) ;
  • Kwon, In-Sun (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences)
  • 투고 : 2011.05.31
  • 심사 : 2011.08.11
  • 발행 : 2011.08.31

초록

본 연구는 간호사들의 수면의 질 수준을 파악하고 직무스트레스와의 관련성을 알아보고자 대전광역시에 소재하고 있는 한 대학병원의 간호사 482명을 대상으로 하였다. 자료 수집은 2011년 4월 1일부터 2011년 5월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 수면의 질은 업무요구도가 높은 군일수록, 업무의 자율성, 상사 및 동료의 지지도가 낮은 군일수록 유의하게 좋지 않은 것으로 나타났다. 또한 수면의 질은 업무요구도와 유의한 양의 상관관계를 보인 반면, 업무의 자율성, 상사의 지지도 및 동료의 지지도와는 유의한 음의 상관관계를 보였다. 단변량 분석에서 유의하였던 변수를 통제한 로지스틱 회귀분석 결과 업무 요구도는 가장 낮은 군(Q1)에 비해 높은군(Q3)과 매우 높은 군(Q4)에서 수면의 질이 좋지 않은 군에 속할 위험비가 유의하게 증가한 반면, 상사 및 동료의 지지도는 가장 낮은 군(Q1)에 비해 매우 높은 군(Q4)에서 수면의 질이 좋지 않은 군에 속할 위험비가 유의하게 감소하였다. 이 같은 결과는 업무요구도가 높을수록, 상사 및 동료의 지지도가 낮을수록 수면의 질이 낮아지는 경향을 나타내고 있어 직무스트레스 내용이 독립적으로 수면의 질과 관련성이 있음을 시사하고 있다.

This study was intended to measure the quality of sleep according to the job stress contents among nurses working for an university hospital. The self-administered questionnaires were given to 482 nurses employed in an university hospital during the period from June 1st to July 31st, 2011. As a results, the quality of sleep was significantly lower in the group with higher job demand, lower job control, lower supervisor and coworker support. In correlation, the level of quality of sleep was positively correlated with job demand, but it was negatively correlated with job control, supervisor and coworker support. In logistic regression analysis, the adjusted odds ratio of the quality of sleep was significantly increased in higher group of job demand than in lower group. But it was significantly decreased in higher group of supervisor and coworker support. The study results may explain that the quality of sleep is independently associated with the job stress contents.

키워드

참고문헌

  1. Cho KH, Yang HK, Kim KH, Cho YC. Fatigue symptoms and its related factors among clerical public officers. J Korean Soc Health Edu Promotion, 24(2):29-44, 2007.
  2. Kim YK, Yoon DY, Kim JI, Chae, CH, Hong YS, Yang CK, Kim JM, Kim JY. Effects of Health on shift-Work. Korean J Occup Environ Med, 14(3):247-256, 2002.
  3. Takashi, O, Amn K, Tomofumi S, Toshihiro L, Makoto U, Masurmi M, Sadahiko N. Night shift work related problem in young female nurses in Japan. J Occup Health, 43:150-156, 2001. https://doi.org/10.1539/joh.43.150
  4. Son SK. Relationship between fatigue and sleep quality in patients with cancer. J Korean Acad Adult Nurs, 14(3):378-389, 2002.
  5. Suzuki K, Ohida T, Kaneita Y, Yokoyama E, Miyake T, Harano S, Yagi Y, Ibuka E, Haneko A, Tsutsui T, Uchiyama M. Mental health status, shift work, and occupational accident among hospital nurses in Japan. J Occup Health, 46:448-454, 2004. https://doi.org/10.1539/joh.46.448
  6. Harma M. Are long work hours a health risk? Scand J Work Environ Health, 29(3):167-169, 2003. https://doi.org/10.5271/sjweh.719
  7. Gold DR, Rogacx S, Bock N. Rotating shift work, sleep, and accident related to sleepiness in hospital nurses. Am J Public Health, 82:1011-1014, 1992. https://doi.org/10.2105/AJPH.82.7.1011
  8. Dement WC, Piscope JA, Brindley FJ. Wake up America: a National Sleep Alert. Washington: US Department Health and Human Service. pp54-55, 1993
  9. Hardy GE, Shapior DA, Borrill CS. Fatigue in the workforce of national health service trust: Levels of symptomatology and lings with minor psychiatric disorder, demographic, occupational and work role factors. J Psychosomatic Research 43(1):83-92, 1997. https://doi.org/10.1016/S0022-3999(97)00019-6
  10. Wall TD, Bolden RI, Borrill CS, Carter AJ, Golya DA, Hardy GE, Haynes CE, Rick JE, Shapiro DA, West MA. Minor psychiatric disorder in NHS trust staff: occupational and gender differences. Br J Psychiatry, 171:519-523, 1997. https://doi.org/10.1192/bjp.171.6.519
  11. Ko JW, Yom YH. The Role of Social Support in the Relationship between Job Stress and Job Satisfaction/Organizational Commitment among Hospital Nurses. J Korean Acad Nurs 33(2):265-274, 2003. https://doi.org/10.4040/jkan.2003.33.2.265
  12. Donovan R. Stress in the workplace: a framework for research and practice social casework. J Contemp Social Work(May);259-266, 1987.
  13. House JS. Occupational stress and health among men and women in the Tecumseh Community health study. J Health Soc Behav 27:66-77, 1986.
  14. Depue RA, Moneoe SM. Conceptualization and measurement of human disorder in life stress research: the problem of chronic disturbance. Psychol Bul 99:36-51, 1986. https://doi.org/10.1037/0033-2909.99.1.36
  15. Park YN, Yang HK, Kim HL, Cho YC. Relationship between shift work, and sleep problems and fatigue symptoms of nurses for general hospitals. Korean J Occup Health Nursing, 16(1):37-47, 2007.
  16. So HY, Yoon HS, Cho YC. Effects of quality of sleep and related factors for fatigue symptoms of nurses in an university hospital. J Korean Academy of Adult Nursing, 20(4):513-525, 2008..
  17. Karasek RA, Theorell T, Schwartz JE, Schnall PL, Pieper CF, Michela JL. Job characteristics in relation to the prevalence of myocardial infarction in the US Health Examination Survey(HES) and the Health and Nutrition Survey(HANES). Am J Public Health, 78:910-918, 1988. https://doi.org/10.2105/AJPH.78.8.910
  18. Chang SJ. A study on the distribution and risk factors for psychosocial distress, and the development work site stress reduction program. Ministry of Health & Welfare, Seoul. 2001.
  19. Buysee DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatr Res, 28(2):193-213,1989. https://doi.org/10.1016/0165-1781(89)90047-4
  20. Kim KD. A Study on Quality of Sleep and Sleep Disturbing Factors among Community Dwelling Elderly. Welfare for the Aged, 7(1):170-188, 2000.
  21. Akerstedt T, Knutsson A, Westerholm P, Theorell T, Alfredsson L, Kecklund G. Sleep disturbances, work stress and work hours across-sectional study. J Psychosom Res, 53:741-748, 2002. https://doi.org/10.1016/S0022-3999(02)00333-1
  22. Reinberg A, Vieux N, Andlauer P. Concluding remarks on shift work tolerance: perspective based on findings derived from chronobiological field studies on oil refinery workers. Chronobiologia. 6(suppl 1):105-110, 1979.
  23. Stewart AJ, Wahlquist ML. Effect of shift work on canteen food purchase. J Occup Med, 27(8):552-554, 1985. https://doi.org/10.1097/00043764-198508000-00010
  24. Wilkinson R, Allison R, Allison S, Feeney M, Kaninska Z. Alertness of night nurses: two shift systems compared. Ergonomics, 32:281-292., 1989. https://doi.org/10.1080/00140138908966088

피인용 문헌

  1. Influence of Sleep Quality, Depression and Fatigue on Job stress of Geriatric Hospital Workers vol.16, pp.8, 2015, https://doi.org/10.5762/KAIS.2015.16.8.5413