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KMID : 0614820230290030278
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Journal of Korean Academy of Nursing Administration
2023 Volume.29 No. 3 p.278 ~ p.287
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Factors Influencing Sleep Disturbance of Novice Nurses: Focusing on Sleep Hygiene and Physical Activity - Longitudinal Study of Secondary Data
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Yu Min-Jeong
Choi-Kwon Smi
Ki Ji-Sun
Kim Kyeong-Sug
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Abstract
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Purpose: The aim of this study was to longitudinally compare novice nurses’ sleep disturbance, sleep hygiene, and physical activity and analyze factors affecting sleep disturbance.
Methods: Data were obtained from three follow-up surveys of 178 novice nurses. The data were analyzed using SPSS 25.0 to calculate descriptive statistics. A repeated measures ANOVA and Cochran’s Q test were performed, and a logistic regression analysis was conducted using generalized estimation equations.
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Results: The sleep disturbance rate increased significantly over time in the following order: before the start of shift work, after six months of shift work, and after 18 months of shift work (T=98.67, p<.001). Sleep hygiene significantly deteriorated over time after the start of shift work (F=127.95, p<.001). Arousal behavior (OR=10.34, p<.001) and the sleep environment (OR=1.54, p=.005) in sleep hygiene, significantly influenced sleep disturbance. Stretching exercises were an influencing factor in sleep disturbance (OR=1.71, p=.039).
Conclusion: Sleep disturbance among novice nurses increased after the start of shift work. Sleep hygiene and stretching were influencing factors. Therefore, to prevent and reduce sleep disturbance in novice nurses, efforts are needed to improve sleep hygiene and promote stretching exercises.
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KEYWORD
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Novice nurses, Sleep disturbance, Sleep hygiene, Physical activity, Stretching
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