KMID : 0869120180200030187
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±âÃÊ°£È£ÀÚ¿¬°úÇÐȸÁö 2018 Volume.20 No. 3 p.187 ~ p.195
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Association of Sleep Disturbance, Fatigue, Job stress and Exposure to Blood and Body Fluid in Shift-work Nurses
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Ryu Jae-Geum
Choi-Kwon Smi
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Abstract
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Purpose: The purpose of this study was to identify associations among the sleep disturbance, fatigue, job stress, and blood and body fluid (BBF) exposure of shift-work nurses.
Methods: A total of 299 shift-work nurses from two tertiary hospitals were enrolled in this study. We used the Insomnia Severity Index (ISI), and the Fatigue Severity Scale (FSS), and the Korean Occupational Stress Scale-Short Form (KOSS-SF) to evaluate sleep disturbance, fatigue, and job stress, respectively. The data were analyzed using t-test or chi-squared test and Logistic regression analysis using the SPSS 23.0 program.
Results: We found that 43.8% of participants reported BBF expo- sure over the past year. Splash or exposure to broken skin of BBF were most frequent (56.9%), and followed by needlestick injuries (30.4%) and sharp injuries (12.8%). Age, hospital, working period, level of stress, sleep disturbance (ISI ¡Ã 15), fatigue (FSS score ¡Ã 4), job demand and organizational climate subset in KOSS-SF were significantly associated with BBF exposure in shift-work nurses. In multivariate analysis after adjusting age and hospital, the risk factors of BBF exposure in shift-work nurses were the level of stress and fatigue (FSS score ¡Ã 4).
Conclusion: Fatigue and job stress were related to BBF exposure in shift-work nurses. Our results suggest that management of sleep disturbance, fatigue, and high job stress in shift-work nurses is needed to reduce risk of BBF exposure.
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KEYWORD
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Occupational safety, Needle stick injury, Sleep disturbance, Shift-work, Fatigue, Occupationa lstress
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