Research Article
Year 2022,
Volume: 7 Issue: 3, 823 - 834, 30.12.2022
Abstract
Amaç: Bu araştırma, nöbet sistemiyle çalışan hemşirelerin uyku kalitesi ile beslenme durumunun (beslenme alışkanlıkları, boy uzunluğu ve vücut ağırlığı, sağlıklı beslenmeye ilişkin tutumları) değerlendirilmesi amacıyla yapılmıştır.
Yöntem: Çalışma, online anket yoluyla nöbet sistemi şeklinde çalışan 454 gönüllü hemşirenin katılımıyla gerçekleştirilmiştir. Veriler; anket formu, Pittsburgh Uyku Kalite İndeksi (PUKİ) ve Sağlıklı Beslenmeye İlişkin Tutum Ölçeği (SBİTÖ) aracılığıyla toplanmıştır.
Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 29.7±7.7 yıl, beden kütle indeksi ortalaması 24.1±4.0 kg/m2'dir. Ortalama uyku kalite skoru 11.1±2.5 puan ve SBİTÖ skoru 72.5±10.1 puandır. İdeal düzeyde yüksek sağlıklı beslenmeye ilişkin tutumları olanların toplam PUKİ puanı, yüksek olanlara göre anlamlı derecede daha düşüktür. PUKİ puanı yüksek olan hemşirelerin nöbette öğün atladığı, öğünlerini atıştırarak tükettiği ve uykusunu yeterince almadığı saptanmıştır. Total PUKİ skorları ile yaş, nöbet sayısı, nöbette çay-kahve tüketimi arasında pozitif, SBİTÖ ile negatif ve zayıf korelasyon bulunmuştur.
Sonuçlar ve Öneriler: Nöbet sistemiyle çalışmaya bağlı olarak yemek yeme ve uyku saatindeki değişiklikler hemşirelerin beslenme durumunu, uyku kalitesini ve biyolojik saatini olumsuz etkilemektedir. Bu bulguların, vardiyalı çalışmanın neden olduğu sağlığı olumsuz etkileyen faktörleri önlemeye yönelik yeni stratejilerin geliştirilmesi için önemli etkileri vardır. Bu stratejiler arasında nöbet sistemi ile çalışan sağlık çalışanlarına yeterli ve dengeli beslenme eğitimleri yer alabilir.
Keywords
Supporting Institution
Yoktur
Project Number
Yoktur
References
- Adhikary, N., Shrestha, S. L., & Sun, J. Z. (2017). Metabolic disturbances: role of the circadian timing system and sleep. Diabetology international, 8(1), 14-22.
- Ağargün, M. Y., Kara, H., & Anlar, O. (1996). Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Dergisi, 7(2), 107-115.
- Amani, R., & Gill, T. (2013). Shiftworking, nutrition and obesity: implications for workforce health-a systematic review. Asia Pacific Journal of clinical nutrition, 22(4), 698-708.
- Basatemur, M., & Güneş, G. (2021). Hemşirelerde Gece Beslenme Alişkanliği Ve Uyku Kalitesinin Değerlendirilmesi; Bir Üniversite Hastanesi Örneği. ESTÜDAM Halk Sağlığı Dergisi, 6(3), 227-236.
- Boivin, D. B., & Boudreau, P. (2014). Impacts of shift work on sleep and circadian rhythms. Pathologie Biologie, 62(5), 292-301.
- Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry res, 28(2), 193-213. doi:10.1016/0165-1781(89)90047-4
- Centofanti, S., Banks, S., Colella, A., Dingle, C., Devine, L., Galindo, H., . . . Dorrian, J. (2018). Coping with shift work-related circadian disruption: A mixed-methods case study on napping and caffeine use in Australian nurses and midwives. Chronobiology international, 35(6), 853-864.
- Cheng, P., & Drake, C. L. (2018). Psychological impact of shift work. Current sleep medicine reports, 4(2), 104-109.
- Demir, G. T., & Cicioğlu, H. İ. (2019). Sağlıklı beslenmeye ilişkin tutum ölçeği (SBİTÖ): Geçerlik ve güvenirlik çalışması. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 4(2), 256-274.
- Eurofund (2015) www.eurofound. europa.eu Erişim tarihi: 07.10.2022
- Garde, A. H., Hansen, J., Kolstad, H. A., Larsen, A. D., & Hansen, Å. M. (2016). How do different definitions of night shift affect the exposure assessment of night work? Chronobiology International, 33(6), 595-598.
- Geliebter, A., Gluck, M. E., Tanowitz, M., Aronoff, N. J., & Zammit, G. K. (2000). Work-shift period and weight change. Nutrition, 16(1), 27-29.
- Günaydın, N. (2014). Bir Devlet Hastanesinde Çalışan Hemşirelerin Uyku Kalitesi ve Genel Ruhsal Durumlarına Etkisi. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi, 5(1).
- Han, K., Choi-Kwon, S., & Kim, K. S. (2016). Poor dietary behaviors among hospital nurses in Seoul, South Korea. Applied nursing research, 30, 38-44.
- Jensen, C. D., Duraccio, K. M., Carbine, K. A., Barnett, K. A., & Kirwan, C. B. (2017). Motivational impact of palatable food correlates with functional brain responses to food images in adolescents. Journal of Pediatric Psychology, 42(5), 578-587.
- Kandeger, A., Selvi, Y., & Tanyer, D. K. (2019). The effects of individual circadian rhythm differences on insomnia, impulsivity, and food addiction. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24(1), 47-55.
- Kim, M.-J., Son, K.-H., Park, H.-Y., Choi, D.-J., Yoon, C.-H., Lee, H.-Y., . . . Cho, M.-C. (2013). Association between shift work and obesity among female nurses: Korean Nurses’ Survey. BMC Public Health, 13(1), 1-8.
- Naghashpour, M., Amani, R., Nematpour, S., & Haghighizadeh, M. H. (2013). Dietary, anthropometric, biochemical and psychiatric indices in shift work nurses. Food and Nutrition Sciences, 4(12), 1239.
- Nea, F. M., Kearney, J., Livingstone, M. B. E., Pourshahidi, L. K., & Corish, C. A. (2015). Dietary and lifestyle habits and the associated health risks in shift workers. Nutrition research reviews, 28(2), 143-166.
- Nena, E., Katsaouni, M., Steiropoulos, P., Theodorou, E., Constantinidis, T. C., & Tripsianis, G. (2018). Effect of shift work on sleep, health, and quality of life of health-care workers. Indian journal of occupational and environmental medicine, 22(1), 29.
- Oike, H., Oishi, K., & Kobori, M. (2014). Nutrients, clock genes, and chrononutrition. Current nutrition reports, 3(3), 204-212.
- Peplonska, B., Bukowska, A., & Sobala, W. (2015). Association of rotating night shift work with BMI and abdominal obesity among nurses and midwives. PLoS One, 10(7), e0133761.
- Pepłońska, B., Nowak, P., & Trafalska, E. (2019). The association between night shift work and nutrition patterns among nurses: a literature review. Med Pr, 70(3), 363-376. doi:10.13075/mp.5893.00816
- Reeves, S., Newling‐Ward, E., & Gissane, C. (2004). The effect of shift‐work on food intake and eating habits. Nutrition & Food Science.
- Roskoden, F. C., Krüger, J., Vogt, L. J., Gärtner, S., Hannich, H. J., Steveling, A., . . . Aghdassi, A. A. (2017). Physical activity, energy expenditure, nutritional habits, quality of sleep and stress levels in shift-working health care personnel. PLoS One, 12(1), e0169983.
- Sahu, S., & Dey, M. (2011). Changes in food intake pattern of nurses working in rapidly rotating shift. Al Ameen J Med Sci, 4(1), 14-22.
- Sato-Mito, N., Sasaki, S., Murakami, K., Okubo, H., Takahashi, Y., Shibata, S., . . . group, F. i. D. C. S. I. (2011). The midpoint of sleep is associated with dietary intake and dietary behavior among young Japanese women. Sleep medicine, 12(3), 289-294.
- Silva, C. M., Mota, M. C., Miranda, M. T., Paim, S. L., Waterhouse, J., & Crispim, C. A. (2016). Chronotype, social jetlag and sleep debt are associated with dietary intake among Brazilian undergraduate students. Chronobiology international, 33(6), 740-748.
- Sun, M., Feng, W., Wang, F., Li, P., Li, Z., Li, M., . . . Tse, L. (2018). Meta‐analysis on shift work and risks of specific obesity types. Obesity Reviews, 19(1), 28-40.
- Sun, Q., Ji, X., Zhou, W., & Liu, J. (2019). Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels. Journal of nursing management, 27(1), 10-18.
- Tada, Y., Kawano, Y., Maeda, I., Yoshizaki, T., Sunami, A., Yokoyama, Y., . . . Togo, F. (2014). Association of body mass index with lifestyle and rotating shift work in J apanese female nurses. Obesity, 22(12), 2489-2493.
- Togo, F., Yoshizaki, T., & Komatsu, T. (2017). Association between depressive symptoms and morningness-eveningness, sleep duration and rotating shift work in Japanese nurses. Chronobiology international, 34(3), 349-359.
- Uzdil, Z., Kaya, S., Kayacan, A., Özyıldırım, C., Sökülmez Kaya, P., & Asal Ulus, C. (2020). The effect of health staff working the night shift on nutrition, anthropometric measurements, and the risk of cardiovascular disease: A sample from Samsun Province in Turkey. Progress in Health Sciences, 10, 6-14.
- Üstün, Y., & Çınar Yücel, Ş. (2011). Hemşirelerin uyku kalitesinin incelenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 4(1), 29-38.
- Voigt, R., Forsyth, C., Green, S., Engen, P., & Keshavarzian, A. (2016). Circadian rhythm and the gut microbiome. International review of neurobiology, 131, 193-205.
- Wang, X., Armstrong, M., Cairns, B., Key, T., & Travis, R. (2011). Shift work and chronic disease: the epidemiological evidence. Occupational medicine, 61(2), 78-89.
- Westerterp-Plantenga, M. S. (2016). Sleep, circadian rhythm and body weight: parallel developments. Proceedings of the Nutrition Society, 75(4), 431-439.
- Yıldız, A. N., Gedikli, F. G., & Küçükbiçer, B. (2012). Vardiyalı çalışmalarda iş sağlığı ve güvenliği konuları. Ankara: Türkiye İşçi Sendikaları Konfederasyonu Yayını, Aydoğdu Ofset.
- Yoshizaki, T., Kawano, Y., Noguchi, O., Onishi, J., Teramoto, R., Sunami, A., . . . Togo, F. (2016). Association of eating behaviours with diurnal preference and rotating shift work in Japanese female nurses: a cross-sectional study. BMJ open, 6(11), e011987.
Year 2022,
Volume: 7 Issue: 3, 823 - 834, 30.12.2022
Abstract
Aim: This study was conducted to evaluate the sleep quality and nutritional status (eating habits, body height and body weight, attitudes towards healthy nutrition) of nurses working as a night shift system.
Method: The study was carried out with the participation of 454 volunteer nurses working in the form of a night shift system through an online questionnaire. Data were collected through the questionnaire form; the Pittsburgh Sleep Quality Index (PSQI), and the Attitude Scale for Healthy Nutrition (ASHN).
Results: The mean age of the nurses participating in the study was 29.7±7.7 years, and the mean body mass index was 24.1±4.0 kg/m2. The mean sleep quality score was 11.1±2.5 points and the ASHN score was 72.5±10.1 points. The total PSQI score of those with ideally high attitudes towards healthy eating was significantly lower than those with high attitudes. It was determined that nurses with higher PSQI scores skipped meals during night shift work, consumed their meals by snacking and could not get enough sleep. A positive correlation was found between total PSQI scores and age, number of shift, and consumption of tea-coffee during shift; negative and weak correlations were found with ASHN.
Conclusions and Suggestions: Changes in eating and sleeping times as a result of working with the a night shift system adversely affect the nutritional status, sleep quality and biological clock of nurses. These findings have important implications for the development of new strategies to prevent health-related factors caused by night shift work. Among these strategies, adequate and balanced nutrition training can be given to health staff working with night shift.
Keywords
Project Number
Yoktur
References
- Adhikary, N., Shrestha, S. L., & Sun, J. Z. (2017). Metabolic disturbances: role of the circadian timing system and sleep. Diabetology international, 8(1), 14-22.
- Ağargün, M. Y., Kara, H., & Anlar, O. (1996). Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Dergisi, 7(2), 107-115.
- Amani, R., & Gill, T. (2013). Shiftworking, nutrition and obesity: implications for workforce health-a systematic review. Asia Pacific Journal of clinical nutrition, 22(4), 698-708.
- Basatemur, M., & Güneş, G. (2021). Hemşirelerde Gece Beslenme Alişkanliği Ve Uyku Kalitesinin Değerlendirilmesi; Bir Üniversite Hastanesi Örneği. ESTÜDAM Halk Sağlığı Dergisi, 6(3), 227-236.
- Boivin, D. B., & Boudreau, P. (2014). Impacts of shift work on sleep and circadian rhythms. Pathologie Biologie, 62(5), 292-301.
- Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry res, 28(2), 193-213. doi:10.1016/0165-1781(89)90047-4
- Centofanti, S., Banks, S., Colella, A., Dingle, C., Devine, L., Galindo, H., . . . Dorrian, J. (2018). Coping with shift work-related circadian disruption: A mixed-methods case study on napping and caffeine use in Australian nurses and midwives. Chronobiology international, 35(6), 853-864.
- Cheng, P., & Drake, C. L. (2018). Psychological impact of shift work. Current sleep medicine reports, 4(2), 104-109.
- Demir, G. T., & Cicioğlu, H. İ. (2019). Sağlıklı beslenmeye ilişkin tutum ölçeği (SBİTÖ): Geçerlik ve güvenirlik çalışması. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 4(2), 256-274.
- Eurofund (2015) www.eurofound. europa.eu Erişim tarihi: 07.10.2022
- Garde, A. H., Hansen, J., Kolstad, H. A., Larsen, A. D., & Hansen, Å. M. (2016). How do different definitions of night shift affect the exposure assessment of night work? Chronobiology International, 33(6), 595-598.
- Geliebter, A., Gluck, M. E., Tanowitz, M., Aronoff, N. J., & Zammit, G. K. (2000). Work-shift period and weight change. Nutrition, 16(1), 27-29.
- Günaydın, N. (2014). Bir Devlet Hastanesinde Çalışan Hemşirelerin Uyku Kalitesi ve Genel Ruhsal Durumlarına Etkisi. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi, 5(1).
- Han, K., Choi-Kwon, S., & Kim, K. S. (2016). Poor dietary behaviors among hospital nurses in Seoul, South Korea. Applied nursing research, 30, 38-44.
- Jensen, C. D., Duraccio, K. M., Carbine, K. A., Barnett, K. A., & Kirwan, C. B. (2017). Motivational impact of palatable food correlates with functional brain responses to food images in adolescents. Journal of Pediatric Psychology, 42(5), 578-587.
- Kandeger, A., Selvi, Y., & Tanyer, D. K. (2019). The effects of individual circadian rhythm differences on insomnia, impulsivity, and food addiction. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24(1), 47-55.
- Kim, M.-J., Son, K.-H., Park, H.-Y., Choi, D.-J., Yoon, C.-H., Lee, H.-Y., . . . Cho, M.-C. (2013). Association between shift work and obesity among female nurses: Korean Nurses’ Survey. BMC Public Health, 13(1), 1-8.
- Naghashpour, M., Amani, R., Nematpour, S., & Haghighizadeh, M. H. (2013). Dietary, anthropometric, biochemical and psychiatric indices in shift work nurses. Food and Nutrition Sciences, 4(12), 1239.
- Nea, F. M., Kearney, J., Livingstone, M. B. E., Pourshahidi, L. K., & Corish, C. A. (2015). Dietary and lifestyle habits and the associated health risks in shift workers. Nutrition research reviews, 28(2), 143-166.
- Nena, E., Katsaouni, M., Steiropoulos, P., Theodorou, E., Constantinidis, T. C., & Tripsianis, G. (2018). Effect of shift work on sleep, health, and quality of life of health-care workers. Indian journal of occupational and environmental medicine, 22(1), 29.
- Oike, H., Oishi, K., & Kobori, M. (2014). Nutrients, clock genes, and chrononutrition. Current nutrition reports, 3(3), 204-212.
- Peplonska, B., Bukowska, A., & Sobala, W. (2015). Association of rotating night shift work with BMI and abdominal obesity among nurses and midwives. PLoS One, 10(7), e0133761.
- Pepłońska, B., Nowak, P., & Trafalska, E. (2019). The association between night shift work and nutrition patterns among nurses: a literature review. Med Pr, 70(3), 363-376. doi:10.13075/mp.5893.00816
- Reeves, S., Newling‐Ward, E., & Gissane, C. (2004). The effect of shift‐work on food intake and eating habits. Nutrition & Food Science.
- Roskoden, F. C., Krüger, J., Vogt, L. J., Gärtner, S., Hannich, H. J., Steveling, A., . . . Aghdassi, A. A. (2017). Physical activity, energy expenditure, nutritional habits, quality of sleep and stress levels in shift-working health care personnel. PLoS One, 12(1), e0169983.
- Sahu, S., & Dey, M. (2011). Changes in food intake pattern of nurses working in rapidly rotating shift. Al Ameen J Med Sci, 4(1), 14-22.
- Sato-Mito, N., Sasaki, S., Murakami, K., Okubo, H., Takahashi, Y., Shibata, S., . . . group, F. i. D. C. S. I. (2011). The midpoint of sleep is associated with dietary intake and dietary behavior among young Japanese women. Sleep medicine, 12(3), 289-294.
- Silva, C. M., Mota, M. C., Miranda, M. T., Paim, S. L., Waterhouse, J., & Crispim, C. A. (2016). Chronotype, social jetlag and sleep debt are associated with dietary intake among Brazilian undergraduate students. Chronobiology international, 33(6), 740-748.
- Sun, M., Feng, W., Wang, F., Li, P., Li, Z., Li, M., . . . Tse, L. (2018). Meta‐analysis on shift work and risks of specific obesity types. Obesity Reviews, 19(1), 28-40.
- Sun, Q., Ji, X., Zhou, W., & Liu, J. (2019). Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels. Journal of nursing management, 27(1), 10-18.
- Tada, Y., Kawano, Y., Maeda, I., Yoshizaki, T., Sunami, A., Yokoyama, Y., . . . Togo, F. (2014). Association of body mass index with lifestyle and rotating shift work in J apanese female nurses. Obesity, 22(12), 2489-2493.
- Togo, F., Yoshizaki, T., & Komatsu, T. (2017). Association between depressive symptoms and morningness-eveningness, sleep duration and rotating shift work in Japanese nurses. Chronobiology international, 34(3), 349-359.
- Uzdil, Z., Kaya, S., Kayacan, A., Özyıldırım, C., Sökülmez Kaya, P., & Asal Ulus, C. (2020). The effect of health staff working the night shift on nutrition, anthropometric measurements, and the risk of cardiovascular disease: A sample from Samsun Province in Turkey. Progress in Health Sciences, 10, 6-14.
- Üstün, Y., & Çınar Yücel, Ş. (2011). Hemşirelerin uyku kalitesinin incelenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 4(1), 29-38.
- Voigt, R., Forsyth, C., Green, S., Engen, P., & Keshavarzian, A. (2016). Circadian rhythm and the gut microbiome. International review of neurobiology, 131, 193-205.
- Wang, X., Armstrong, M., Cairns, B., Key, T., & Travis, R. (2011). Shift work and chronic disease: the epidemiological evidence. Occupational medicine, 61(2), 78-89.
- Westerterp-Plantenga, M. S. (2016). Sleep, circadian rhythm and body weight: parallel developments. Proceedings of the Nutrition Society, 75(4), 431-439.
- Yıldız, A. N., Gedikli, F. G., & Küçükbiçer, B. (2012). Vardiyalı çalışmalarda iş sağlığı ve güvenliği konuları. Ankara: Türkiye İşçi Sendikaları Konfederasyonu Yayını, Aydoğdu Ofset.
- Yoshizaki, T., Kawano, Y., Noguchi, O., Onishi, J., Teramoto, R., Sunami, A., . . . Togo, F. (2016). Association of eating behaviours with diurnal preference and rotating shift work in Japanese female nurses: a cross-sectional study. BMJ open, 6(11), e011987.
There are 39 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research |
| Authors | |
| Project Number | Yoktur |
| Early Pub Date | December 28, 2022 |
| Publication Date | December 30, 2022 |
| Submission Date | October 9, 2022 |
| Published in Issue | Year 2022 Volume: 7 Issue: 3 |
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