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| 題 名 | 探討護理師之代謝症候群與睡眠品質、情緒與身體發炎的相關=Relationships among Sleep Quality, Mental Status, and Physical Inflammation in Nurses with Metabolic Syndromes |
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| 作 者 | 楊佳穎; 蘇靖幃; 伍政雯; 陳嬿今; | 書刊名 | 嘉基護理 |
| 卷 期 | 24:2 2024.12[民113.12] |
| 頁 次 | 頁1-19 |
| 分類號 | 419.652 |
| 關鍵詞 | 護理師; 睡眠品質; 身心狀況; 代謝症候群; Nurse; Sleep quality; Physical and mental conditions; Metabolic syndrome; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 背景:代謝症候群為護理師常見的健康問題,過去研究顯示代謝症候群與護理 師的睡眠品質、身心狀況相關,尚缺乏文獻將此三者一併探討,且目前有關測量睡 眠品質的文獻多以主觀問卷為主,少透過配戴腕動計進行測量。 目的:為了解護理師的睡眠品質、身心狀態與代謝症候群三者之相關。 方法:為一橫斷性觀察研究採方便取樣,納入條件為:到職年資需超過三個月 的護理師、年紀滿 20 歲(含);其中排除急性精神疾病與懷孕者。睡眠品質為配戴 腕動計一週並測量失眠嚴重度,以醫院焦慮憂鬱量表進行心理狀態測量,並透過測 量腰圍、血壓及抽血檢測代謝症候群指標(三酸甘油脂、高密度膽固醇及空腹血糖) 與 hsCRP 指標。 結果:共收案 150 位平均年齡 32.2 歲的護理師,其中 14.0%護理師有代謝症候 群,主要異常為腰圍(38.7%)與血壓(26.2%)。平均睡眠時間為 382.2 分鐘;約 86.7% 每日睡眠時間小於 7 小時,而主訴失眠、焦慮、憂鬱情形分別占 61.3%、42.0%、 16.0%,透過多變項邏輯式迴歸分析顯示護理師的身體發炎指數(AOR=0.20, 95% CI=1.04-1.43)顯著與代謝症候群相關。 結論:研究結果指出高靈敏度 C 反應蛋白(high-sensitivity C-reactive protein, hsCRP)顯著與代謝症候群呈現正相關。建議每年護理師身體健檢能將檢測 hsCRP 指數加入,期以早期進行飲食、運動等介入,降低代謝症候群的發生。 |
| 英文摘要 | Background: Metabolic syndrome is a prevalent health issue among nurses. Previous studies have indicated a relationship between metabolic syndrome and the sleep quality, as well as the physical and mental well-being of nurses. However, there is still limited research that integrates these three aspects. Moreover, most of the existing studies on measuring sleep quality rely on questionnaire surveys, with quantitative measurements being rarely applied. Purpose: The purpose of this study was to investigate the relationship between sleep qualities, physical and mental status and metabolic syndrome among shift nurses. Methods: A cross-sectional observational study was conducted with convenient sampling method. Inclusion criteria were the seniority must be at least three months or more, and age is at least 20 years old and above. Acute mental illness, and pregnant women were excluded. Sleep quality was measured by acti-watch for one week and Insomnia Severity Index (ISI). Mental health status was measured by the Hospital Anxiety and Depression Scale (HADS). We collected indicators of metabolic syndromes, including physical measures such as waist circumference and blood pressure, as well as measurements of triglycerides, high-density cholesterol, fasting blood sugar, and high-sensitivity C-reactive protein (hsCRP), which were obtained through a simple blood test. Results: A total of 150 nurses with mean age 32.2 participated in the study. Among them 14% of the nurses had metabolic syndrome, mainly abnormal waist circumference (38.7%) and blood pressure (26.2%). Overall, the average sleep time of nurses is 382.2 minutes, and 86.7% of total sleep time were less than 7 hours a day. The chief complaint of insomnia, anxiety and depression accounted for 61.3%, 42.0% and 16.0% respectively. The multiple logistic regression analysis showed that hsCRP index (AOR= 0.20, 95% CI= 1.04-1.43, p= 0.013) was significantly associated with metabolic syndrome. Conclusions: Our result showed that hsCRP is significantly positive correlated with the metabolic syndrome. Recommended that hsCRP can be added in annual physical examination among nurses for reducing the occurrence of metabolic syndrome by early detection and interventions including diet and exercise. |
本系統中英文摘要資訊取自各篇刊載內容。