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Effects of Job Stress, Depression and Fatigue on Sleep Quality of Care Workers in Long-term Care Facilities

한국보건간호학회지 2019년 33권 2호 p.163 ~ 174
황은희 ( Hwang Eun-Hee ) - 원광대학교 간호학과

이현비 ( Lee Hyun-Bee ) - 원광대학교병원


Purpose: The purpose of this study was to identify the effects of job stress, depression and fatigue on sleep quality of care workers employed in long-term care facilities.

Methods: The participants were 213 care workers who worked in 11 long-term care facilities. The collected data was analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple linear regression with using the SPSS 23.0 program.

Results: We found that patient-related job stress was the greatest stressor among care workers’ job stresses. A significant difference in sleep quality was observed according to the self-perceived health status of the care workers. The care workers’ sleep quality was negatively correlated with job stress (r=-.16, p=.018), depression (r=-.31, p<.001) and fatigue (r=-.29, p<.001).
The influencing factors of sleep quality were depression (β=-0.22, p=.001) and fatigue (β =-0.15, p=.047).

Conclusion: It is necessary to improve the health status and sleep quality of care workers by developing and applying health promotion programs to reduce the depression and fatigue of the care worker. This will ultimately improve the quality of service care for the patients.


수면; 우울; 장기요양; 직무스트레스; 피로
Depression, Fatigue, Long-term care, Occupational stress, Sleep
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