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중환자실 간호사의 수면장애가 피로, 졸음과 근접오류에 미치는 영향

Effect of Sleep Disturbance on Fatigue, Sleepiness, and Near-Miss among Nurses in Intensive Care Units

중환자간호학회지 2020년 13권 3호 p.1 ~ 18
문경미, 최수정,
소속 상세정보
문경미 ( Mun Gyoung-Mi ) - Seoul National University Bundang Hospital Department of Nursing
최수정 ( Choi Su-Jung ) - Sungkyunkwan University Graduate School of Clinical Nursing Science Department of Nursing

Abstract


Purpose : This study aims to investigate the differences in fatigue, sleepiness, and near-miss according to sleep disturbance among shift nurses in intensive care units (ICUs).

Methods : A cross-sectional study in a tertiary hospital was performed. A total of 122 shift nurses working in the six ICUs were recruited. They completed self-reported questionnaires about sleep disturbance, fatigue, sleepiness, and near-miss in the past two weeks.

Results : The prevalence of reported sleep disturbance was 30.3% (37 out of 122 subjects). Compared to the non-sleep disturbance group, the sleep disturbance group reported significantly more sleepiness (11.46 vs. 8.86) and higher fatigue (82.62 vs. 69.39). The sleep disturbance group showed higher rates of near-miss (78.4 vs. 57.6%) and a higher frequency of them (4.49 vs. 2.11/2weeks) compared to the non-sleep disturbance group. Medication error was the most common type of near-miss.

Conclusions : This study suggests that sleep disturbances could increase fatigue, sleepiness, and near-miss among ICU shift nurses. Personal and organizational programs should be developed to support the sleep of ICU nurses.

키워드

피로; 근접오류; 간호사; 수면장애; 졸음
Fatigue; Near-Miss; Healthcare; Nurses; Sleep disturbance; Sleepiness

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