長期夜間工作護理人員職場疲勞、代謝症候群及心血管疾病風險之研究

Workplace Fatigue, Metabolic Syndrome, and Cardiovascular Disease Risks: A Study of Long-Term Night Shift Nurses

背景：夜班工作影響員工身心健康，及早辨識高風險族群作為健康促進、工作分析及工作設計之參考。目的：旨在探討長期夜間及非長期夜間工作護理人員職場疲勞、代謝症候群生理指標及心血管疾病風險之差異。方法：本研究為次級資料分析之研究法，共收集91位長期夜間與119位非長期夜間工作護理人員健康檢查資料，使用t檢定、卡方檢定、皮爾森積差相關及階層迴歸進行統計分析。結果：長期夜班工作組有職場疲勞者其心血管風險較高，非長期夜班工作組睡眠時間越短、有職場疲勞及代謝症候群者皆會增加心血管風險。結論／實務應用：長期與非長期夜間工作兩組別護理人員皆需獲得定期健康檢查的關注，養成健康的飲食習慣、運動習慣及睡眠時間。雇主應依據勞動基準法規範休假及職業安全衛生法與勞工健康保護規則提供護理人員健康檢查及管理早期辨識健康危害，妥為規劃及採取必要之安全衛生措施，以達到健康照護產業勞雇雙贏的目標。

Background: Night-shift work affects the physical and mental health of employees. Early identification of relevant high-risk groups may be referenced in health promotion, job analysis, and job design. Purpose: To explore the differences in workplace fatigue, physiological index of metabolic syndrome, and risk of cardiovascular disease between long-term and non-long-term night-time working nursing staff. Methods: The health examination data of 91 long-term and 119 non-long-term night-shift nurses were collected. A sub-data analysis approach was used and t-test, chi-square, Pearson’s correlation, and hierarchical multiple regression were used to conduct statistical analysis. Results: A positive correlation between cardiovascular risk and workplace fatigue was found in the long-term night-shift working group. Moreover, a lower average duration of sleep was found in the non-long-term night-shift working group. Finally, the participants with workplace fatigue and metabolic syndrome were found to have higher levels of cardiovascular risk. Conclusion / Implications for Practice: Nursing staff who work night shifts for long-term and non-long-term periods should all receive regular health check-ups and practice healthy eating, exercise, and sleep habits. Employers should provide regular health checkups to their nursing staff and implement measures to identify health hazards in accordance with laws on labor standards, occupational safety, and health and labor health protection regulations, and then adopt appropriate plans and necessary safety and health measures to achieve a mutually beneficial result for both employers and employees in the healthcare industry.