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The effect of night shift on sleep quality and depressive symptoms among Chinese nurses

Authors Dai C, Qiu H, Huang Q, Hu P, Hong X, Tu J, Xie Q, Li H, Ren W, Ni S, Chen F

Received 12 October 2018

Accepted for publication 17 January 2019

Published 7 February 2019 Volume 2019:15 Pages 435—440

DOI https://doi.org/10.2147/NDT.S190689

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Andrew Yee

Peer reviewer comments 2

Editor who approved publication: Professor Jun Chen


Caijun Dai,1,* Huihua Qiu,2,* Qiqi Huang,2,* Pinglang Hu,2 Xianchai Hong,2 Junwei Tu,1 Qiangli Xie,2 Haiyan Li,2 Wenwei Ren,2 Shuhong Ni,1 Fujian Chen3

1Jinhua Municipal Central Hospital, Jinhua 321000, China; 2The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China; 3Anji County People’s Hospital, Huzhou 313300, China

*These authors contributed equally to this work

Purpose: Night shift is associated with adverse physical and psychological health outcomes such as poor sleep quality and depressive symptoms. We aimed to compare sleep quality as well as depressive symptoms in nurses working night shifts to those working day shifts only and explore the association between sleep quality and depressive symptoms among nurses.
Patients and methods: Eight hundred sixty-five nurses were enrolled in the current study. Sleep quality and depressive symptoms among nurses were evaluated by the Pittsburgh Sleep Quality Index (PSQI) and Hospital Anxiety and Depressive Disorders Rating Scale (HADS), respectively.
Results: PSQI and HADS scores were both significantly higher in the nurses working night shifts (P<0.05) than in those working day shifts only. Besides, there was a positive correlation between PSQI and HADS scores. Binary logistic regression showed that night shift and poor sleep quality were independent risk factors of depressive symptoms among nurses.
Conclusion: Higher rates of depression among Chinese nurses working night shifts may be associated with poor sleep quality induced by night shift.

Keywords: nurse, depression, night shift, sleep

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