Sleep Disorders among Rotating Shift and Day-Working Nurses in Public and Private Sector Hospitals of Peshawar

Abstract

Objective: To determine the effects of shift working in relation to sleep disorder among nurses working in public and private sector hospitals of Peshawar, Pakistan. Methods: A cross-sectional study was conducted at Lady Reading Hospital and North West General Hospital Peshawar, Pakistan from May 2017 to August 2018. All nurses with at least 12 months of work experience and had been employed in the current shift for the last one month were consecutively enrolled. The Pittsburg Sleep Quality Index (PSQI) was utilized to collect data about sleep pattern. PSQI questions assessed following sleep pattern in the past four weeks; duration of sleep in hours/night, quality of sleep, trouble in sleep initiation, trouble in maintaining sleep, early morning awakening, use of sleep medications, and attention at work. The participant suffering from at least one complaint once or twice a week was considered positive for sleep disorder. Results: Of 227 subjects, sleep disorder was found in 170 (74.9%) nurses. A significantly higher sleep disorder was found among females (p-value <0.001), nurses working in public sector hospital (p-value <0.001), having dual job (p-value 0.008), and monthly rotational duty (p-value <0.001). Furthermore, walking at night (p-value 0.023), difficulty in day time concentration (p-value 0.005), and unsatisfied sleep quality (p-value 0.006) were the variables significantly higher in nurses with monthly rotational duty as compared to nurses with fixed day time duty. Conclusion: These findings of the research provided evidence that nurses employed in shifts particularly throughout nights are significantly prone to sleep disorders.

Keywords

• Nurses
• sleep disorders
• shift work
• day work
• public hospital
• private hospitals