Is the Current Lights-Off Time in General Hospitals Too Early, Given People's Usual Bedtimes?

IF 1.8 4区 医学 Q3 PSYCHIATRY
Psychiatry Investigation Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI:10.30773/pi.2024.0214
Eulah Cho, Junseok Ahn, Young Rong Bang, Jeong Hye Kim, Seockhoon Chung
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Abstract

Objective: This study aimed to investigate how shift-working nursing professionals perceive the current lights-off time in wards as early, appropriate, or late and how their perceptions can be influenced when considering people's usual bedtimes.

Methods: An online survey was conducted comprising queries about the current lights-off time in wards and respondents' opinions, self-rated psychological status, and perceptions of the current lights-off time considering others' usual bedtimes. Psychological status was evaluated using the Insomnia Severity Index, the Patient Health Questionnaire-9, the Dysfunctional Beliefs and Attitudes about Sleep-16, and the Discrepancy between Desired Time in Bed and Desired Total Sleep Time (DBST) Index, along with the expected DBST Index of others.

Results: Of 159 nursing professionals, 88.7% regarded the current lights-off time of 9:46±0:29 PM as appropriate. However, when considering others' usual bedtimes, the proportion perceiving the lights-off time as too early rose from 6.9% to 28.3%. Participants recommended delaying the lights-off time to 10:06±0:42 PM for patients' sleep and 10.22±0:46 PM for nursing care activities. Nursing professionals' insomnia severity was significantly higher among who responded that current light off time is too early after considering usual bedtime of other people.

Conclusion: This study underscores the need to reassess lights-off times in wards given individuals' typical bedtimes. The findings emphasize the need to address nursing professionals' perspectives and insomnia severity when optimizing lights-off schedules in healthcare settings.

考虑到人们通常的就寝时间,目前综合医院的熄灯时间是否太早了?
目的:本研究旨在调查轮班工作的护理专业人员如何感知当前病房熄灯时间是早、适当还是晚,以及当考虑到人们通常的就寝时间时,他们的感知如何受到影响。方法:采用网络调查的方式,对病房目前的关灯时间和被访者的意见、自我评价的心理状态、考虑到他人通常的就寝时间对目前关灯时间的看法进行调查。采用失眠症严重程度指数、患者健康问卷-9、睡眠功能失调信念与态度-16、期望卧床时间与期望总睡眠时间(DBST)指数差异及他人期望总睡眠时间指数对心理状态进行评估。结果:159名护理人员中,88.7%的人认为目前的关灯时间为9:46±0:29 PM是合适的。然而,当考虑到其他人通常的就寝时间时,认为关灯时间太早的比例从6.9%上升到28.3%。参与者建议将熄灯时间推迟到晚上10:06±0:42 PM用于患者睡眠,10.22±0:46 PM用于护理活动。在考虑到其他人的正常就寝时间后,回答目前熄灯时间太早的护理专业人员的失眠严重程度明显更高。结论:这项研究强调了重新评估病房熄灯时间的必要性,因为每个人都有典型的就寝时间。研究结果强调,在优化医疗机构的熄灯时间表时,需要解决护理专业人员的观点和失眠严重程度。
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来源期刊
CiteScore
4.10
自引率
3.70%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.
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