Impact of hypnotics use on daytime function and factors associated with usage by female shift work nurses.

Abstract

OBJECTIVE:

We investigated quality of life (QOL) and work performance of hypnotics users, and explored the factors associated with multiple hypnotics usage in shift work nurses.

METHODS:

We conducted a questionnaire-based, cross-sectional survey on nurses in university hospitals. We analyzed responses from 1202 nurses; 997 were female shift work nurses (82.9%), including 696 and 281 two- and three-shift workers, respectively.

RESULTS:

The rate of hypnotics use was 10% (6.9% were single hypnotic users and 3.1% were multiple hypnotics users). The rate of insomnia did not differ between the single and multiple hypnotics users. However, multiple hypnotics users showed lower QOL, more severe depressive symptoms, and greater frequencies of work-related errors than those using a single hypnotic. A multiple logistic regression analysis revealed that age ≥27 years, presence of depression, eveningness chronotype, and presence of insomnia symptoms were significantly associated with hypnotics use. On the other hand, only the existence of shift work disorder (SWD) was significantly associated with usage of multiple hypnotics.

CONCLUSIONS:

The present study suggested that usage of multiple hypnotics is not beneficial for relieving insomnia or for keeping better QOL in shift work nurses. It would be desirable to explore the causal relationship between SWD and multiple hypnotics use in a future longitudinal study.

• Authors: Kunihiro Futenma, Shoichi Asaoka, Yoshikazu Takaesu, Yoko Komada, Jun Ishikawa, Akiko Murakoshi, Shingo Nishida, Yuichi Inoue
• Journal: Sleep medicine (Sleep Med) Vol. 16 Issue 5 Pg. 604-11 (May 2015) ISSN: 1878-5506 [Electronic] Netherlands
• PMID: 25890782 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2014 Elsevier B.V. All rights reserved.

Chemical References

• Hypnotics and Sedatives

Topics

• Accidents, Occupational (statistics & numerical data)
• Activities of Daily Living
• Adult
• Cross-Sectional Studies
• Depression (epidemiology)
• Female
• Humans
• Hypnotics and Sedatives (adverse effects, therapeutic use)
• Male
• Medical Errors (statistics & numerical data)
• Nurses (statistics & numerical data)
• Prevalence
• Sleep Initiation and Maintenance Disorders (drug therapy)
• Surveys and Questionnaires
• Work Schedule Tolerance