• Journal of Korean Biological Nursing Science
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• v.19 no.3
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• pp.198-205
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• 2017

Purpose: The purpose of this study was to identify sleep patterns, alertness, and fatigue of shift nurses according to circadian types. Methods: The researchers' enrolled 17 nurses doing shift work in a tertiary hospital. To evaluate circadian types, a morningness-eveningness questionnaire (MEQ) was administered. Sleep patterns were examined using an actigraph for 14 days. To assess alertness and fatigue, Visual Analogue Scale (VAS) was used. The data were analyzed using ANOVA and Kruskal-Wallis test with a SPSS 21.0 program. Results: The researchers found that 17.6% of participants reported morning type, 47.1% neither type, and 35.3% evening type. Mean total sleep time (TST) was 6.8 h, mean sleep efficacy was 82%, level of alertness was 6.54, and level of fatigue was 5.49, regardless of the type of shift work. Evening type nurses had higher variation in TST and alertness, according to the shift patterns than other circadian type nurses. Evening type nurses also had higher fatigue levels than other circadian type nurses. Conclusion: Sleep, alertness, and fatigue were related with circadian types. These results suggest that circadian rhythm management in shift work nurses, particularly in evening type nurses is urgently needed to improve sleep patterns, alertness, and to decrease the level of fatigue.

• Korean Journal of Occupational Health Nursing
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• v.9 no.2
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• pp.86-93
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• 2000

This study was conducted to find out the degree of tiredness, accumulated tendencies of fatigues in accordance with 3 types of circadian rhythms and 3 types of perceived fatigue signs such as physical, psychological and neurosensory aspects in before and after work at night. Samples were chosen from the 217 intensive care units nurses working in 13 general hospitals which had 3 shift rotating systems, Data were collected from November to December in 1999. Two hundreds seventeen respondents were classified by 3 circadian types such as 59 morning, 110 middle and 48 evening. Circadian type was measured by the circadian type scale which was designed by ${\ddot{O}}stberg$ and Home (1976). in order to estimate the level of tiredness, the investigator used the fatigue checklist designed by the Labor and Health Institute of Japan(1970). Analysis was done by frequency a percentages, ${\chi}^2$ test and repeated measures ANOVA test. The result of this study were as follow: 1. In the general characteristics of the subjects circadian types, moderate type had the large proportion at 50.7% and morning type had 27.2% and evening type had 22.1%. 2. According to the 3 types of fatigue signs, the highest general tendency was 'General weakness' and 'Feeling of headsore' for physically perceived sign, 'Drowsiness' for psychological sign, and 'Uncomfortableness in sight seeing' for neurosensory sign. 3. The most frequently complained fatigue were observed in physical symptoms among physical, mental, and neurosensual symptoms. The percentage of complained was higher after night work than before the work started. 4. There was not any statistical significant difference between the circadian type and the degree of physical, mental, neurosensory fatigue. 5. There was not any statistical significant difference in regarding to each date of night shift except difference between 1st and 2nd days of fatigue perceived physically. Therefore, the study concluded that the fatigue perceived by night shift nurses might be related with shift working condition rather than circadian types.

• International Journal of Human Ecology
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• v.10 no.1
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• pp.35-45
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• 2009

Six healthy female volunteers twice undertook an experiment with different types of clothing leaving the arms and legs covered or uncovered at $24{\pm}0.5^{\circ}C$ and $50{\pm}5%$ RH to study how different thermal stimulation to the distal extremities during the afternoon could modulate circadian parameters of body temperature rhythm. One type of clothing consisted of long-sleeved shirts and full-length trousers (Type I, 989 g, 0.991 clo); the other type consisted of half-sleeved shirts and knee-length trousers (Type II, 750 g, 0.747 clo). Subjects wore Type I or Type II clothing during the afternoon (14:00 h - 19:00 h), and Type I clothing during the evening (19:00 h - 22:30 h) and the night sleep (22:30 h - 06:00 h). Rectal temperature and skin temperatures at the arm and leg were measured continuously. Results were as follows: 1) The circadian amplitude of rectal temperature tended to be greater, and the acrophase was significantly earlier when wearing Type II rather than Type I clothing. 2) The circadian nadirs of skin temperatures of the arm and leg were significantly lower and the amplitudes were significantly greater with Type II clothing. In addition, the acrophase and bathyphase of the circadian rhythm of arm skin temperature were significantly earlier with Type II than Type I clothing. 3) The amplitude of rectal temperature was related closely with that of arm and leg skin temperature. These results suggest that a slightly cool thermal stress during the afternoon to the arms and legs exerted by wearing half-sleeved shirts and knee-length trousers induces a greater amplitude and a phase advance of the overt circadian rhythm of body temperature.

• Journal of Korean Academy of Nursing
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• v.40 no.1
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• pp.43-51
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• 2010

Purpose: The purpose of this study was to investigate sleep habits, sleep disturbance, and circadian types, and to identify factors influencing sleep disturbance in nursing students. Methods: Participants were 140 senior nursing students. The data were collected from May 19 to 27, 2008 using self-report questionnaires. Results: 1) Evening type delayed sleep-wake schedules were more frequent than for morning type, especially during weekend and evening shift duty. 2) In total sleep time, there were no significant statistical differences between morning type and evening type during weekdays, weekend, day or evening shift duty. 3) On weekdays and day shift duty, the mean score for sleep disturbance was significantly higher in the evening type compared to the morning type. 4) Sleep disturbance in weekday and day shift duty was influenced by circadian types, eating habits, and gender. Conclusion: The circadian types are a very important factor for determining the sleep quantity and quality in nursing students.

• Journal of Korean Biological Nursing Science
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• v.16 no.4
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• pp.309-317
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• 2014

Purpose: The purpose of this study was to understand sleep circadian rhythm and sleep quality between normal-weight and obese group according to Body Mass Index to develop education and nursing intervention programs for the obese. Methods: This study involved 186 subjects who visited at S hospital obesity clinic, K province. They were divided into 2 groups: normal-weight group 91 and obese group 95. Data were collected from October 18th to November 12th in 2013. Data were analyzed with frequency, percentage, ${\chi}^2$-test, Mann-Whitney U test, ANCOVA, t-test and ANOVA with using SPSS version 20.0. Results: The results showed that morning type 1.1%, middle type 91.2% and evening type 7.7% of sleep circadian rhythm in normal-weight group and middle type 92.6% and evening type 7.4% of sleep circadian rhythm in obese group. There were statistically significant results on sleep quality with covariance sex and stress, sleep duration, habitual sleep efficiency and sleep disturbance between normal-weight and obese group. There were statistically significant results on sleep quality, sleep duration, habitual sleep efficiency and sleep disturbance in middle type of sleep circadian rhythm between normal-weight and obese group. Conclusion: Therefore, it is necessary to consider subject's sleep pattern to develop education and nursing intervention programs for the obese.

• Safety and Health at Work
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• v.15 no.1
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• pp.102-109
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• 2024

Background: In today's modern world, longer working hours, shift work, and working at night have become major causes of the disruption of our natural circadian rhythms. This study aimed to investigate the effects of the type of shift work (rotating vs. fixed day), duty period (on-duty vs. off-duty), and working period within each shift (nighttime vs. daytime) on the circadian rhythm characteristics of nurses who provide direct patient care. Methods: This cross-sectional study used a purposive sampling method. Cosinor analysis was applied to analyze the actigraphy data of nurses providing direct patient care for seven consecutive days. The linear mixed effects model was then used to determine any variances between shift type, duty period, and working period within each shift for the nurses. Results: The mesor value did not differ according to nurses' shift type, duty period, and working period within each shift. The amplitude was statistically higher in on-duty nurses and in daytime working hours. The acrophase was significantly delayed in nighttime working hours. As well as nurses in rotating shift had experience. Conclusion: Our findings revealed that the peak activity of nurses occurs significantly later at night while working and nurses working during nighttime hours may have a weaker or less distinct circadian rhythm. Thus, this study suggests that limits be placed on the number of rotating nighttime shifts for nurses.

• Sleep Medicine and Psychophysiology
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• v.1 no.2
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• pp.125-144
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• 1994

Recently excessive daytime sleepiness was found to have relations with various social, occupational, and health problems. This condition is common symptom of several sleep disorders, among which sleep apnea syndrome is most contributive. It is essential to assess daytime sleepiness exactly for the diagnosis of such sleep disorders. Multiple sleep latency test which is a valid and objective measurement technique of sleepiness is time and cost consuming, and so there is increasing need of scales measuring general level of daytime sleepiness which are quick and simple to perform for clinical and research purpose. And also, there have been a lot of sleep researches viewing sleep as a chronobiological process, especially in the study of circadian type of shift workers. In these studies they used various techniques of multiple demensions to assess sleepiness or circadian rhythm which concerns various psychological variables. Of these measurement techniques circadian type questionnaires might have some problems in their psychometric properties. So some of these morningness-eveningness questionnaires have been revised and more valid scales are being suggested by different authors. The author briefly reviewed various measurement techniques of sleepiness and circadian rhythm and introduced recently developed scales which are more valid allegedly, and finally discussed psychometric properties of these morningness-eveningness questionnaires.

• Sleep Medicine and Psychophysiology
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• v.24 no.1
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• pp.12-18
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• 2017

Adequate amount and quality of sleep are important for metabolic control in patients with type 2 diabetes. Too short or too long sleep time disrupts glycemic control in both prediabetes and type 2 diabetic patients. Circadian misalignment such as shift work is also associated with an increased risk of developing type 2 diabetes. Clinicians should pay attention to the sleep problems and circadian patterns of patients. However, the pathophysiologic mechanism of the association between sleep and diabetes is likely to be complex and bidirectional. The underlying mechanism remains poorly understood, and further research is warranted.

• The Journal of the Korea Contents Association
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• v.14 no.8
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• pp.319-328
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• 2014

The purpose of this study was to investigate circadian rhythms, learning flow, and fatigue of college students. The differences in learning flow and fatigue according to the type of circadian rhythms were also examined. The study used a descriptive survey research design. The convenience sample consisted of 224 college students from five universities. The data were collected from May to June in 2013 using the following instruments: Morningness-Eveningness Questionnaire-Korean (MEQ-K), Flow State Scale, and Fatigue Assessment Inventory. The participants in the study were mostly put in neither-type (51.8%), and only 4.0% in morning-type. The morning-type students had higher learning flow scores and lower fatigue scores than the night-type students. The types of circadian rhythms measured by MEQ-K were compared to the subjective types of circadian rhythm which was based on the participants' self evaluation. There was a difference in the measured type and the subjective type in 32.1% of the participants. The findings of this study suggest that an intervention program to help college students accurately recognize their circadian rhythms might be effective in improving learning flow and decreasing fatigue.

• Korean Journal of Health Education and Promotion
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• v.26 no.4
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• pp.11-22
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• 2009

Objectives: The researchers investigated the relationship between sleep pattern (circadian rhythm/sleep deprivation), eating habit, and the perceived skin condition of female adults, in orders to provide valuable information to women who want to maintain healthy skin and professionals in health promotion. Methods: The participants were 297 female adults whose ages ranged from 20 to 60 (M=35.14, SD=10.37). The questionnaires and psychological tests used in this research included the following: Circadian Rhythm Questionnaire, Sleep Deprivation Scale, Eating Habit Questionnaire, Skin Condition Questionnaire, Scale for Perceived Skin Health. Results: Results indicated that evening type women had more fatty skin and felt their skins less healthier than morning type. Although women who did not deprived their sleep had more fatty and sensitive skin and felt their skins less healthier than women who deprived their sleep, sleep deprivation was positively related to the morningness, and the morningness was negatively related to the preference of fatty and spicy foods. Only the preference of fatty foods among eating habit was positively related to the fatty and sensitive skin, and negatively to the perceived skin health. Regression analyses with circadian rhythm and the preference of fatty foods revealed that only circadian rhythm was significant predictor for the fatty skin, while the preference of fatty foods was only significant predictor for the sensitive skin and the perceived skin health. And, circadian rhythm and the preference of fatty foods accounted for around 12.0% variance of the fatty skin. Conclusion: This study reiterates the roles of fatty foods on skin health, and found the role of circadian rhythm on skin health, and it is needed to explore the relationship between sleep deprivation and skin condition further. These results may provide useful information for health practitioners.