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Clarification of the structure of fatigue in shift nurses and development of a health management program

Research Project

Project/Area Number 26293452
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section一般
Research Field Fundamental nursing
Research InstitutionHiroshima University (2016-2018)
Prefectural University of Hiroshima (2014-2015)

Principal Investigator

Oriyama Sanae  広島大学, 医系科学研究科(保), 教授 (20457203)

Research Collaborator MIYAKOSHI yukiko  
KOBAYASHI toshio  
Project Period (FY) 2014-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥9,490,000 (Direct Cost: ¥7,300,000、Indirect Cost: ¥2,190,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Keywords交代制勤務 / 夜勤 / 疲労 / 眠気 / 食事 / 看護労働 / 仮眠 / 看護師 / 16時間夜勤 / 疲労感 / 夜勤時の食事 / 作業効率
Outline of Final Research Achievements

This study aimed to clarify the structure of fatigue during 16-hour night shifts and to develop a program for maintaining health. We focused on the timing of naps and eating during night shift work hours, and clarified the structure of fatigue based on sleepiness, fatigue, work efficiency, and heart rate variability. When 120-minute naps were divided into naps of 30 minutes and 90 minutes, there was improvement in the maintenance of morning awakening level; however, sleepiness remained immediately following the 90-minute nap. As for the timing of eating, we confirmed an increase in heart rate after meals and a decrease in Low-frequency/high-frequency level, which is a sympathetic index. This study confirmed two points. The first was that two naps can possibly increase the duration of awakening level, and the second was that eating at night may have the effect of facilitating morning activities.

Academic Significance and Societal Importance of the Research Achievements

16時間夜勤の看護師の疲労構造について明らかになることで,朝方にかけて増大する疲労や眠気の軽減,パフォーマンス水準維持効果のための方策が立案可能となる。疲労を軽減する方策を展開することにより,生活リズムを整え,夜勤による疲労を軽減することで,慢性疲労の予防が可能となり,さらには,看護師の就業意欲を高め,離職率を低下させ,職場への定着性を図ることも可能となる。また、医療事故の防止にも有効であり,医療経済や安全な医療環境の提供の上でも意義ある。

Report

(6 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • 2014 Annual Research Report
  • Research Products

    (10 results)

All 2019 2018 2017 2015 2014

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 4 results) Presentation (6 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] The effects of a 120-minute nap on sleepiness, fatigue, and performance during 16-hour night shifts: A pilot study2019

    • Author(s)
      Oriyama Sanae, Miyakoshi Yukiko, Rahman Md Moshur
    • Journal Title

      Journal of Occupational Health

      Volume: 61 Issue: 5 Pages: 368-377

    • DOI

      10.1002/1348-9585.12063

    • NAID

      130007711547

    • ISSN
      1341-9145, 1348-9585
    • Year and Date
      2019-09-20
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 12時間の二交代制勤務看護師の睡眠および眠気と疲労の特徴2019

    • Author(s)
      折山早苗、宮腰由紀子、茅原路代
    • Journal Title

      日本看護科学学会

      Volume: 印刷中

    • NAID

      130007694927

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The effects of nighttime napping on sleep, sleep inertia, and performance during simulated 16 h night work: a pilot study2018

    • Author(s)
      Oriyama Sanae, Miyakoshi Yukiko
    • Journal Title

      Journal of Occupational Health

      Volume: 60 Issue: 2 Pages: 172-181

    • DOI

      10.1539/joh.17-0070-OA

    • NAID

      130006565469

    • ISSN
      1341-9145, 1348-9585
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 夜間にとる120分間仮眠がその後の睡眠と身体活動量に及ぼす影響 夜勤を想定した夜間にとる仮眠の影響2017

    • Author(s)
      折山早苗、宮腰由紀子
    • Journal Title

      労働科学

      Volume: 93 (3) Pages: 67-79

    • NAID

      130007747079

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Recommendations that nurses work 12-hour night shifts to prevent disordered circadian rhythms2018

    • Author(s)
      Oriyama Sanae, Kayahara Michiyo
    • Organizer
      American Public Health Association
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] THe effects of 120-minute nap during simulated 16 hour night work: a pilot study2018

    • Author(s)
      Oriyama Sanae
    • Organizer
      Sigma Theta Tau International's 29th International Nursing Research Congress
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 夜間にとる90分と30分の分割仮眠が作業パフォーマンス、眠気、疲労感に及ぼす影響2017

    • Author(s)
      折山早苗
    • Organizer
      第37回 日本看護科学学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Physical and psychological effects of drowsiness and fatigue on nurses working 16-hour night shift naps2015

    • Author(s)
      Oriyama Sanae, Miyakoshi Yukiko, Kobayashi Toshio, Kayahara Michiyo
    • Organizer
      American Public Health, Association 143TH
    • Place of Presentation
      Chicago. USA
    • Year and Date
      2015-10-31
    • Related Report
      2015 Annual Research Report
  • [Presentation] Influence of a 120-minute nap on the amount of physical activity and subsequent sleep2015

    • Author(s)
      Oriyama Sanae, Miyakoshi Yukiko, Kobayashi Toshio
    • Organizer
      American Public Health, Association 143TH
    • Place of Presentation
      Chicago. USA
    • Year and Date
      2015-10-31
    • Related Report
      2015 Annual Research Report
  • [Presentation] 夜間にとる120分間仮眠がその後の昼間睡眠、夜間睡眠に及ぼす影響2014

    • Author(s)
      折山早苗、宮腰由紀子、小林敏生
    • Organizer
      第58回中国四国合同産業衛生学会
    • Place of Presentation
      広島大学
    • Year and Date
      2014-11-30
    • Related Report
      2014 Annual Research Report

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Published: 2014-04-04   Modified: 2020-03-30  

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