Study on current status and influencing factors of sleep inertia among shift nurses of three hospitals in Dazhou City

Abstract

Abstract:

Objective To investigate the current situation of sleep inertia among clinical shift nurses and analyze its influencing factors，in order to provide reference for developing targeted intervention measures in clinical practice to reduce the sleep inertia level of shift nurses. Methods From February to April 2025，a convenience sampling was used to select 840 shift nurses from three hospitals in Dazhou City，Sichuan Province as the research subjects. The general information questionnaire，sleep inertia questionnaire，perceived stress scale and perceived social support scale were used for the investigation，and the data were analyzed. Results The total score of shift nurses' sleep inertia was （69.14±16.30）points，and the score of perceived stress was （23.97±8.73）points，and the score of perceived social support was （50.18±13.11）points. The sleep inertia score of shift nurses was positively correlated with each dimension and total score of perceived stress（r=0.191-0.358，all P<0.01），and negatively correlated with each dimension and total score of perceived social support（r=-0.660--0.431，all P<0.01）. The results of regression analysis showed that the working years of shift nurses，the frequency of night shifts，the feeling of night shifts，the degree of impact of night shifts，perceived stress and perceived social support were all the influencing factors of sleep inertia（all P<0.05），which could explain 69.2% of the variation. Conclusion The sleep inertia phenomenon of shift nurses is relatively serious. Clinical nursing managers should focus on its influencing factors，accurately identify the risk population，formulate targeted intervention measures，alleviate the sleep inertia phenomenon，and promote the healthy development of the profession.

Key words: Nurses, Shift work, Sleep inertia, Perceived stress, Perceived social support, Influencing factors

CLC Number:

R181.3+1

LI Chunling, HE Fang, YANG Ningxi. Study on current status and influencing factors of sleep inertia among shift nurses of three hospitals in Dazhou City. [J]OCCUPATION AND HEALTH, 2026, 42(17): 2375-2380.

Figures/Tables 5

References 23

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项目	条目数	得分范围	总分	条目均分
睡眠惯性	19	19~95	69.14±16.30	3.64±0.86
生理惯性	7	7~35	23.43±6.66	3.35±0.95
惯性反应	5	5~25	20.62±4.21	4.12±0.84
认知惯性	4	4~20	15.27±4.35	3.81±1.09
情绪惯性	3	3~15	9.81±3.44	3.27±1.15
知觉压力	14	0~56	23.97±8.73	1.71±0.62
紧张感	7	0~28	12.71±4.75	1.82±0.68
失控感	7	0~28	11.25±4.97	1.61±0.71
领悟社会支持	12	12~84	50.18±13.11	4.18±1.09
家庭内支持	4	4~28	18.24±5.31	4.56±1.33
家庭外支持	8	8~56	31.94±9.11	3.99±0.86

项目	条目数	得分范围	总分	条目均分
睡眠惯性	19	19~95	69.14±16.30	3.64±0.86
生理惯性	7	7~35	23.43±6.66	3.35±0.95
惯性反应	5	5~25	20.62±4.21	4.12±0.84
认知惯性	4	4~20	15.27±4.35	3.81±1.09
情绪惯性	3	3~15	9.81±3.44	3.27±1.15
知觉压力	14	0~56	23.97±8.73	1.71±0.62
紧张感	7	0~28	12.71±4.75	1.82±0.68
失控感	7	0~28	11.25±4.97	1.61±0.71
领悟社会支持	12	12~84	50.18±13.11	4.18±1.09
家庭内支持	4	4~28	18.24±5.31	4.56±1.33
家庭外支持	8	8~56	31.94±9.11	3.99±0.86

项目	睡眠惯性	生理惯性	情绪惯性	惯性反应	认知惯性	知觉压力	紧张感	失控感	领悟社会支持	家庭内支持	家庭外支持
睡眠惯性	1.000
生理惯性	0.923^a	1.000
情绪惯性	0.849^a	0.727^a	1.000
惯性反应	0.795^a	0.614^a	0.562^a	1.000
认知惯性	0.894^a	0.761^a	0.735^a	0.626^a	1.000
知觉压力	0.348^a	0.339^a	0.318^a	0.277^a	0.266^a	1.000
紧张感	0.358^a	0.328^a	0.354^a	0.281^a	0.289^a	0.893^a	1.000
失控感	0.269^a	0.282^a	0.220^a	0.218^a	0.191^a	0.902^a	0.612^a	1.000
领悟社会支持	-0.660^a	-0.606^a	-0.588^a	-0.477^a	-0.619^a	-0.117^a	-0.134^a	-0.078^a	1.000
家庭内支持	-0.596^a	-0.566^a	-0.526^a	-0.438^a	-0.527^a	-0.320^a	-0.272^a	-0.329^a	0.840^a	1.000
家庭外支持	-0.602^a	-0.542^a	-0.539^a	-0.431^a	-0.584^a	-0.006^a	-0.047^a	-0.024^a	0.949^a	0.625^a	1.000

项目	睡眠惯性	生理惯性	情绪惯性	惯性反应	认知惯性	知觉压力	紧张感	失控感	领悟社会支持	家庭内支持	家庭外支持
睡眠惯性	1.000
生理惯性	0.923^a	1.000
情绪惯性	0.849^a	0.727^a	1.000
惯性反应	0.795^a	0.614^a	0.562^a	1.000
认知惯性	0.894^a	0.761^a	0.735^a	0.626^a	1.000
知觉压力	0.348^a	0.339^a	0.318^a	0.277^a	0.266^a	1.000
紧张感	0.358^a	0.328^a	0.354^a	0.281^a	0.289^a	0.893^a	1.000
失控感	0.269^a	0.282^a	0.220^a	0.218^a	0.191^a	0.902^a	0.612^a	1.000
领悟社会支持	-0.660^a	-0.606^a	-0.588^a	-0.477^a	-0.619^a	-0.117^a	-0.134^a	-0.078^a	1.000
家庭内支持	-0.596^a	-0.566^a	-0.526^a	-0.438^a	-0.527^a	-0.320^a	-0.272^a	-0.329^a	0.840^a	1.000
家庭外支持	-0.602^a	-0.542^a	-0.539^a	-0.431^a	-0.584^a	-0.006^a	-0.047^a	-0.024^a	0.949^a	0.625^a	1.000

自变量	赋值方式
工作年限（年）	0~<6=1；6~<11=2；11~<21=3；≥21=4
职称	护士=1；护师=2；主管护师=3；副主任护师及以上=4
聘用类型	在编=1；非在编=2
月收入（元）	0~<4 000=1；4 000~<6 000=2；6 000~<8 000=3；8 000~<10 000=4；≥10 000=5
夜班数量	1~2=1；3~4=2；5~6=3；7~8=4；≥9=5
夜班感受	非常轻松=1；比较轻松=2；一般=3；比较痛苦=4；非常痛苦=5
夜班影响程度	不受影响=1；较少受影响=2；比较受影响=3；非常受影响=4
知觉压力得分	原值代入
领悟社会支持得分	原值代入