Differences in cortisol profiles and circadian adjustment time between nurses working night shifts and regular day shifts: A prospective longitudinal study

Shu Fen Niu, Min Huey Chung, Hsin Chu, Jui Chen Tsai, Chun Chieh Lin, Yuan Mei Liao, Keng Liang Ou, Anthony Paul O'Brien, Kuei Ru Chou

研究成果: 雜誌貢獻文章

13 引文 (Scopus)

摘要

Objective: This study explored the differences in the circadian salivary cortisol profiles between nurses working night shifts and regular day shifts following a slow rotating shift schedule to assess the number of days required for adjusting the circadian rhythm of salivary cortisol levels in nurses working consecutive night shifts and the number of days off required to restore the diurnal circadian rhythm of salivary cortisol levels. Methods: This was a prospective, longitudinal, parallel-group comparative study. The participants were randomly assigned to night and day-shift groups, and saliva samples were collected to measure their cortisol levels and circadian secretion patterns. Results: Significant differences were observed in the overall salivary cortisol pattern parameters (cortisol awakening response, changes in cortisol profiles between 6 and 12. h after awakening, and changes in cortisol profiles between 30. min and 12. h after awakening) from Days 2 to 4 of the workdays between both groups. However, on Day 2 of the days off, both groups exhibited similar cortisol profiles and the cortisol profiles in the night-shift group were restored. Conclusion: Nurses working night shifts require at least 4 days to adjust their circadian rhythms of cortisol secretions. Moreover, on changing from night shift to other shifts, nurses must be allowed more than 2 days off work.
原文英語
頁(從 - 到)1193-1201
頁數9
期刊International Journal of Nursing Studies
52
發行號7
DOIs
出版狀態已發佈 - 七月 1 2015

指紋

Longitudinal Studies
Hydrocortisone
Prospective Studies
Circadian Rhythm
Night Nurse
Nurses
Saliva
Appointments and Schedules

ASJC Scopus subject areas

  • Nursing(all)

引用此文

Differences in cortisol profiles and circadian adjustment time between nurses working night shifts and regular day shifts : A prospective longitudinal study. / Niu, Shu Fen; Chung, Min Huey; Chu, Hsin; Tsai, Jui Chen; Lin, Chun Chieh; Liao, Yuan Mei; Ou, Keng Liang; O'Brien, Anthony Paul; Chou, Kuei Ru.

於: International Journal of Nursing Studies, 卷 52, 編號 7, 01.07.2015, p. 1193-1201.

研究成果: 雜誌貢獻文章

Niu, Shu Fen ; Chung, Min Huey ; Chu, Hsin ; Tsai, Jui Chen ; Lin, Chun Chieh ; Liao, Yuan Mei ; Ou, Keng Liang ; O'Brien, Anthony Paul ; Chou, Kuei Ru. / Differences in cortisol profiles and circadian adjustment time between nurses working night shifts and regular day shifts : A prospective longitudinal study. 於: International Journal of Nursing Studies. 2015 ; 卷 52, 編號 7. 頁 1193-1201.
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abstract = "Objective: This study explored the differences in the circadian salivary cortisol profiles between nurses working night shifts and regular day shifts following a slow rotating shift schedule to assess the number of days required for adjusting the circadian rhythm of salivary cortisol levels in nurses working consecutive night shifts and the number of days off required to restore the diurnal circadian rhythm of salivary cortisol levels. Methods: This was a prospective, longitudinal, parallel-group comparative study. The participants were randomly assigned to night and day-shift groups, and saliva samples were collected to measure their cortisol levels and circadian secretion patterns. Results: Significant differences were observed in the overall salivary cortisol pattern parameters (cortisol awakening response, changes in cortisol profiles between 6 and 12. h after awakening, and changes in cortisol profiles between 30. min and 12. h after awakening) from Days 2 to 4 of the workdays between both groups. However, on Day 2 of the days off, both groups exhibited similar cortisol profiles and the cortisol profiles in the night-shift group were restored. Conclusion: Nurses working night shifts require at least 4 days to adjust their circadian rhythms of cortisol secretions. Moreover, on changing from night shift to other shifts, nurses must be allowed more than 2 days off work.",
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