Open Access, Peer-reviewed
pISSN 2288-3886
eISSN 2288-3959
    J Nutr Health. 2014 Dec;47(6):416-425. Korean.
    Published online Dec 31, 2014.
    https://doi.org/10.4163/jnh.2014.47.6.416
    © 2014 The Korean Nutrition Society
    Original Article

    The relationships between dietary behavior and health related factors according to shift work in nurses

    Ji-Myung Kim,1 and Bok-Hee Kang2
      • 1Food and Nutrition Major, Division of Food Science and Culinary Arts, Shinhan University, Dongducheon, Kyonggi 480-777, Korea.
      • 2Department of Nursing, Daegu Health College, Daegu 702-722, Korea.
    • To whom correspondence should be addressed. tel: +82-31-870-0461, Email: doublekim@hanmail.net
    Received August 01, 2014; Revised August 24, 2014; Accepted November 18, 2014.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    The purpose of this study was to investigate the stress, dietary habits, dietary behaviors, and health-related behavior of nurses.

    Method

    The subjects of this study were 161 nurses studying at a cyber university. The general characteristics, stress, dietary habits, dietary behaviors, and health-related behavior of the subjects were surveyed using a self-administered questionnaire in October, 2010. The subjects were divided into two groups according to the working pattern: shift workers (n = 110) and non-shift workers (n = 51).

    Results

    In the general characteristics, there were significant differences in marriage, monthly income, employment type, and job satisfaction between the two groups. Total stress score did not differ significantly between the two groups. In dietary habits, significant differences in meal regularity, skipping meals, skipping reasons, having regular mealtimes, frequency of snack and the snack time between shift workers and non-shift workers (p<0.05). Total score of dietary behaviors in shift workers was significantly lower than that in non-shift workers (p<0.05). Score of shift workers in taking three meals per day regularly was significantly lower than that of non-shift workers. In health-related behavior, a significant difference in sleeping time was observed between shift workers and non-shift workers. Dietary behavior showed negative correlation with shift work (r = 0.176) and positive correlation with health consciousness (r = 0.210) and perceived health status (r = 0.198) in subjects after adjustment for age, marriage, monthly income, and employment type (p < 0.05). Multiple regression analysis revealed that shift work, health consciousness, and perceived health status affected dietary behavior in subjects.

    Conclusion

    These results indicate that shift working nurses had poor dietary habits and dietary behaviors, and these dietary behaviors are affected by their shift work, health consciousness, and perceive health status.

    Keywords
    nurses; shift work; stress; dietary behavior; health consciousness; perceived health status

    Tables

    Table 1
    General characteristics of the nurses according to shift

    Table 2
    Stress score of the nurses according to shift work

    Table 3
    Dietary habit of the nurses according to shift work

    Table 4
    Dietary behavior score of the nurses according to shift work

    Table 5
    Health related behaviors of the nurses according to shift work

    Table 6
    Correlation between dietary behavior score and other paramete

    Table 7
    Multiple regression analysis between total dietary behavior score and other variables

    Notes

    This research was supported by the Research Grant of Shinhan University in 2014.

    References

      1. Park IS. In: A study on health promotion lifestyles [dissertation]. Pusan: Pusan National University; 1995.
      1. Yun JY, Ham OK, Cho IS, Lim JY. Effects of health promoting behaviors and mental health status of shift and non-shift nurses on quality of life. J Korean Acad Public Health Nurs 2012;26(2):268–279.
      1. Lee KJ, Kim MR, Lee AS, Lee JH, Jang YH, Jung MS. Research about development of working type for improving work conditions on nursing. In: Report of service for working nurses of hospitals. Seoul: 2006.
      1. Park JS. In: The prevention of industrial fatigue and health care in the shift workers. Ulsan: Korea Occupational Safety & Health Agency; 1993.
      1. Akerstedt T. Psychological and psychophysiological effects of shift work. Scand J Work Environ Health 1990;16 Suppl 1:67–73.
      1. Lee SY, Kim YM. The impact of stress and sleep in shift nurses. Proc Cathol Sangji Coll 2004;30:157–176.
      1. Sung MH, Yoon GS. Fatigue and its related factors among shift work nurses. Health Sci 2011;3:22–36.
      1. Kim HC, Kwon KS, Koh DH, Leem JH, Park SG, Shin JY, Lee YC, Kim YK. The relationship between job stress and psychosocial stress among nurses at a university hospital. Korean J Occup Environ Med 2006;18(1):25–34.
      1. Hardy GE, Shapiro DA, Borrill CS. Fatigue in the workforce of National Health Service Trusts: levels of symptomatology and links with minor psychiatric disorder, demographic, occupational and work role factors. J Psychosom Res 1997;43(1):83–92.
      1. Wall TD, Bolden RI, Borrill CS, Carter AJ, Golya DA, Hardy GE, Haynes CE, Rick JE, Shapiro DA, West MA. Minor psychiatric disorder in NHS trust staff: occupational and gender differences. Br J Psychiatry 1997;171:519–523.
      1. Suzuki K, Ohida T, Kaneita Y, Yokoyama E, Miyake T, Harano S, Yagi Y, Ibuka E, Kaneko A, Tsutsui T, Uchiyama M. Mental health status, shift work, and occupational accidents among hospital nurses in Japan. J Occup Health 2004;46(6):448–454.
      1. Ko JW, Yom YH. The role of social support in the relationship between job stress and job satisfaction/organizational commitment among hospital nurses. J Korean Acad Nurs 2003;33(2):265–274.
      1. Lee KA. A comparison of eating and general health practices to the degree of health consciousness in Pusan college students. J Korean Soc Food Sci Nutr 1999;28(3):732–746.
      1. Kim JH, Lee MJ, Yang IS, Moon SJ. Analysis of factors affecting Korean eating behavior. Korean J Food Cult 1992;7(1):1–8.
      1. Lee JT, Lee KJ, Park JB, Lee KW, Jang KY. The relations between shiftwork and sleep disturbance in a university hospital nurses. Korean J Occup Environ Med 2007;19(3):223–230.
      1. Zhao I, Turner C. The impact of shift work on people's daily health habits and adverse health outcomes. Aust J Adv Nurs 2008;25(3):8–22.
      1. Kim HK, Lee TY, Kim KH. The effects of health promotion behavior of shifting nurses' on the health conditions. J Korea Acad Industr Coop Soc 2010;11(3):1126–1132.
      1. Yoon HS, Choi YY. Stress level and health-related behavior of nurses working in the Kyungnam area. Korean J Community Nutr 2003;8(5):781–793.
      1. Kim WY, Cho MS, Lee HS. Development and validation of Mini Dietary Assessment Index for Koreans. Korean J Nutr 2003;36(1):83–92.
      1. Lee SL, Kim SJ. Health-related factors and nutritional status in shift-workers at coffee shops: focused on single women in twenties in Seoul. Korean J Community Nutr 2013;18(5):467–477.
      1. Kim JH, Lee MJ, Moo SJ, Shin SC, Kim MK. Ecological analysis of food behavior and life-styles affecting the prevalence of depression in Korea. Korean J Nutr 1993;26(9):1129–1137.
      1. Choue RW, Hong JY, Lee HW, Lee SL. A study on the necessity and development of nutritional consultation during medical examination of employees and of worksite nutrition programs. J Korean Diet Assoc 1996;2(1):20–28.
      1. Kim H, Moon S, Lee K. Nutritional and health status of nurses, medical doctors and factory workers. Korean J Nutr 1980;13(3):126–133.
      1. Bilski B. Influence of shift work on the diet and gastrointestinal complains among nurses. A pilot study. Med Pr 2006;57(1):15–19.
      1. Sudo N, Ohtsuka R. Nutrient intake among female shift workers in a computer factory in Japan. Int J Food Sci Nutr 2001;52(4):367–378.
      1. Choi SK, Lee KS, Lee JW, Koo JW, Park CY. Health behavior practices and needs for health promotion program according to shift work pattern in subway workers. Korean J Occup Environ Med 2003;15(1):37–51.
      1. Seo JS. Relationship between health perception and health status of clinical nurses. Korean J Rehabil Nurs 2002;5(1):71–85.
      1. Breslow L, Enstrom JE. Persistence of health habits and their relationship to mortality. Prev Med 1980;9(4):469–483.
      1. Yoon HS, Choi YS. Analysis of correlation among health consciousness and nutrition knowledge, dietary habits and nutrition attitudes of elementary and middle school teachers in Masan city. Korean J Nutr 2002;35(3):368–379.
      1. Suh ES, Kim IS, Kwon TB. The effect of living custom of health, exercise, etc on the health 1 A study on nutrient intake. Korean J Gerontol 1994;4(2):71–76.
      1. Sim KS, Lee KH. The effect of nutrition education on nutrition knowledge and health improvement in dyslipidemic industrial employees. J Korean Diet Assoc 2012;18(1):43–58.
      1. Occupational Health Clinics for Ontario Workers Inc. (CA). Shiftwork: health effects & solutions [Internet]. Ontario: Occupational health clinics for Ontario workers Inc.; 2005 [cited 2014 Jul 28].
        Available from: http://nupge.ca/sites/nupge.ca/files/Shiftwork.pdf.
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    MeSH Terms
    Consciousness
    Employment
    Food Habits
    Job Satisfaction
    Marriage
    Meals
    Snacks
    Surveys and Questionnaires
    Metrics
    Share
    Tables
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    Funding Information
    PERMALINK