2026-11-092026-11-09https://scholars.csmu.edu.tw/handle/123456789/38811Nursing staff is the main professional group to work shifts in hospital. However, shift work against the body’s natural rhythms, which affect nurses’ health. Sleep-wake cycle and food intake with meal schedule are altered significantly by working in different shift systems. Shift workers with sleep disorders have higher risks of cardiovascular diseases, gastrointestinal problems, and likelihood of obesity. It has great impact even on nurses’ mortality. Since shift work is unavoidable in providing nursing service, it is necessary to find a way to better cope with this work pattern. Currently fixed rotation shift for about 1 month has been accepted as a better way for nurses’ health and performance. However, even shift system may be well arranged, nurses are still in high risks of poor adaptation. Our pilot study showed that there were 52.9%~82.4% of nurses reported their sleep as poor (PSQI>=5). The adaptation process during shift work need to be further explored fully. Circadian related factors such as ambient light, meal time, and personal preference (chronotype) should be further examined before developing any intervention to increase nurses’adaptation to shift work. The purpose of this three-year longitudinal survey study is aimed to investigate sleep pattern and food intake in nurses under shift work and to examine the impact of shift work on physiological and psychological health. Convenience sampling technique will be performed to recruit 120 eligible subjects from two medical centers located in Taichung City and Taoyuan County. Subjects will be scheduled for 5 weeks of data collection, which are three days before shift starts, during shift (72 hours for each period at the starts, middle, and ends of shift), and 7 days after shift ends. Data including sleep pattern, food intake, alertness, sleep quality, fatigue, anxiety and depression, light exposure, chronotype, and demographic information will be explored or compared based on study aims. Results will provide information for developing adaptation program to shift work for nurses.護理人員為醫院最主要的輪班工作者。然而，研究顯示輪班制 度與身體的自然節律拮抗，進而影響健康。輪班工作影響其睡眠與進 食。當輪班工作者有睡眠障礙時會提高心血管、腸胃道、以及肥胖的 發生率，甚至有較高的死亡率。輪班工作是護理服務中不可避免的， 因此如何安排合宜的輪班工作是很重要的。目前固定輪班制(固定班別 至少一個月)是為大多數所接受且對護理人員的健康與表現是衝擊較 小的。然而，雖然安排了較適當的輪班，護理人員對輪班工作的適應 情形仍不好，我們的前驅研究顯示52.9%~82.4%的固定輪班制下的護 理人員主訴睡眠品質不佳。護理人員如何調適輪班的過程應再加以研 究，與週期有關的因子如光線、進食情況、個人對日夜工作的傾向也 應加以探討。因此這3 年的追蹤研究計畫主要是探討護理人員於輪班 工作時其睡眠與飲食的行為，並瞭解這些行為模式如何影響其生理與 心理的健康。本研究以方便取樣的方式於台中與桃園兩家醫學中心尋 訪120 名個案。資料收集開始於個案某一月固定班別的前三天，該班 別的前、中、後各3 日，直到輪至下一個班別的第1 至7 日為止。所 收集的資料包括睡眠型態、飲食型態、警覺程度、睡眠品質、疲憊感、 焦慮與憂鬱指數、光照程度、個案時型、以及個案的一般資料。所收 集的資料根據研究目的來分析與探討。期待本研究結果能對於護理人 員輪班調適方案的發展會有所貢獻。Project