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The Effect of Rapidly Rotating Shiftwork on the Changes of Cortisol, ADH Excretion and Renal Funtion

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KMID : 0367019950070010071
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Abstract

Shiftworkers experience the changes of circadian rhythm arising out of periodic changes of day and night. The impact of shiftwork on the nurses¢¥s circadian rhythm and health level, in spite of its importance, has rarely examined. This study aims to examine the health level of shiftwork nurses under the rapidly rotating shiftwork schedule.
For this study 18 shiftwork nurses working in `c¢¥ university hospital in `c¢¥ city were selected by purposive sampling. Urine was collected for measuringexcreted amount of cortisol, antidiuretic hormone, and the volume, eletrolytes, and osmolarlity of urine.
The results of this study may be summarized as follows :
1. The excreted amount of cortisol was higher during acting time in the day shift, but it increased during rest time in the night shift.
2. The excreted amout of antidiuretic hormone was decreased during the day and increased during the night irrespective of their shift.
3. Urine volume was reduced during acting time irrespective of night or day shift. The excreted amount of creatinine did not revealed a significant difference in shiftworks.
4. The excreted amount of K+ in urine was significantly increased during acting time and decreased during resting time for both day and night shift. Urine osmolarlity increased during acting time and decreased during rest time for both day and night shift.
This study reveals that the objective health level is decreased in the night shift nurses. This study, I expect, will facilitate a better understanding. for the shiftwork "effect on the health of nurses under the rapidly rotating shiftwork schedule.
KeyWords
±³´ë±Ù¹«, Cortisol, ADH, ½ÅÀå±â´É
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