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민순 ( ) - 조선대학교 병설간호전문대학
임욱빈 ( ) - 전남대학교 생명과학부
백윤웅 ( ) - 전남대학교 의과대학
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Abstract
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In the study, 20 students in C university were selected by control group and 14 shift work nurses working in C university hospital by test group
It took part in case of day shift(8AM4PM), evening shift (4PM 12MN), and night shift (12MN--8AM) to know a urinary 170HCS and free cortisol changes which works in a rapidly rotating shift work system.
The working team were an rest period of a day and an oberservation of a week.
It obtained an urine specimen before and after work shift in 2nd day.
Test group and control group of shift work compared to change of levels of urinary 17OHCS and free cortisol of urine collected from nurses of day shift,
The data was analyzed by t test, paired t test. The results are as follows.
1. Compare 8AM with 4PM in day shift.
Control group increased 4.lmg at 8AM, 4.2mg at 4PM in a case of 17 OHCS(p=.84) and also test group increased a little 3.5mg at start time of work, 3.6mg at stop time(p=.97).
In a case of free cortisol control group decreased 3.8ug at 8AM, 2.4ug at. 4PM (p=. 12) and test group decresed 8.3ug at start time of work, 3.2ug at stop time(p=.22).
2. Compare 4PM with 12MN in evening shift.
Control group decreased 4.2mg at 4PM, 2.9mg at 12MN in a case of 17 OHCS(p=.54), but test group increased 1.7mg at start time of work, 3.4mg at stop time (p=.07).
In a case of free cortisol control group decreased 2.4ug at 4PM, 1.9ug at 12MN(p=.23) and also test group decresed a little 2.6ug at start time of work, lug at stop time (p=. 4:3),
3. Compare 12MN with 8AM in night shift.
Control group increased 3.9mg at 12MN, 4.1mg at 8AM in a case of 17--OHCS(p=.79) and also test group increased 6.3mg at start time of work, 8.4mg at stop time (p=.16).
In a case of free cortisol control group increased 1. 9ug at 12MN, 3.81,g at 8AM(p=.08) and test group incresed 4.4ug at start time of work, 11.6ug at stop time (p=.04).
As a result of this study reveals that health level of nurses is decreased in a rotating shift work (2 days interval).
As mentioned above, it was confirmed that the rotating shift work had influence on the health of the nurses.
For it, I present the objective base data to mesure the level healthy in order to extend the understanding of the physical aspects of the nurses.
Moreover, it is considered that one can make use of it as an objective base data with a view to the rational management for the nursing administration.
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KeyWords
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교대근무, 부신피질호르몬
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원문 및 링크아웃 정보
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등재저널 정보
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