照明工程学报2025，Vol.36Issue(6)：26-34,9.DOI:10.3969/j.issn.1004-440X.2025.06.004
轮班护士身心健康现状与护士站光照需求分析
Analysis of Shift Nurses' Physical and Mental Health Status and Lighting Requirements in Nurse Stations
摘要
Abstract
Frequent and long-term shift work for nurses can disrupt normal biological rhythms,inducing rhythm disorders,endocrine imbalances,and emotional problems,which in turn lead to a decrease in clinical work performance and patient safety.Light,as the most important zeitgeber,is an effective means to intervene in the biological clock and improve sleep quality.To understand the physical and mental health status of shift nurses and the current lighting environment and needs of nurse stations,this study conducted on-site measurements of the lighting environment in 13 nurse stations and a questionnaire survey on the sleep quality,sleepiness,fatigue,mood,and lighting environment preferences of 493 shift nurses.The results showed that the horizontal illuminance at the work surface in nurse stations was generally insufficient,the physiological equivalent illuminance was insufficient during the day and too high at night,and the lighting scenes lacked dynamic changes,which were difficult to meet the physical and mental health needs of nurses.The questionnaire survey showed that the Pittsburgh Sleep Quality Index score of shift nurses was 8.14±4.05,indicating poor overall sleep quality and shift-related sleep problems.There were statistically significant differences in sleep quality and shift-related sleep problem scores among nurses on different shifts(day shift-mid shift-night shift-rest)(P＜0.05),with the worst sleep quality after the night shift.60.00％of the nurses had anxiety symptoms,and 46.70％had depressive symptoms.The total fatigue score of shift nurses was 52.43±11.66,with the main fatigue periods being 2:00-6:00 a.m.,11:00-12:00 p.m.,and 12:00-14:00 p.m.The lighting uniformity in nurse stations was insufficient,and there were glare problems,and lighting had a significant impact on their sleep,mood,and fatigue.68.70％of the nurses hoped that the color temperature and brightness of the lighting in nurse stations could change dynamically.In the future,dynamic lighting parameters should be designed for different shifts to obtain a combination of lighting parameters that takes into account both visual function and physical and mental health needs,providing a reference for the design and application of a healthy lighting environment in nurse stations in China.关键词
轮班护士/身心健康/光环境/睡眠节律/情绪认知Key words
shift work nurse/physical and mental health/light environment/sleep rhythms/cognitive emotion分类
建筑与水利引用本文复制引用
荣晓珊,汪统岳,刘思维..轮班护士身心健康现状与护士站光照需求分析[J].照明工程学报,2025,36(6):26-34,9.基金项目
上海申康医院发展中心研究型医师创新转化能力培训项目(SHDC2023CRS012) （SHDC2023CRS012）
中国博士后科学基金面上项目(2023M742642) （2023M742642）
上海市自然科学基金面上项目(24ZR1464600) （24ZR1464600）
上海市养志康复医院阳光临床研究培育项目(2024CRTS005) （2024CRTS005）
