Articles

The Role of Bright Light during Night Work on Stress and Health Status of Shift Work Nurses

Abstract

Research has shown that shift work, in particular night work, can have negative effects on the health, safety and well-being of workers. Our study assessed, in a hospital setting, the effects of bright light (BL) on general health and psychological problems during night shift work. In an experimental design, 15 female nurses at a general hospital that located in Tehran were exposed to moderate bright light (2000 lx) during night work. The evaluation of general health status, job stress, and burnout syndrome conditions was done as follows: The 28-item General Health Questionnaire (GHQ-28) was used as a screening tool for the detection of general health status; for assessing the level of stress, perception stress scale (PSS) was filled; and for burnout syndrome conditions, burnout self-report questionnaire (BSR) was completed. T-test and paired t-test analysis were used to assess the association between BL exposure for a total of 30 min during each night shift and changes in general health status, job stress and burnout syndrome. This study clearly shows that BL administration could not reduce anxiety symptoms, somatic symptoms, severe depression and improved social dysfunction significantly during night shift. However, BL exposure significantly decreased the perception stress (P=0.008) and burnout syndrome (P=0.06) during night permanent shift. These results suggest that BL might have provoked changes in perception stress and burnout syndrome of nurses working night permanent shift.

Brainard QC. Photoreception for for regulation of melatonin and the circadian system in humans. In: Final report. The fifth international LRO lighting research symposium, light and human health, November 3-5, 2002. Report No. 1009370. Poto Alto/C: The electric power research institute, 2004.

Czeisler CA, Johnson MP, Duffy JF, Brown EN, Ronda JM, Kronauer RE. Exposure to bright light and darkness to treat physiologic maladaptation to night work. Eng J Med 1990; 322: 1253-1259.

Czeisler CA, Kronauer RE, Allan JS, Duffy JF, Jewett NE, Brown E N, Ronda JM. Bright light induction of strong resetting of the human circadian pacemaker. Science 1989; 244: 1328-1333.

Daurat A, Foret J, Benoit O, Mauco G. Bright light during nighttime: effects on the circadian regulation of alertness and performance. Biol signals receipt 2000; 9: 309-318.

Hatonen T, Alila-Johansson Mustanoaj S, Laako ML. Suppersson of melatonin by 2000 lx light in humans with closed eyes. Biol Psychiatr 1999; 46:827-31.

Rea MS. Light much more than vision. Keynote address. In: final report. The fifth international LRO lighting research symposium. Light and human health, November 3-5, 2002. Report No. 1009370. Ralo Alto, The Electric Power Research Institute.2004.

Horowitz TS, Code BE, Wolfe JM, Czeisler CA. Efficacy of bright light and sleep, darkness scheduling in all aviating circadian maladaptation to night work. Am J Phusiol-Endoc M 2001; 281: E384-91.

Koller M, Harma M, Laititinen JT, Kundi M, Piegler B, Haider M. Different patterns of light exposure in relation to melatonin and cortisol rhythms and sleep of might workers. J Pineal Res 1994; 16: 127-35.

Badia P, Myers B, Culpepper J, Harsh JR. Bright light effects on body temperal ure alertness, EEG and behvior. Physiol Behav 1991; 50: 583-588.

Misuzu W, Yasuhiro A, Hikari F, Teruyuki T, Takemasa W, Fumio K. Effects of chaning shift Ichedules from a Full-day to a half-day shift before a night shift on physical activities and sleep patterns of single nurses and married nurses with children. Ind Health 2004; 42: 934-40.

Timottiy HM, Daniel JB, Charles FR, Sarah LB, David BJ, Amye B, David JK. Circadian rhythms in human performance and mood under constant conditions. Sleep Res 1997; 6:9-18.

Portela LF, Rotenberg L, Waissmann W. Self-report health and sleep complaints among nurssing personal working under 12h night and day shifts. Chronobiol Int 2004; 21(6): 859-870.

Akerstedt T, Gillberg M, Wetterberg L. The circadian covariation of fatigue and urinary melatonin. Biol Psychiatr 1982; 17: 547-554.

Eastman CI, Stewart KT, Mahoney MP, Liu L, Fogg LF. Dark goggles and bright light improve circadian rhythm adaptation to night work. Sleep 1994; 17: 535-43.

Zamanian Z, Kakooei H, Ayattollahi SMT, Choobineh A, Nasle Seraji G. Prevalence of Medical Disorders among Shift Work Hospital Nurses in Shiraz,Iran. Pakestan J Biol Sci 2008; 11(12): 1605-1609.

Suzuki K, Ohida T, Kaneita Y, Miyake T, Harano S, Yagi Y, Ibuka E, Kaneko A, Tsutsui T, Uchiyamm M. Mental Health status, shift work, and occupational accidents among hospital nurses in Japan. J Occup Health 2004; 46: 448-454.

Boivin DB, James FO. Circadian adaptation to night shift work by judicious light and darkness exposure. J Biol Rhythm 2002; 17: 556-67.

Costa G, Gaffuri E, Ghirlanda G Minors DS, Waterhouse JM. psychophysical conditions and hormonal secretion in nurses on a rapidly rotating shift schedule and exposed to bright light during night work. Work Stress 1995; 9: 148-157.

Bjorvatn B, Kecklund G, Akerstedt J. Bright light treatment used for adaptation to night work and re-adaptation back to day life, A field study at on oil platform in the north sea. J sleep Res 1999; 8: 105-112.

Iwata N, ICHII S, Egashira K. Effect of bright artificial light on subjective mood of shift work nurses. Ind health 1997; 35: 41-47.

Crowley SJ, Lee C, Tseng CY, Fogg LF, Eastman CI. Ombinations of bright light, scheduled dark, sunglasses, and melatonin to facilitate circadian entertainment to night shift work. J Biol Rhythm 2003, 18: 513-23.

Naghavi M. The assessment of cut-off point of the General Health questionnaire (GHQ-28) in the Iranian version. Iran J psychol 1991; 20: 81-98.

Saatchi M. Psychology of productivity: Applied dimensions of Industrial-organizational psychology. Virayesh publication institute, Iran 1998; 341-352.

James FO, Walker CD, Buivin DB. Controlled exposure to light and darkness realigns the salivary cortisol rhythm in night shift workers. Chronobiol Int 2004; 21: 1-12.

Honma K, Honma S. A human Phase response curve for bright light pulses. J psychiat Neural 1998; 42: 167-168.

Budnick LD, lerman SE, Nicolich MJ. An evaluation of scheduled bright light and darkness on rotating shift workers: trial and limitation. Am J Environ Med 1995; 27: 771-82.

Midwinter MJ, Arendt J. Adaptation of the melationin rhythm in human subjects following night shift work in antaractica. Neurosis Lett 1991; 122, 125-198.

Yoon LY, Jeong DU, Kwon KB, Kang SB, Song BG. Bright light exposure at night and light attenuation in the morning improve adaptation of night shift workers. Sleep 2002; 25: 351-6.

Files
IssueVol 1 No 1 (2009) QRcode
SectionArticles
 
Keywords
Bright Light Burnout General health status Perception stress Nurses Night shift

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Kakooei H, Rahimi MH, Hosseini M. The Role of Bright Light during Night Work on Stress and Health Status of Shift Work Nurses. Int J Occup Hyg. 1;1(1):46-50.