Sleep quality and work among nursing vocational students

a cross-sectional and analytical research, with 213 students from Paraná. Characterization data and the Pittsburg Sleep Quality Index were collected between March and June 2020 and analyzed descriptively and inferentially.

Results:

quality of poor sleep was 76.5% among those who work and 75.3% among those who do not work. Difficulty in reconciling personal and academic life (p=0.016;^adjOR:3.450) and indicating anxiety due to school activities (p=0.017;^adjOR:3.236) increased the chances of poor sleep quality among working students. Satisfaction with health reduced the chances of poor sleep quality, regardless of exercising work activity (p=0.002;^adjOR:0.210) or not (p=0.008;^adjOR:0.215).

Conclusions:

students who performed work activities have worse sleep quality due to anxiety and the multiple activities to be reconciled with the study.

Descriptors:
Sleep; Sleep Deprivation; Students, Nursing; Education, Nursing, Associate; Work

Variables	Work activity				p value^* * Wald Chi-Square;
	No		Yes
	n	%	n	%
Sex
Female	74	40.7	108	59.3	0.048
Male	7	22.6	24	77.4
Age group
18 I-- 29 years old	60	46.9	68	53.1	0.001
30 I-- 53 years old	21	24.7	64	75.3
Marital status
Single or separate	47	39.2	73	60.8	0.697
Married	34	36.6	59	63.4
Children
No	51	44.3	64	55.7	0.039
Yes	30	30.6	68	69.4
Live with family
No	4	19.0	17	81.0	0.048
Yes	77	40.1	115	59.9
Monthly household income^ minimum wage value in 2020: R$1,045.00;
0.5 I-- 2 minimum wages	70	38.0	114	62.0	0.991
2 I-- 10 minimum wages	11	37.9	18	62.1
Physically active^* ***** activity more than 3x and ≥150 minutes/week.
No	68	39.3	105	60.7	0.420
Yes	13	32.5	27	67.5
Leisure
Few opportunities	66	34.6	125	65.4	0.002
Many opportunities	15	68.2	7	31.8
Money for needs
No	77	38.5	123	61.5	0.573
Yes	4	30.8	9	69.2
Satisfaction with health
Dissatisfaction	55	40.1	82	59.9	0.391
Satisfaction	26	34.2	50	65.8
Quality of life
Poor perception	29	34.5	55	65.5	0.394
Good perception	52	40.3	77	59.7
Use of study-related medication
No	44	36.7	76	63.3	0.642
Yes	37	39.8	56	60.2
Type of vocational course
Public	39	63.9	22	36.1	<0.001
Private	42	27.6	110	72.4
Semester attended
Penultimate	12	60.0	8	40.0	0.037
Last	69	35.8	124	64.2
Course shift
Day	16	41.0	23	59.0	0.671
Night shift	65	37.4	109	62.6
Relationship with most vocational course teachers
Good	71	36.4	124	63.6	0.115
Poor	10	55.6	8	44.4
Relationship with most students in the course
Good	63	39.1	98	60.9	0.558
Poor	18	34.6	34	65.4
Influence of rhythm and intensity of study on life
No influence	8	38.1	13	61.9	0.266
Positive influence	62	36.0	110	64.0
Negative influence	11	55.0	9	45.0
Satisfaction with studies
Dissatisfaction	21	36.8	36	63.2	0.829
Satisfaction	60	38.5	96	61.5
Difficulty reconciling personal life and studies
No	60	46.5	69	53.5	0.001
Yes	21	25.0	63	75.0
Interference of study demand on life
No	65	35.9	116	64.1	0.135
Yes	16	50.0	16	50.0
Pressure from the pedagogical team for good performance
No	69	37.3	116	62.7	0.575
Yes	12	42.9	16	57.1
Study-related anxiety
No	42	34.1	81	65.9	0.173
Yes	39	43.3	51	56.7

Variables	Descriptive measures
Variables	Mean	Standard Deviation	Median	Minimum - Maximum
Subjective sleep quality	1.68	0.06	2.00	0.00-3.00
Sleep latency	1.23	0.06	1.00	0.00-3.00
Sleep duration	1.18	0.08	1.00	0.00-3.00
Usual sleep efficiency	0.44	0.07	1.00	0.00-3.00
Sleep disorders	0.99	0.03	1.00	0.00-2.00
Use of sleeping medication	0.94	0.08	2.00	0.00-3.00
Daytime dysfunction	0.86	0.05	1.00	0.00-2.00
PSQI score	7.31	0.24	7.00	0.00-16.00
Sleep quality
Good	51(23.9)^* * n(%).
Poor	162(76.1)^* * n(%).

Multiple Models	p value	^unadjustedOdds ratio (95% confidence interval)	p value	^adjustedOdds ratio^* * adjusted for gender, age, owning more than one employment bond; (95% confidence interval)
No work activity^ Teste Hosmer-Lemeshow: 0,914; Nagelkerke R Square: 0,157;
Satisfaction with health	0.014	0.267(0.093-0.767)	0.008	0.215(0.069-0.671)
With work activity^* ***** Teste Hosmer-Lemeshow: 0,353; Nagelkerke R Square: 0,315.
Difficulty reconciling personal life and studies	0.017	3.417(1.246-9.370)	0.016	3.450(1.254-9.493)
Study-related anxiety	0.014	3.238(1.265-8.291)	0.017	3.236(1.233-8.494)
Satisfaction with health	0.001	0.206(0.081-0.529)	0.002	0.210(0.080-0.551)

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Kawanna Vidotti Amaral E-mail: kawannava@gmail.com