Izmensko delo in telesna masa medicinskih sester : diplomsko delo

Bytyqi, Adisa (author), Milavec Kapun, Marija (mentor), Domajnko, Barbara (reviewer)

Uvod: Zdravstveni delavci izvajajo izmensko delo, s katerim zagotavljajo 24-urne storitve pacientom. Med zdravstvene delavce spadajo tudi medicinske sestre, ki zagotavljajo neprekinjeno zdravstveno nego hospitaliziranim pacientom. Izmensko delo moti cirkadiani ritem, kar vpliva na kakovost spanja, na različne hormone in presnovne procese. Namen: Namen diplomskega dela je s pomočjo pregleda literature ugotoviti povezavo med izmenskim delom medicinskih sester in njihovo telesno maso ter poiskati intervencije, s katerimi lahko blažijo negativni vpliv izmenskega dela na povečanje telesne mase. Metode dela: Narejen je bil pregled tujih – angleških znanstvenih in strokovnih člankov. Literaturo smo iskali prek spletnega portala digitalne knjižnice Univerze v Ljubljani (DiKUL) v naslednjih podatkovnih bazah: CINAHL in MEDLINE. Rezultati: Ugotovitve so bile v podporo dokazom, da je delo v nočni izmeni dejavnik tveganja za debelost, da prekratek čas spanja vpliva na pridobivanje telesne mase in s tem povišan indeks telesne mase. Ugotovili so tudi povezavo med kakovostjo spanja in indeksom telesne mase. Dokazali so, da je ena sama noč motenega spanca vplivala na porabo energije in povečala metabolizem, ki je spodbujal pogosto prehranjevanje in povečano poseganje po prigrizkih visoko kalorične hrane. To kaže na metabolična neravnovesja, ki vodijo k povečanju telesne mase. Razprava in zaključek: Povečanje telesne mase povzročajo nezdrava hrana, prekomerna odvisnost od hrane, odpornost na inzulin, nekatera zdravila, odpornost na leptin, genetska nagnjenost in hormonsko neravnovesje, k temu prispevajo tudi naši vzorci spanja in prehranjevalne navade pozno zvečer. Intervencije za zmanjševanje telesne mase bi morale temeljiti na skupinskem pristopu, saj so tako medicinske sestre bolj motivirane za dosego ciljev in so v oporo ena drugi. Ukrepe bi morala sprejeti vodstva bolnišnic ali celo na nacionalni ravni, saj so medicinske sestre pomembna delovna sila v bolnišnicah, kjer bi morale imeti omogočene najboljše pogoje za delo.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, indeks telesne mase, nočno delo, debelost, kronične bolezni
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Bytyqi]
• Year: 2021
• Number of pages: 27 str.
• PID: 20.500.12556/RUL-133766
• UDC: 616-083
• COBISS.SI-ID: 89545475
• Publication date in RUL: 15.12.2021

BYTYQI, Adisa, 2021, Izmensko delo in telesna masa medicinskih sester : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : A. Bytyqi. [Accessed 8 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=133766

Secondary language

• Language: English
• Title: Shift work and body weight among nurses : diploma work

Abstract

Introduction: Healthcare workers, including nurses, carry out shift work to provide patients with 24-hour services. Nurses provide continuous nursing care to hospitalised patients. However, shift work disrupts circadian rhythm, which has an effect on the quality of sleep, different hormones as well as metabolic processes. Purpose: The aim of this paper is to conduct a literature review in order to determine the connection between shift work among nurses and their body weight as well as interventions nurses could carry out to alleviate the impact of shift work on their body weight. Methods: An review of foreign (English) scientific and professional articles was conducted. The literature was searched on the Digital Library of the University of Ljubljana web portal (DiKUL) and the CINAHL and MEDLINE databases. Results: Our findings support the claims that night shift work is a risk factor for obesity and that insufficient amount of sleep results in increased weight gain and, consequently, in a higher body mass index. A connection between the quality of sleep and body mass index was determined. It was also found that only one night of disrupted sleep has an effect on energy consumption and increased metabolism, which encourages nurses to eat more frequently and have snacks with high calorific values. This results in metabolic disorders, leading to weight gain. Discussion and conclusion: Weight gain is caused by unhealthy food, excessive food dependency, resistance to insulin, some medicine, resistance to leptin, genetical predisposition and hormonal imbalance, and everything is influenced by our sleep patterns and night-time eating habits. Weight loss interventions should be carried out in a group, as in this way nurses are more motivated to achieve their goals and are able to provide support to one another. Such measures should be adopted by hospital management or even by the government, as nurses are a very important workforce in hospitals, where they should be provided with optimal working conditions.

• Keywords: diploma theses, nursing care, body mass index, night shift, obesity, chronic diseases