Premenstrual Symptoms Risk Factors Among Newly Graduated Nurses in Shift Work: A Prospective Longitudinal Study
Iksoo Huh1, Smi Choi-Kwon1, Jison Ki2
1College of Nursing, Research Institute of Nursing Science, Seoul National University, Republic of Korea.
Asian Nursing Research
|November 4, 2024
Summary
Premenstrual symptoms (PMS) worsen in newly graduated nurses after starting shift work, persisting long-term. Interventions targeting sleep quality, fatigue, and depression are vital for this population.
Area of Science:
- Nursing Research
- Women's Health
- Occupational Health
Background:
- Premenstrual symptoms (PMS) are common in women of reproductive age.
- Newly graduated nurses face unique stressors like heavy workloads and shift work.
- These stressors can exacerbate physiological and psychological disturbances linked to PMS.
Purpose of the Study:
- To examine changes in PMS among newly graduated nurses during shift work.
- To identify risk factors associated with PMS in this cohort.
- To explore longitudinal relationships between PMS and risk factors using the Theory of Unpleasant Symptoms.
Main Methods:
- Secondary data analysis of a prospective longitudinal study.
- Three assessment points: pre-shift work, 6 months, and 18 months post-initiation.
- Included physiological, psychological, and situational factors as potential PMS correlates.
Main Results:
- PMS significantly worsened after 6 months of shift work, with effects persisting at 18 months.
- Age, poor sleep quality, and increased fatigue were associated with higher PMS severity.
- A notable interaction between time and depression influenced PMS levels.
Conclusions:
- Newly graduated nurses experience escalating PMS with shift work initiation.
- Improving sleep quality and reducing fatigue are critical interventions.
- Early assessment and intervention for depressive symptoms are necessary, especially with longer shift work duration.
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