Fatigue Clinical Trial
Official title:
Effects of Aerobic Exercise Training on Nurses' Sleep Quality, Fatigue, Attention and Cortisol Profile: A Randomized Controlled Trial
Shift work in nursing has been found to result in sleep disruption and sleep deprivation, and in sleepiness or fatigue at work. Slow reaction, insufficient attention and poor judgement often come with increased fatigue, which contributes to a high risk of accident and patient safety. Studies have shown that aerobic exercise is helpful in promoting high sleep quality. The study is conducted a prospective parallel randomized trial is performed to 60 nurses with low sleep quality. The subjects are randomly assigned to: (i) the experimental group, in which aerobic exercise training is given; (ii) the control group, in which the subjects kept their original lifestyles. The study aims to investigate the effects of aerobic exercise training on nurses' sleep quality, fatigue, attention and cortisol profile.
When work shifts and lifestyles change, the synchronous relationship between the body's
biological clock and the environment, i.e., circadian rhythms, is disrupted, resulting in
insufficient sleep and insomnia. Shift work in nursing has been found to result in sleep
disruption and sleep deprivation, and in sleepiness or fatigue at work. Slow reaction,
insufficient attention and poor judgement often come with increased fatigue, which
contributes to a high risk of accident and patient safety. Studies have shown that aerobic
exercise is helpful in promoting high sleep quality, whereas few researchers have argued over
how aerobic exercise training improves sleep quality in nurses. The study is conducted in two
stages. Previous stage, we conducted with a cross-sectional study design with convenience
sampled 200 participants to fill out the Chinese Pittsburgh Sleep Quality Index (CPSQI)
questionnaire for screen the low sleep quality (CPSQI > 5) participants. A total of 200
nurses were recruited, and 199 valid samples were collected, 108 participants were found to
have low sleep quality (CPSQI > 5). The study will adopt a prospective, longitudinal,
parallel-group comparative study, randomly sample from previously screen low sleep quality
participants, then random assign to experimental (aerobic exercise) and control (routine
activity) groups, and actigraphy sleep recording, saliva samples and attention data will be
collected.
The study aims to investigate the effects of aerobic exercise training on nurses' sleep
quality, fatigue, attention and cortisol profile. The findings of the study could provide
guidelines on improving nurses' fitness and sleep quality.
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