The Relationship between Nutritional Status, Sleep Duration, Stress Level with Blood Pressure of Nurse Night Shift in the Hospital: Cohort Study

Salmawati Salmawati,Sapja Anantanyu,Ari Probandari

doi:10.31344/ijhhs.v4i1.120

Abstract

Objective: Hypertension as a cardiovascular disease occurs due to an uncontrolled increase in blood pressure. Night shift nurses with more overweight, short sleep duration, and excessive stress levels are at risk of increase blood pressure. This study aims to analyze how the relationship between obesity, nutritional status, sleep duration and stress level influence the blood pressure of the night shift nurses.Materials and methods: The subjects in this study were night shift nurses in four hospitals. The dependent variable was blood pressure and the independent variables were nutritional status, sleep duration, and stress levels. This study was an observational analysis with a perspective cohort design in which the subjects were 312 night shift nurses. Nutritional status were identified from Body Mass Index (BMI) through anthropometric measurement, sleep duration by looking at average hours of sleep during the night service, stress levels through the Perceived Stress Scale (PSS-10) questionnaire. Blood pressure was measured using a mercury sphygmomanometer. Data were analyzed by Chi-square test and Logistic Regression.Results and Discussion: There was a significant relationship between nutritional status, sleep duration, and stress levels with blood pressure. The results of the multivariate analysis showed that the shift nurses with overweight (obesity) nutritional status are at a risk of having disorder 1.97 times, the shift nurses with sleep duration < 6 hours are at risk of having disorder 3.78 times and shift nurses with intermediate stress level at risk of having disorder 2.08 times with enhancement blood pressure.Conclusion: There is a relationship between nutritional status, sleep duration and stress level with blood pressure. Sleep duration mostly influences the blood pressure.International Journal of Human and Health Sciences Vol. 04 No. 01 January’20 Page : 55-59

Highlights

Overweight can cause an increase in cardiac output because the greater the
This study is in line with the studies of Harsha and Bray (2008) and Van et al (2011)15.16, that there is significant relationship between body weight with high blood pressure and there is a direct relationship between being obesity with prehypertension and hypertension
Overweight can cause an increase in cardiac output because the greater the body mass, the more the amount of blood that circulates so that cardiac output increases and it results in an increase in blood volume[7,19]

Summary

Introduction

Prevalence of hypertension throughout the world at the age of > 18 years is around 22.1%1. Nutritional status of overweight and obesity can increase degenerative diseases risk, and the workload of the heart in pumping blood so that hypertension occurs[6]. The benchmark of nutritional status of adults aged > 18 years called Body Mass Index (BMI) according to the standard definition of the Centers for Disease Control (CDC): less weight is less than 18.5 kg/ m2, Normal is 18.5–24.9 kg/m2, overweight is 25.0-29.9 kg/m2, and obesity is ≥ 30.0 kg/m2. Nutritional status, sleep duration, and stress level can affect health especially to metabolic diseases such as increased blood pressure. Materials and Method The subjects in this study were night shift nurses working in four hospitals in Bengkulu, Indonesia. The dependent variable was blood pressure and the independent variable was nutritional status, sleep duration, and stress level. Blood pressure was monitored every month for three months during night shift

Results

Discussion and Conclusion

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