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A lot of employees in different professions are engaged in a shift program. In different jobs, depending on the type of work and the need for more staff, employees work in shifts and during unusual working hours (6 pm to 7 am) in a fixed or rotating manner [1]. Working at unusual hours disrupts the sleep-wake cycle (Circadian Rhythm) and has physiological and psychological consequences. In addition, work commitments and family commitments are in conflict. Women are particularly prone to work-home conflicts; because they have traditionally taken on more family responsibilities [2].
One of the psychological factors affecting sexual performance is stress and pressure from work shifts. Different work shifts affect a person's relationships in the family and the duties of the spouse and parents and sexual relations [23]. A person with different work shifts does not have a stable mental state and is irritable, and this can affect the normal process of his activity at home. After each work shift other than standard hours, a person has less time to be with his or her spouse, has less intimate contact with his or her spouse, s/he is tired and irritable, and has less time for sex. All of these factors affect sexual satisfaction and cause numerous sexual disorders, including premature ejaculation in men and decreased libido and anorgasmia in women [23]. Therefore, the purpose of this study was to compare the marital satisfaction, intimacy and sexual function in female married nurses with fixed and changing shiftwork in Abadan city government hospitals.
The research method has a descriptive comparative design. The statistical population of the study consisted of all the female married nurses of Abadan city government hospitals, which was about 400 people. A total of 140 people were selected by simple random sampling method, of which 57 people had fixed shiftwork and 83 people had changing shiftwork. The tools of the present study included Hudson’ Marital Satisfaction Questionnaire, Vaker and Thompson’ Intimacy Questionnaire, and Rosen et al.’s Sexual Function Questionnaire. Data were analyzed using MANOVA analysis and SPSS 24 (SPSS Inc., Chicago, IL., USA).
The results of data analysis showed that there was no significant difference in marital satisfaction (F=0.29, P<0.589), intimacy (F=0.13, P<0.724) and sexual function (F=0.07, P<0.795) between female married nurses with fixed and changing shiftwork (Tables 1-4).
Variables | Indexes | Descriptive indicators | ||||
Frequency | Frequency percentage | M | SD | |||
Work shift | Fixed | 57 | 40.7 | - | - | |
Changing | 83 | 59.3 | - | - | ||
Education | Associate degree | Fixed | 18 | 31.6 | - | - |
Changing | 26 | 31.3 | - | - | ||
The whole sample | 44 | 31.4 | - | - | ||
Bachelor | Fixed | 36 | 63.2 | - | - | |
Changing | 49 | 59.0 | - | - | ||
The whole sample | 85 | 60.7 | - | - | ||
Master | Fixed | 3 | 5.2 | - | - | |
Changing | 8 | 9.7 | - | - | ||
The whole sample | 11 | 7.9 | - | - | ||
Age | Fixed work shift | - | - | 33.33 | 6.36 | |
Changing work shift | - | - | 32.83 | 6.47 | ||
The whole sample | - | - | 33.03 | 6.41 | ||
Work history | Fixed work shift | - | - | 8.08 | 5.36 | |
Changing work shift | - | - | 8.01 | 5.34 | ||
The whole sample | - | - | 8.04 | 5.33 |
Variables | Fixed shift | Changing shift | The whole sample | |||
M | SD | M | SD | M | SD | |
Marital satisfaction | 126.89 | 28.68 | 129.55 | 28.41 | 128.46 | 28.44 |
Intimacy | 84.47 | 25.36 | 86.00 | 24.93 | 85.38 | 25.03 |
Sexual function | 56.84 | 10.09 | 56.37 | 10.73 | 56.56 | 10.44 |
Test | Value | F | Theory’s degree of freedom | Error’s degree of freedom | Level of significance |
Pillai's trace | 0.005 | 0.229 | 3 | 136 | 0.876 |
Wilks' lambda | 0.995 | 0.229 | 3 | 136 | 0.876 |
Hoteling’s trace | 0.005 | 0.229 | 3 | 136 | 0.876 |
Roy’s largest root | 0.005 | 0.229 | 3 | 136 | 0.876 |
Dependent variable | Source of effect | Total squares | Degree of freedom | Mean of squares | F | Level of significance | Effect size |
Marital Satisfaction |
Group | 238.12 | 1 | 238.12 | 0.29 | 0.589 | 0.002 |
Error | 112213.65 | 138 | 813.14 | ||||
Intimacy | Group | 78.73 | 1 | 78.73 | 0.13 | 0.724 | 0.001 |
Error | 86980.21 | 138 | 630.29 | ||||
Sexual function | Group | 7.47 | 1 | 7.47 | 0.07 | 0.795 | 0.001 |
Error | 15142.14 | 138 | 109.73 |
The results of this study showed that marital satisfaction was not significantly different between female nurses with fixed and changing work shifts. This finding was not consistent with the findings of Feyzi et al. [3], Mansouri et al. [4] and Heidari and Hosseinpour [2]; but it was consistent with the results of Besharat and Rafiezadeh [30].
The results of the present study showed that marital satisfaction was not significantly different between female nurses with fixed and changing work shifts. Explaining this finding, it can be said that due to the fact that the number of shift workers has increased in recent years and the number of shift workers is increasing, if people cannot adapt to new requirements and conditions in life, it will be impossible for them to continue living. Human society also causes changes in past behavioral and attitudinal patterns.
Also, the results showed that intimacy between female nurses with fixed and changing work shifts is not significantly different. This finding was not consistent with the results of Beirami and Movahedi [14] and Ariapooran and Raziani [15] and Deng et al. [16].
The results of the present study showed that the intimacy of couples among female nurses with fixed and variable work shifts is not significantly different. In explaining the lack of significant differences between female nurses and fixed and variable work shifts in terms of the level of intimacy of couples, we can mention the role of psychologists in the workplace of nurses. Currently, in most workplaces, in order to improve the mental health of employees, measures are taken such as providing counseling and psychological services; as a result, if employees and their families suffer from mental or marital problems, counselors and psychologists in the workplace will meet their needs.
Finally, the results of the present study showed that sexual function was not significantly different between female nurses with fixed and changing work shifts. This finding was not in line with the findings of Jadid Milani et al. [23]; but it was in line with the results of Besharat and Rafiezadeh [30]. In addition to being instinctive, sexual activities in human beings are very vital for them and over time, they have also brought with them religious, mystical and historical concepts.
Finally, we need to thank the esteemed management and staff of Imam Khomeini, Shahid Beheshti and Ayatollah Taleghani government hospitals in Abadan for helping us carry out this research.
The authors are grateful to all those who assisted in the writing of this article.
The authors declared no conflict of interest.
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