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Musculoskeletal Discomfort/Sleep Disorder/Quality of Life among Hotel Room Attendants
repeated movement with work, such as washing dishes, sweeping, and hanging up clothes, which all increase the arm movements.
3.    The correlation between the work features and sleep disorder of room attendants
According to the sleep quality of the study objects, most of them have “difficulty getting to sleep” (54.2%), “sleep disruption” (45.5%) or “waking up early” (50.1%). It is found from the multiple regression analysis that the ones with monthly work hours >200 hours will have “difficulty getting to sleep”，which is 2.38 times that of the ones with monthly work hours <160 hours (95% CI= 1.09, 5.17,p<0.05) (Table 2). The factor that results in this phenomenon may be the accumulation of musculoskeletal discomfort [28], when the day time work hours are too long, the musculoskeletal system cannot be relieved from the rest, and the pain and tingling phenomenon will appear and further lead to difficulty getting to sleep.
It can be found from the work seniority that the ones with the seniority of 6>and< 11 years will have “sleep disruption” 2.05 times more than the ones with the seniority of <1 year (95% CI= 1.02, 4.14, /；<0.05) (Table 2). This may be because the ones with the seniority of 6>and<l 1 years have to face more social issues, and at the same time, they need to start to cultivate the next generation, and therefore, they have more pressure [29]. It may also be because of the lack of female hormones for the elderly, so having to go to the bathroom frequently leads to sleep disruption [30].
It is found from the crude odds ratio that along with the increasing monthly work hours, the “waking up early” condition has a significant increase trend in statistics (/3 =0.006, /?<0.05). The ones who rest during work are also have more difficulty “waking up early’，than the ones who do not rest (OR=0.61,95% CI= 0.40, 0.92,p<0.05).
In exploring the correlation between musculoskeletal discomfort and sleep disorder, age, gender, marital status, living arrangements, exercise habits, and smoking habits, etc. are controlled. The musculoskeletal discomfort parts that are found to have positive correlation with the “difficulty getting to sleep’，include: neck (OR=2.24), waist (OR=l.58), and ankles/feet (OR=l .96), which means the abovementioned musculoskeletal discomfort easily leads to difficulty getting to sleep. The musculoskeletal discomfort parts which have a negative correlation with sleep disorder are thighs (OR=0.45), which means the musculoskeletal discomfort of the thighs will reduce the occurrence of having “difficulty getting to sleep”. The possible factor may be because of standing, walking, or operating for a long period of time during work which has led to the fatigue of the thighs (Table 3).
However, the study statistics do not show any musculoskeletal discomfort parts that have a significant correlation with “sleep disruption”. The musculoskeletal discomfort part that has a significant positive correlation with “waking up early” is the neck (OR=2.01); and the part with a negative correlation is the upper arms (OR=0.49) (Table 3).
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