In this study we assessed the effect of bright light emitted by light box on circadian rhythm of body temperature, melatonin, fatigue, and sleepiness in nurses.
The subjects are selected randomly by random-number table, from shift worker nurses who are in fixed shift work, in Farabi Hospital. 44 healthy female nurses aging 20-40 will be chosen. The nurses will be divided into two groups of intervention and control. In the first stage, bright light will be emitted to the nurses in the intervention group by the light box, and bright light will not be emitted to the control group. 10,000 lux brightness range of light for thirty minutes after 4 hours from the beginning of the shift will be used.
In the next stage (one month later), we will emit bright light to the control group of first stage and vice versa (cross over). As the intervention is the emitting of the light, the blindness is not possible.
Main outcome measure, we will assess after intervention is changing procedure of circadian rhythm in two groups. Primary outcome measures are salivatory melatonin and body temperature and secondary outcome measures are fatigue and sleepiness.
Salivatory melatonin will be measured at 4:00 am and 4:00 pm next day. Body temperature, fatigue (Visual Analogue Scale) and, sleepiness (Karolinska Scale), will be measured every hour, during next 24 hours.