轮班夜班工人的睡眠干预措施的有效性:系统性审查和元分析
Bo Min Jeon1, Su Hyun Kim2, Seung Hwa Shin3
1College of Nursing, Kyungpook National University, Daegu, Republic of Korea.
Frontiers in public health
|July 10, 2023
概括
药物和非药物睡眠干预措施有效地管理轮班夜班工人睡眠障碍. 本综述强调了改善这一群体睡眠健康的各种策略.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 基于证据的实践.
背景情况:
- 轮流的夜班工作经常导致睡眠障碍.
- 这些睡眠问题与严重的健康风险有关.
- 有效的管理策略对于工人福祉至关重要.
研究的目的:
- 评估药理和非药理干预措施的有效性.
- 为解决轮班夜班工人睡眠障碍的问题.
- 通过系统审查和元分析来综合当前的证据.
主要方法:
- 随机对照试验和临床试验 (1990-2022) 的系统审查和元分析.
- 搜索了六个主要的电子数据库.
- 使用乔安娜·布里格斯研究所批判性评估清单评估研究质量.
- 使用随机效应模型进行了元分析.
主要成果:
- 30项研究符合纳入标准;25项被纳入元分析.
- 干预措施包括药物,光疗,认知行为,替代疗法和班次安排修改.
- 总体中度效果大小 (Hedges' g = 0.59) 表示有效性.
结论:
- 睡眠干预措施对改善睡眠和减少轮班夜班工人的干扰是有效的.
- 提供证据支持管理睡眠健康的各种策略.
- 强调在职业环境中定制干预措施的重要性.
相关概念视频
Management of Insomnia
281
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
281
Insufficient Sleep and Sleep Deprivation
176
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
176
Substance Use Disorders Affecting Sleep
198
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
198
Insomnia
110
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
110
Sleep-Wake Cycles
1.4K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.4K
Sedatives and Hypnotics Drugs: Miscellaneous Agents
203
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
203


