调整轮班工作时间表以适应轮班工人的睡眠质量,睡眠时间和嗜睡程度
Gerben Hulsegge1, Pieter Coenen2, Gregg M Gascon3,4
1The Netherlands Organization for Applied Scientific Research, TNO, Leiden, Netherlands.
The Cochrane database of systematic reviews
|September 11, 2023
概括
调整轮班工作时间表可能会提高工人的警觉性和安全性. 限时16小时的班次持续时间可以增加睡眠时间并减少嗜睡,但其他时间表变化的证据尚不确定.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 人类因素工程 人类因素工程
背景情况:
- 轮班工作与睡眠不足,警觉性降低以及职业健康和安全受损有关.
- 调整班次安排是缓解这些不利结果的潜在策略.
研究的目的:
- 评估各种轮班安排调整对轮班工人睡眠质量,持续时间和嗜睡的影响.
主要方法:
- 随机对照试验 (RCT) 和非RCT的系统审查和元分析.
- 包括的研究评估了诸如转旋转方向/速度,转持续时间和休息时间等组件.
- 数据提取和偏差风险评估由两个审稿人独立进行.
主要成果:
- 前进和更快的轮班轮换显示了非常低的确定性证据,可以减少嗜睡,但可能会减少睡眠时间.
- 将每日轮班时间限制在16小时,表明睡眠时间增加的低确定性证据和睡眠减少的中度确定性证据.
- 其他适应,如班次持续时间的变化和工作周压缩,对睡眠或嗜睡没有显著影响,证据的确定性非常低.
结论:
- 前进/更快的旋转可能会减少嗜睡,但证据不确定.
- 16小时的班次限制似乎有利于睡眠时间和警觉性.
- 需要更多高质量的RCT来确认各种轮班安排调整的影响.
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