轮班工作障碍的行为治疗改善了轮班工作者的睡眠,嗜睡和心理健康:一个试点随机对照试验
Annie Vallières1,2,3, Alric Pappathomas1,2,3, Séverine de Billy Garnier1
1École de psychologie, Université Laval, Québec, Québec, Canada.
Journal of sleep research
|March 5, 2024
概括
轮班工作障碍 (BT-SWD) 的行为治疗显著改善了医护人员的白天失眠和睡眠时间. 这种疗法还增加了嗜睡,焦虑和抑郁水平,显示出持久的益处.
科学领域:
- 睡眠医学 睡眠医学
- 行为治疗是一种行为疗法.
- 职业健康 职业健康 职业健康
背景情况:
- 轮班工作障碍 (SWD) 显著影响医疗保健专业人员,导致失眠,嗜睡和精神健康问题.
- 现有的SWD治疗方法通常有效性有限,需要探索有针对性的行为干预措施.
- 夜班工作者面临着独特的挑战,因为昼夜节律的扰乱会影响白天和夜间的睡眠模式.
研究的目的:
- 在医疗保健群体中评估针对轮班工作障碍 (BT-SWD) 量身定制的行为治疗的有效性.
- 评估BT-SWD对夜班工作者的失眠严重程度,嗜睡和心理健康结果的影响.
- 通过后续评估来确定治疗效果的持久性.
主要方法:
- 一个随机对照试验的设计被采用了43个夜班工人被诊断为SWD.
- 参与者被随机分配到BT-SWD (包括睡眠限制,刺激控制,固定的黑暗睡眠周期) 或等待名单对照组.
- 数据收集涉及经过验证的问卷 (失眠,嗜睡,精神健康) 和睡眠日记,使用ANCOVA进行分析,采用治疗意图和每条协议方法.
主要成果:
- 与对照组相比,BT-SWD显著降低了白天失眠的严重程度,并增加了白天总睡眠时间 (大效果大小).
- 在BT-SWD组中,在治疗后观察到睡眠,焦虑和抑郁的改善.
- 这些对睡眠和心理健康的积极影响在后续评估中得到维持.
结论:
- 轮班工作障碍 (BT-SWD) 的行为治疗是改善医疗保健夜工睡眠质量和持续时间的有效干预措施.
- BT-SWD对心理健康有显著的益处,包括减少嗜睡,焦虑和抑郁.
- 这些发现支持将BT-SWD纳入临床实践,用于在职业健康环境中管理轮班工作障碍.
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