减轻快速回报的工作时间表对失眠,嗜睡和与工作有关的疲劳的影响:来自大规模集群随机对照试验的结果
Ingebjørg Louise Rockwell Djupedal1,2, Anette Harris1, Erling Svensen3
1Department of Psychosocial Science, University of Bergen, Bergen, Norway.
Sleep
|April 6, 2024
概括
减少医疗保健工作者的时间表中的快速回报改善了失眠和白天嗜睡. 这项研究强调了足够的每日休息,以改善福祉和减少疲劳.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 医疗保健管理的管理
背景情况:
- 轮班工作时间表,特别是那些经常"快速返回" (轮班间不到11小时) 的轮班工作时间表,在医疗保健中很常见.
- 这些时间表可能会对员工的幸福感产生负面影响,导致失眠,嗜睡和疲劳.
- 促进健康的工作时间表 (HeWoS) 研究调查了减轻这些影响的干预措施.
研究的目的:
- 评估改变工作时间表,减少"快速回报"对医疗保健工作者的失眠,白天嗜睡和疲劳的影响.
- 为了比较减轻快速回报的效果与维持通常轮班时间表的对照组.
主要方法:
- 一个集群随机对照试验在挪威大学医院进行,涉及66个单位.
- 轮班的医疗保健工作人员被分配到干预组 (减少快速返回) 或控制组 (通常快速返回) 六个月.
- 失眠 (伯根失眠量表),白天嗜睡 (爱普沃思嗜睡量表) 和疲劳是通过在基线和随访时使用验证的问卷来评估的.
主要成果:
- 干预组显著降低了快速回报率,从平均13.2降至6.7.
- 在干预组中,在失眠症状 (d = -0.13,p = .022) 和白天嗜睡 (d = -0.14,p = .013) 中观察到微小但具有统计学意义的改善.
- 没有发现对与工作相关的疲劳有显著影响.
结论:
- 减少医疗保健工作日程中的快速返回频率可以导致失眠和白天嗜睡的改善.
- 确保足够的每日休息时间对于医疗保健专业人员的健康和福祉至关重要.
- 进一步的研究可能会探索解决轮班工作人口中与工作有关的疲劳的策略.
相关概念视频
01:13Insufficient Sleep and Sleep Deprivation
141
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...
141
01:19Management of Insomnia
244
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...
244
02:07Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
01:27Insomnia
84
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...
84
01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
171
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...
171
01:24Sleep-Wake Cycles
1.3K
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:
1.3K