夜班工作对护士的昼夜心率节律的影响:使用霍尔特心电图,可以连续测量两周
Chieko Tan1, Kae Mineyama2, Hideyuki Shiotani1
1School of Health Sciences, Nursing, Kobe Tokiwa University, Japan.
Industrial health
|May 15, 2024
概括
夜班工作显著扰乱护士的昼夜心率节律,以较低的对应度和幅度表示. 这些影响可能会持续数天,需要注意恢复策略.
科学领域:
- 时间生物学 时间生物学
- 职业健康 职业健康 职业健康
- 心血管生理学心血管生理学
背景情况:
- 轮班工作在护理工作中很普遍.
- 昼夜节律的破坏可能会影响健康.
- 心率变化是昼夜功能的标志物.
研究的目的:
- 研究夜班工作对护士昼夜心率节律的影响.
- 使用客观措施量化干扰.
- 为了评估昼夜节律障碍的持续时间.
主要方法:
- 在11名护士中利用霍尔特心电图监测两周,使用两班制.
- 采用共弦周期回归分析来评估心率和心律参数.
- 在白天班和夜晚班之间比较昼夜节律指标.
主要成果:
- 与白天轮班相比,夜班工作显著降低了心率节律的一致率 (R2值) (0.40对0.66,p<0.001).
- 夜班与心率幅度显著降低和心率缩延迟有关.
- 昼夜节律的扰乱持续了夜班后至少两天,并未完全恢复对应度和振幅.
结论:
- 夜班工作明显扰乱了护士的昼夜心率节律.
- 干扰对节奏一致性和振幅的影响可能会在转班后产生持久的影响.
- 需要临床策略来缓解夜班后持续的昼夜节律障碍.
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