轮班工作对睡眠质量和护士心率波动的昼夜模式的影响
Aprajita Panwar1, Rahul K Bagla2, Mamta Mohan3
1Department of Physiology, GIMS, Greater Noida, Uttar Pradesh, India.
Journal of family medicine and primary care
|September 4, 2024
概括
护士的夜班工作会扰乱睡眠质量和心脏自主功能,这是心率变化 (HRV) 降低和压力增加所表明的. 这种自主失衡可能会增加夜班护士的心血管风险.
科学领域:
- 护理 护理 护理
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 职业健康 职业健康 职业健康
背景情况:
- 持续的病人护理需要医院轮班工作,这可能会扰乱护士的昼夜节律和睡眠-觉醒周期.
- 常规轮班工作,特别是夜班,可能导致心理生理应变,并影响女性护士的工作表现.
- 轮班工作的压力会影响心血管系统的适应能力.
研究的目的:
- 调查早上和夜班对女性医院护士的睡眠质量和昼夜模式的影响.
- 评估心率变化 (HRV) 作为心脏自主功能的标志物,与轮班工作时间表相关.
- 在不同班组中使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠质量.
主要方法:
- 38名健康的女性护士参与了这项研究.
- 记录了心率变化 (HRV) 参数 (频率和时间域),以评估自主功能.
- 用学生的t测试和曼·惠特尼U测试来比较早班和夜班护士之间的HRV和PSQI得分.
主要成果:
- 与早班护士相比,夜班护士在正常到正常间隔 (SDNN),总功率和高频 (HF) 频段功率方面的标准偏差显著减少.
- 低频 (LF) /高频比率在夜班工作者中显著增加,这表明自主失衡.
- 夜班护士报告全球匹兹堡睡眠质量指数 (PSQI) 得分明显更高,表明睡眠质量较差.
结论:
- 夜班工作与女性护士的心脏自主调节受损和睡眠质量较差有关.
- 在夜班工作者中观察到的自主性失衡可能会增加他们患心血管问题的风险.
- 研究结果强调,需要制定策略来减轻轮班工作对护士的不良健康影响.
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