午睡的数量和质量,以减轻夜班长时间工作的护士的疲劳和嗜睡:一项前性观察性研究
Kazuhiro Watanabe1, Inaho Shishido2, Yoichi M Ito3
1Graduate School of Health Sciences, Hokkaido University, Kita 12, Nishi 5, Kita-Ku, Sapporo, Hokkaido, 060-0812, Japan.
Journal of physiological anthropology
|January 6, 2025
概括
护士可以通过优化午睡数量和质量来减轻夜班期间的疲劳. 目标是至少120分钟的时间在床上和70%的睡眠效率提高警觉性和减少嗜睡.
科学领域:
- 护理 护理 护理
- 睡眠科学 睡眠科学
- 职业健康 职业健康 职业健康
背景情况:
- 由于护士疲劳和昏昏欲睡,夜班工作对患者安全构成风险.
- 关于护士的小睡习惯及其对睡眠质量的影响,证据有限.
- 这项研究解决了了解护士夜班小睡模式的需要.
研究的目的:
- 探索护士们的夜班小睡的数量和质量.
- 为了确定与夜班有效小睡相关的因素.
- 为减轻护士疲劳和嗜睡提供基于证据的建议.
主要方法:
- 一个长达一个月的前性观察研究,涉及16小时夜班的32名护士.
- 使用可穿戴设备监测午睡,并根据床上时间 (TIB) 和睡眠效率 (SE) 分类为六组.
- 在每一个夜班期间,疲劳和嗜睡水平被评估了四次.
主要成果:
- 两种午睡条件 (TIB ≥120分钟与SE ≥70%,TIB>180分钟与SE ≥70%) 与其他条件相比,没有显著的差异在结束班次的疲劳和嗜睡.
- 睡眠反应性,睡眠前使用电子设备和预防性午睡与达到最佳午睡 (TIB ≥120分钟,SE ≥70%) 有关.
- 大多数护士 (81.2%) 每月工作四个夜班,分析了105个午睡班.
结论:
- 在夜班期间,护士应优先考虑足够的午睡时间和高睡眠效率.
- 建议至少在床上呆120分钟,睡眠效率达到70%,以减少轮班结束时的疲劳和嗜睡.
- 评估睡眠反应性,管理午睡前的屏幕时间,并利用预防性午睡可以提高午睡的有效性.
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