夜间和轮班工作以及护理人员医生诊断的睡眠障碍的发生率:一项前性队列研究
Tove Nilsson1, Abid Lashari1, Per Gustavsson1
1Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden; Centre for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.
International journal of nursing studies
|February 10, 2025
概括
密集的夜班工作,特别是频繁和连续的班次,显著增加了护理人员睡眠障碍的风险. 这凸显了需要在轮班工作研究中考虑客观的健康结果.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 流行病学 流行病学
背景情况:
- 轮班工作与睡眠问题有关,但关于暴露和结果的准确数据往往缺失.
- 护理人员是易受轮班工作相关健康问题的弱势群体.
研究的目的:
- 为了确定护理人员医生诊断的睡眠障碍的风险.
- 分析客观轮班工作数据与睡眠障碍发病率之间的关联.
主要方法:
- 前性队列研究,随访4.5年.
- 包括来自斯德哥尔摩地区的25639名医疗保健员工.
- 利用计算机化员工登记工作时间和门诊登记睡眠障碍诊断的登记.
主要成果:
- 频繁的夜班 (在6个月内超过66次) 增加了睡眠障碍的风险 (HR 1.77).
- 在夜班后频繁快速返回 (<28h) 几乎使风险增加了一倍 (HR 1.89).
- 在夜班频率和睡眠障碍风险 (p=0.0006) 之间观察到剂量反应关系.
结论:
- 密集的夜班工作,特别是频繁和连续的轮班,与护士医生诊断的睡眠障碍的风险更高有关.
- 这项研究强调了在轮班工作研究中客观健康结果评估的重要性.
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