轮班工作,昼夜节律和认知功能在ICU护理中的关系.
Saeideh Moosavi1, Mehran Ghalenoei2, Mohammad Amerzadeh3
1Student Research Committee, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran.
BMC nursing
|March 27, 2025
概括
轮班工作扰乱了护士的昼夜节律,损害了注意力和记忆力等认知功能,特别是在夜班. 改善昼夜节律的稳定性可能会提高医疗机构的安全性和效率.
科学领域:
- 护理 护理 护理
- 时间生物学 时间生物学
- 认知神经科学 认知神经科学
背景情况:
- 护士经常工作24小时的班次,影响生理的昼夜节律.
- 轮班工作与降低黑激素和昼夜干扰有关.
- 认知功能对于患者护理至关重要,使其在轮班工作中的表现成为关键问题.
研究的目的:
- 研究昼夜节律障碍对重症监护室 (ICU) 护士认知表现的影响.
- 评估轮班工作如何影响护士的注意力和工作记忆.
主要方法:
- 36名ICU护士参加了伊朗卡兹温市的研究.
- 认知功能 (注意力,工作记忆) 用Stroop测试和韦克斯勒成人智力尺度进行评估.
- 使用描述性和混合效应模型分析数据,显著程度为p < 0.05.
主要成果:
- 大多数护士 (83.3%) 显示不灵活的昼夜节律.
- 包括注意力和工作记忆在内的认知表现在上午班期间最高.
- 增加昼夜节律的稳定性和幅度与减少的记忆时间和晚上和夜间班次的反应时间减慢相关.
结论:
- 循环节律障碍在晚上和夜班期间显著降低了护士的认知表现.
- 认知功能的这种下降可能会增加医疗错误的可能性.
- 节律的稳定性和振幅可以预测和减轻与医疗保健中轮班工作相关的风险.
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