影响军事紧急医疗人员睡眠的因素和寻求帮助的障碍:一个连续的探索混合方法研究
Joshua J Oliver1, David S Ediger2, Jillian F Phelps2
1Department of Emergency Medicine, Madigan Army Medical Center, 9040A Jackson Ave, Joint Base Lewis-McChord, WA 98431, United States of America; Department of Military and Emergency Medicine, Uniformed Services of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD 20814, United States of America.
紧急医疗人员因轮班工作而扎于睡眠卫生,导致睡眠质量差. 对寻求帮助和正常化睡眠不足的耻辱,阻碍了居民解决这些关键问题.
科学领域:
- 医学教育 医学教育
- 睡眠医学 睡眠医学
- 职业健康 职业健康 职业健康
背景情况:
- 紧急医疗 (EM) 住院医生面临着睡眠卫生方面的重大挑战,因为他们需要严格的轮班工作时间表.
- 这些挑战增加了他们睡眠障碍,错误和表现受损的风险.
- 军事居民也可能面临心理健康护理和睡眠药物使用的耻辱.
研究的目的:
- 调查睡眠质量,并确定EM居民在军事计划中寻求护理的障碍.
- 探索居民过度白天嗜睡的经历.
- 了解住院对睡眠模式和对睡眠干预措施的态度的影响.
主要方法:
- 一项混合方法研究,涉及对EM居民进行调查和半结构面试.
- 使用爱普沃思睡眠度量表 (ESS) 来评估白天的睡眠.
- 用现象学方法分析了采访,以确定新出现的主题.
主要成果:
- 很大一部分居民报告说,由于睡眠和清醒时间不一致,他们难以遵守睡眠卫生原则.
- 自从入住住院以来,住户的睡眠质量恶化,难以避免咖啡因,酒精和睡前大餐.
- 居民们的睡眠不良是正常的,人们认为使用处方睡眠药物是一种耻辱,减少了寻求帮助的行为.
结论:
- 住宿者经历了大量的睡眠障碍,并与睡眠卫生斗争,对他们的福祉和表现产生负面影响.
- 睡眠不足的正常化和睡眠辅助器周围的污名感受阻碍了居民寻求必要的专业帮助.
- 需要有针对性的干预措施来改善居民的睡眠卫生,鼓励寻求帮助,并减少与睡眠药物相关的耻辱感.
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