在中国实习护士学生的夜班和睡眠
1School of Nursing and Rehabilitation, Shandong University, Jinan City, Shandong Province 250012, China.
Occupational medicine (Oxford, England)
|September 3, 2025
概括
护士实习的夜班起初会减轻疲劳, 但随着时间的增加, 失眠和嗜睡会加剧. 这会影响学生留在护士职业中.
科学领域:
- 护士教育
- 睡眠医学
- 职业健康问题
背景情况:
- 轮班工作引起的睡眠障碍是护理学生选择职业的重要因素.
- 关于夜班对护理实习生睡眠质量的具体影响的研究有限.
研究的目的:
- 调查夜班对护士实习生睡眠模式的影响.
- 确定夜班频率和睡眠质量之间的剂量反应关系.
主要方法:
- 对571名护士实习生进行长度研究,比较白天轮班工作 (DRS) 和夜间轮班工作 (NRS) 组.
- 使用混合效应模型的差异估计来分析实习前和后的睡眠数据.
- 使用通用添加模型来探索夜班频率和睡眠结果之间的剂量反应关系.
主要成果:
- 与DRS相比,夜班工作 (NRS) 与较低的疲劳/ 嗜睡相关.
- 观察到剂量与反应的关系:超过大约10个夜班与失眠和疲劳/ 嗜睡的增加相关.
- 失眠和疲劳/ 昏昏欲睡的情况随着夜班数量的增加而显著恶化.
结论:
- 虽然夜班最初可能会减少护理实习生的白天疲劳,但增加的暴露会导致睡眠质量明显恶化和失眠增加.
- 这些发现突显了夜班累积暴露对护理学生福祉和潜在的职业发展的不利影响.
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