减少轮班工作对护理人员不利影响的指导方针:系统审查
Alessio Danilo Inchingolo1, Angelo Michele Inchingolo1,2, Maria Celeste Fatone3
1Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Healthcare (Basel, Switzerland)
|September 13, 2025
概括
轮班工作对护士的健康和患者的安全有负面影响. 有针对性的干预措施,如优化时间安排,照明疗法和小睡,可以减轻轮班工作相关疾病 (SWD) 并改善福祉.
科学领域:
- 职业健康 职业健康 职业健康
- 护理研究 护理研究
- 循环节生物学 循环节生物学
背景情况:
- 医院环境越来越需要24小时轮班工作,扰乱护士的昼夜节律.
- 轮班工作 (SW) 负面影响护士的心理健康,生活质量和患者安全.
- 这些干扰可能导致轮班工作相关疾病 (SWDs).
研究的目的:
- 系统地审查干预措施,以减轻护士的轮班工作相关疾病 (SWDs).
- 评估医疗,心理治疗和教育策略的有效性.
- 确定在轮班工作条件下改善护士健康和福祉的策略.
主要方法:
- 对2015年1月至2025年3月期间发表的研究进行系统审查.
- 搜索的数据库包括PubMed,Embase,科学网络和Cochrane.
- 包括43篇文章,分析了轮班工人的干预措施.
主要成果:
- 优化的班次规划改善了睡眠质量 (15-40%).
- 战略性小睡可以减少疲劳 (20-35%).
- 光疗,体育活动,放松和食时间干预措施对幸福感和症状减轻产生了积极影响.
结论:
- 有针对性的干预措施可以有效地缓解轮班工作相关疾病 (SWDs).
- 限制包括小样本大小和研究异质性;需要进一步研究.
- 优化的班次安排,光疗和结构化的午睡显示出长期有效性的承诺.
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