在ICU护士的班次安排变化之前和之后的睡眠和幸福感:使用可穿戴传感器的观察研究
Asami Ito-Masui1, Ryota Sakamoto2, Eiji Kawamoto3
1Advanced Emergency and Critical Care Center, Mie University Hospital, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.
Journal of occupational health
|September 19, 2025
概括
重症监护病房 (ICU) 护士过渡到12小时班次改善了睡眠质量和幸福感,特别是对于那些有夜间时间型的人来说. 这种轮班变化减少了睡眠碎片化和疲劳.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 护理研究 护理研究
背景情况:
- 医疗保健专业人员,特别是重症监护室 (ICU) 护士,由于工作时间要求苛刻,经常经历睡眠障碍.
- 预先存在的睡眠问题可能会因轮班工作而加剧,影响护士福祉和患者护理.
- 轮班安排的结构,例如8小时对12小时的轮班,可能会显著影响护士的适应和健康结果.
研究的目的:
- 评估从8小时到12小时班次过渡对ICU护士睡眠模式和幸福感的影响.
- 调查时间型如何影响ICU护士在不同班次工作的结果.
- 利用可穿戴传感器收集客观睡眠数据,进行主观调查以全面评估健康状况.
主要方法:
- 在大学医院ICU进行了一项观察性研究,持续了三年,比较了轮班安排变化前后的睡眠和幸福感.
- 符合条件的参与者包括轮班ICU护士,睡眠质量差 (匹兹堡睡眠质量指数得分>5).
- 护士们戴着可穿戴传感器,在8小时和12小时班次系统下,每天完成了5周的调查,使用线性混合模型和时间型分层分析分析数据.
主要成果:
- 80名护士完成了这项研究,在12小时班次组中观察到更长的班次间隔 (36.12 vs 26.78小时).
- 虽然总睡眠时间没有显著差异,但12小时轮班组的睡眠碎片较少,幸福感更高,压力和疲劳更低.
- 晚间时间表显示,从12小时班次获得更大的好处的趋势,包括更长的睡眠时间和改善的幸福感,尽管在统计学上并不显著.
结论:
- 过渡到12小时班次安排与减少睡眠碎片化和加强ICU护士的福祉有关.
- 个体时刻型,特别是晚间时刻型,可能会在护士如何适应和从12小时班次中获益方面发挥作用.
- 班次安排设计和考虑个体时间型是优化在重症监护机构适应轮班工作的关键因素.
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