轮班工作对护士皮质醇水平的影响:系统性审查
1College of Nursing, Seoul National University, Seoul, Republic of Korea.
Psychology, health & medicine
|January 10, 2026
概括
轮班工作,尤其是固定夜班,会扰乱护士的皮质醇水平和昼夜节律. 这种不平衡凸显了医疗保健专业人员工作非传统时间的潜在健康风险.
科学领域:
- 职业健康 职业健康 职业健康
- 内分泌学 在内分泌学.
- 护理研究 护理研究
背景情况:
- 轮班工作对于持续的患者护理至关重要,但与不良健康结果有关.
- 皮质醇是一种压力激素,由昼夜节律调节,易受轮班工作的干扰.
研究的目的:
- 系统地审查不同类型的轮班工作与护士的皮质醇水平之间的联系.
- 确定轮班安排如何影响护士职业中的压力激素皮质醇和昼夜节律.
主要方法:
- 按照PRISMA指导方针进行系统审查,在PROSPERO注册的协议.
- 在七个数据库中进行文献搜索,查找2000年以后发表的研究.
- 使用ROBINS-I评估的偏差风险;由于异质性的叙事综合.
主要成果:
- 包括八项研究;与日班护士相比,夜班护士显示皮质醇升高和昼夜节律受损.
- 关于轮换班次安排的调查结果不一致.
- 报告指出,总体上存在偏见的高风险,主要是由于混因素和参与者选择.
结论:
- 轮班工作,特别是固定夜班,与护士的皮质醇失衡和昼夜失调有关.
- 未来的研究需要解决混变量以获得更准确的发现.
- 优化班次安排对于护士福利和劳动力的可持续性至关重要.
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