O076 Changes in Sleep and Perceived Health risk in early Career Paramedics

M Crowther, S Ferguson, R Adams, A Reynolds
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Abstract

Abstract Shift work is associated with increased chronic disease risk and suboptimal health behaviours. However, our understanding of the impact of shift work on health behaviours is impacted by a lack of longitudinal studies that examine health behaviours in shift workers relative to behaviours prior to shift work commencement. To address this limitation, we examined sleep changes and perceived health risk (i.e., individual’s perception of risk to their health) in intern paramedics during the first 12 months of shift work. The current study examined self-report sleep quality and duration in 21 interns (15 Female, 6 Male, aged 23.0 [20.0, 36.0]) from one Australian Ambulance service. Data were collected quarterly for a year (pre-shift work, and then 3, 6, 9 and 12 months post recruitment training). Linear mixed models, controlling for chronotype and baseline perceived health risk, showed that the first 12 months of shift work were associated with a significant decline in sleep quality (p=0.021) but no change in sleep duration (p=0.76). Linear mixed models also showed that perceived health risk significantly increased (p=0.036). Substantial between-subjects differences were observed, highlighting individual differences in response to shift work onset on sleep and perceived health risk. This study demonstrates that commencement of shift work is associated with a decline in sleep quality and increase in perceived health risk in early career paramedics. The considerable individual differences observed in this study highlight a need for larger studies with more participants, and a focus on personalised strategies for workers commencing shift work.
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职业生涯早期护理人员睡眠变化与感知健康风险
轮班工作与慢性疾病风险增加和次优健康行为有关。然而,我们对轮班工作对健康行为影响的理解受到缺乏纵向研究的影响,这些研究将轮班工人的健康行为与轮班工作开始前的行为进行对比。为了解决这一局限性,我们在轮班工作的前12个月检查了实习护理人员的睡眠变化和感知健康风险(即个人对健康风险的感知)。目前的研究调查了来自澳大利亚一家救护车服务机构的21名实习生(15名女性,6名男性,年龄23岁[20.0,36.0])的自我报告睡眠质量和持续时间。每季度收集一年的数据(轮班前的工作,然后是3、6、9和12个月的招聘培训)。控制时间类型和基线感知健康风险的线性混合模型显示,轮班工作的前12个月与睡眠质量显著下降有关(p=0.021),但睡眠时间没有变化(p=0.76)。线性混合模型也显示感知健康风险显著增加(p=0.036)。受试者之间存在显著差异,突出了轮班工作对睡眠和感知健康风险的反应的个体差异。本研究表明,轮班工作的开始与早期职业护理人员睡眠质量下降和感知健康风险增加有关。在这项研究中观察到的相当大的个体差异突出了对更多参与者的更大规模研究的需求,以及对开始轮班工作的工人的个性化策略的关注。
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