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The indirect effect of organizational justice on job performance and happiness through work engagement and burnout: a multilevel study. 组织公正通过工作投入和职业倦怠对工作绩效和幸福感的间接影响:一项多层次研究。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-22 DOI: 10.2486/indhealth.2025-0097
Andreas Tsounis

Organizational justice is an important organizational-level resource that may facilitate employees' motivation and personal development. The aim of the current study is to test the indirect effect of organizational justice on job performance and happiness through two key psychological states: work engagement and burnout. Based on Job Demands-Resources theory, it was hypothesized that the organizational justice would be positively associated with job performance and happiness via increased work engagement and decreased burnout. In the study participated 216 employees, nested in 62 organizations. Multilevel analyses with MLwiN software revealed that organizational justice related positively and indirectly to both job performance and happiness through higher levels of work engagement. Furthermore, justice also exerted positive indirect effects on performance and happiness through its negative association with burnout. These findings suggest that organizational justice may initiate a motivational process that can enhance both work-related outcomes and personal well-being, supporting performance at work and flourishing beyond workplace.

组织公平是促进员工激励和个人发展的重要组织资源。本研究的目的是通过两个关键的心理状态:工作投入和倦怠来检验组织公平感对工作绩效和幸福感的间接影响。基于工作需求-资源理论,我们假设组织公平感通过增加工作投入和减少职业倦怠与工作绩效和幸福感呈正相关。在这项研究中,来自62个组织的216名员工参与了研究。利用MLwiN软件进行的多层次分析表明,组织公平感通过较高的工作投入水平与工作绩效和幸福感之间存在正向和间接的关系。此外,公平感通过与职业倦怠负相关而对绩效和幸福感产生正向间接影响。这些发现表明,组织公正可能会启动一个激励过程,从而提高工作成果和个人幸福感,支持工作表现,并在工作场所之外蓬勃发展。
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引用次数: 0
Work-related health issues among pharmacists during the COVID-19 pandemic compared to pre-pandemic levels. 与大流行前相比,COVID-19大流行期间药剂师的工作相关健康问题。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-22 DOI: 10.2486/indhealth.2025-0091
Tomoko Suzuki, Shoko Satake, Yuko Yoshioka, Kouji Hamada, Shigeo Yamamura, Toru Sato, Shunya Ikeda

Pharmacists are at high risk of infection due to their direct contact with potentially infected patients and customers during the COVID-19 pandemic. This study aimed to examine whether increased health issues among pharmacists during the pandemic were associated with pandemic-related changes in their work environment. A total of 438 pharmacists from 28 prefectures completed a self-administered survey between September 2021 and January 2022. Health issues with significant increases among pharmacists during the COVID-19 pandemic included depression, anxiety or emotional disorders, insomnia, eye problems and skin disorders. The following work-related factors were significantly associated with these health issues: For depression, anxiety, or emotional disorders, key factors were fear of infection during medication explanations to customers or patients and fear of infection related to work in general. Insomnia was significantly associated with shift adjustments and fear of infection when fatigued. Eye problems were linked to remote medication counseling via telephone or online platforms, disinfection and cleaning tasks, and shift adjustments. No significant work-related factors were associated with skin disorders. This study identified specific work-related tasks associated with increased health issues, offering valuable insights into the occupational risks faced by pharmacists and informing preparedness for future pandemics.

由于药剂师在COVID-19大流行期间与潜在感染的患者和客户直接接触,因此感染风险很高。本研究旨在研究大流行期间药剂师健康问题的增加是否与他们工作环境的大流行相关变化有关。来自28个县的438名药剂师在2021年9月至2022年1月期间完成了一项自我调查。在2019冠状病毒病大流行期间,药剂师中出现显著增加的健康问题包括抑郁、焦虑或情绪障碍、失眠、眼疾和皮肤病。以下与工作相关的因素与这些健康问题显著相关:对于抑郁、焦虑或情绪障碍,关键因素是在向客户或患者解释药物时害怕感染,以及在一般情况下害怕与工作有关的感染。失眠与轮班调整和疲劳时对感染的恐惧显著相关。眼部问题与通过电话或在线平台进行的远程药物咨询、消毒和清洁任务以及轮班调整有关。没有明显的工作相关因素与皮肤疾病相关。这项研究确定了与日益增加的健康问题相关的具体工作任务,为药剂师面临的职业风险提供了有价值的见解,并为防范未来的流行病提供了信息。
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引用次数: 0
Associations between work style and sleep health indicators among Japanese workers: a comparison by chronotype. 日本工人的工作方式与睡眠健康指标之间的关系:时间类型的比较
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-08 DOI: 10.2486/indhealth.2025-0038
Makoto Kageyama, Bungo Uchino, Izumi Watai

Working from home (WFH) is considered beneficial for sleep and fatigue recovery; however, it may vary according to chronotype. In this study, we aimed to assess the relationship between work style, sleep, and health, focusing on different chronotypes. A total of 1,114 workers completed an anonymous online survey, and 587 adult workers were included in the study. Changes in sleep and health indicators were compared by chronotype between the periods when participants worked at the workplace (WAW) every day and WFH two days or more a week. During the WFH period, sleep duration was longer and insomnia level was lower for all chronotypes than that during the WAW period. Evening chronotypes had higher risks of insomnia, poor mental health, and poor fatigue recovery during WAW than did morning chronotypes. However, regarding mental health impairment, the relationship by chronotype disappeared during the WFH period. WFH two days or more a week may provide benefits with respect to sleep and fatigue recovery, regardless of chronotype, particularly for mental health of evening chronotype; however, evening chronotypes had lower level of sleep and health than did other chronotypes, regardless of work style.

在家工作(WFH)被认为有利于睡眠和疲劳恢复;然而,这可能会根据睡眠类型而有所不同。在这项研究中,我们旨在评估工作方式、睡眠和健康之间的关系,重点关注不同的睡眠类型。共有1114名员工完成了一项匿名在线调查,其中587名成年员工参与了这项研究。研究人员按时间类型比较了参与者每天在工作场所工作(WAW)和每周工作两天或更长时间的睡眠和健康指标的变化。在WFH期间,所有睡眠类型的睡眠时间都比WAW期间更长,失眠水平更低。与早起的人相比,晚上的人失眠、心理健康状况不佳和疲劳恢复的风险更高。然而,在精神健康损害方面,时间类型的关系在WFH期间消失。无论睡眠类型如何,每周2天或更多的WFH可能对睡眠和疲劳恢复有好处,特别是对夜间睡眠类型的心理健康;然而,无论工作方式如何,晚上作息的人的睡眠水平和健康状况都低于其他作息的人。
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引用次数: 0
Association of different factors with presenteeism in disaster responders after the Noto Peninsula Earthquake. 诺托半岛地震后不同因素与救灾人员出勤的关系。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-07 DOI: 10.2486/indhealth.2025-0052
Hanako Murayama, Yui Yumiya, Odgerel Chimed-Ochir, Ami Fukunaga, Tatsuhiro Nagata, Inn-Kynn Khaing, Seiichiro Tateishi, Yoshihisa Fujino, Nahoko Enokida, Koji Mori, Akihiro Taji, Noriyuki Shiroma, Yuki Takamura, Tatsuhiko Kubo

Victims of natural disasters require extensive medical, health, and welfare services. Disaster responders play a vital role in caring for victims but frequently face their own health problems. Responders may work despite physical or psychological distress (presenteeism), leading to many problems. We examined the association of activities and environmental factors with presenteeism in responders during the acute and subacute phases of recovery from the 2024 Noto Peninsula Earthquake (January 6 to March 31, 2024) using records from the Disaster Responder's Health Management version of J-SPEED. Presenteeism prevalence was 2.8% (acute phase: 3.5%; subacute phase: 2.1%). Unclear task and command (aOR=8.44, 95%CI: 5.49-13.00) and inability to take meals and breaks (aOR=8.92, 95%CI: 5.86-13.60) were associated with higher presenteeism odds. Support activities in the Health Emergency Operation Center (acute phase) and an unsafe work environment (subacute phase) were also significantly associated with presenteeism. The environmental determinants of presenteeism differed in the acute and subacute phases. However, potential confounding, including responder characteristics, could not be adjusted due to data limitations, so results should be interpreted cautiously. Nevertheless, improving the working conditions and implementing a comprehensive health management system for disaster responders, including pre-disaster training programs, may help mitigate their presenteeism.

自然灾害的受害者需要广泛的医疗、保健和福利服务。救灾人员在照顾受害者方面发挥着至关重要的作用,但他们经常面临自己的健康问题。反应者可能不顾身体或心理上的痛苦(出勤)而工作,从而导致许多问题。我们使用J-SPEED灾难响应者健康管理版本的记录,研究了2024年诺托半岛地震(2024年1月6日至3月31日)急性和亚急性恢复阶段响应者的活动和环境因素与出诊率的关系。出勤率为2.8%(急性期3.5%,亚急性期2.1%)。不清楚的任务和命令(aOR=8.44, 95%CI: 5.49-13.00)和不能吃饭和休息(aOR=8.92, 95%CI: 5.86-13.60)与较高的出勤率相关。卫生紧急行动中心的支助活动(急性阶段)和不安全的工作环境(亚急性阶段)也与出勤率显著相关。出勤的环境决定因素在急性期和亚急性期有所不同。然而,由于数据限制,包括应答者特征在内的潜在混淆因素无法调整,因此应谨慎解释结果。然而,改善工作条件和实施全面的健康管理系统,包括灾前培训计划,可能有助于减少他们的出勤率。
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引用次数: 0
Association of unmet healthcare needs with health-related productivity loss, work ability, and work engagement. 未满足的医疗保健需求与健康相关的生产力损失、工作能力和工作投入的关联。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-06 DOI: 10.2486/indhealth.2025-0064
Heejoo Ko, Seong-Sik Cho, Dong-Wook Lee, Jaesung Choi, Mo-Yeol Kang

This study examines the association of unmet healthcare needs (UHNs) with health-related productivity loss (HRPL), work ability, and work engagement among Korean workers. We analyzed 6,633 workers from two waves (August 2023 and September 2024) of the Korean Work, Sleep, and Health Study, a nationwide panel survey. UHNs were assessed based on self-reported experiences of forgoing necessary medical care. HRPL, work ability, and work engagement were measured using validated instruments. The generalized estimating equation models to repeated measurements applied to examine associations between UHNs and labor-related outcomes, adjusting for sociodemographic factors. Workers with UHNs had a 9.517 percentage point higher HRPL, 3.348-fold higher odds of poor work ability, and 1.506-fold higher odds of low work engagement compared with those without UHNs. Among causes of UHNs, financial constraints were associated with the largest increases in HRPL, poor work ability and low work engagement. These findings suggest that inadequate access to healthcare not only affects individual health but also has substantial implications for labor outcomes. Policy interventions to reduce UHNs, particularly for financially vulnerable workers, may improve both health and labor outcomes.

本研究探讨未满足的医疗保健需求(UHNs)与健康相关的生产力损失(HRPL)、工作能力和韩国工人的工作投入的关系。“韩国人的工作、睡眠、健康调查”是全国范围内的小组调查,从2023年8月到2024年9月,对6633名劳动者进行了分析。根据自我报告的放弃必要医疗护理的经历,对保健人员进行了评估。HRPL、工作能力和工作投入使用经过验证的仪器进行测量。在调整社会人口因素的情况下,将广义估计方程模型应用于重复测量,以检查uhn与劳动相关结果之间的关联。拥有超高净值的员工的HRPL比没有超高净值的员工高9.517个百分点,工作能力差的几率比没有超高净值的员工高3.348倍,工作投入低的几率比没有超高净值的员工高1.506倍。在造成unhn的原因中,经济拮据与HRPL增幅最大、工作能力差和工作敬业度低相关。这些发现表明,获得医疗保健的机会不足不仅影响个人健康,而且对劳动结果也有重大影响。采取政策干预措施,减少特别是经济上脆弱的工人的全民健康状况,可能会改善健康和劳动成果。
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引用次数: 0
Self-undermining behaviour in an occupational context: a scoping review. 职业背景下的自我破坏行为:范围审查。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-02 DOI: 10.2486/indhealth.2025-0046
Tiago Domingues, João Viseu, Marta Santos

The global work environment is changing quickly, often becoming unfavourable to employees. This scoping review aimed to synthesise the existing literature on self-undermining behaviours in the workplace, with a particular focus on their development as a concept and their application in occupational contexts. The method followed was the guidelines of the PRISMA extension for scoping reviews (PRISMA-ScR). A search was conducted using electronic databases (e.g., ScienceDirect, Scopus, EBSCOhost) and online platforms (e.g., ResearchGate). The list of references from the included studies was also assessed for any additional papers that could be relevant. The review's inclusion criteria were as follows: studies published in peer-reviewed journals only in English that explored self-undermining. Of the 60 papers identified, eight studies with 4046 participants were included; the majority followed a quantitative method and a cross-sectional design. Self-undermining was positively associated with burnout and job demands. Self-undermining mediated the relationship between several work-related factors and outcomes. The studies in this review had limitations, e.g., self-reported data. Strategies to monitor and reduce self-undermining may be a crucial intervention to prevent burnout. Organisations shall develop and implement different programs to reduce these behaviours among employees.

全球工作环境瞬息万变,往往对员工不利。本综述旨在综合现有的关于工作场所自我破坏行为的文献,特别关注其作为一个概念的发展及其在职业环境中的应用。所遵循的方法是PRISMA范围审查扩展指南(PRISMA- scr)。通过电子数据库(如ScienceDirect、Scopus、EBSCOhost)和在线平台(如ResearchGate)进行检索。纳入研究的参考文献列表也被评估是否有其他可能相关的论文。该综述的纳入标准如下:仅在同行评议的英文期刊上发表的探讨自我破坏的研究。在确定的60篇论文中,包括8项研究,共有4046名参与者;大多数采用定量方法和横断面设计。自我破坏与职业倦怠和工作需求呈正相关。自我破坏介导了几个工作相关因素与结果之间的关系。本综述中的研究存在局限性,例如,自我报告的数据。监控和减少自我破坏的策略可能是预防倦怠的关键干预措施。组织应制定和实施不同的方案来减少员工之间的这些行为。
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引用次数: 0
Integrating disaster risk management into occupational health services: a framework for technological hazard resilience in high-risk industries. 将灾害风险管理纳入职业保健服务:高风险行业技术灾害复原力框架。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-01 DOI: 10.2486/indhealth.2025-0068
Nursuhaili Mohd Amin, Hairul Nazmin Nasruddin, Alia Azmi

This paper proposes a novel conceptual framework that integrates Disaster Risk Management (DRM) into Occupational Health Services (OHS) to improve resilience against technological hazards in high-risk industrial sectors. Even though OHS is meant to safeguard the workplace, it lacks systematic management for disaster risks such as chemical spills, industrial fires and toxic releases. To address this gap, the proposed framework synthesizes two internationally recognized models: the WHO's Health Emergency and Disaster Risk Management (Health-EDRM) strategy and the Basic Occupational Health Services (BOHS) model. The integration is structured across three interconnected pillars: (1) Risk Governance and Policy Alignment, (2) Proactive Risk Assessment and Preparedness, and (3) Emergency Response and Resilience-Building. This approach extends the scope of OHS from traditional hazard control and compliance to proactive disaster resilience, offering a new theoretical and practical model tailored for vulnerable and complex industrial environments. In doing so, the framework supports Sustainable Development Goals (SDGs) by enhancing worker protection, business continuity and community-level sustainability. It also lays the foundation for future empirical research and offers actionable guidance for industry leaders and policymakers.

本文提出了一个新的概念框架,将灾害风险管理(DRM)整合到职业卫生服务(OHS)中,以提高高风险工业部门对技术危害的抵御能力。尽管职业健康安全旨在保护工作场所,但它缺乏对化学品泄漏、工业火灾和有毒物质释放等灾害风险的系统管理。为了弥补这一差距,拟议的框架综合了两种国际公认的模式:世卫组织的卫生突发事件和灾害风险管理(Health- edrm)战略和基本职业卫生服务(BOHS)模式。整合的结构跨越三个相互关联的支柱:(1)风险治理和政策协调,(2)主动风险评估和准备,以及(3)应急响应和复原力建设。这种方法将职业健康安全的范围从传统的危害控制和合规扩展到主动的灾难恢复能力,为脆弱和复杂的工业环境提供了一种新的理论和实践模型。在此过程中,该框架通过加强工人保护、业务连续性和社区层面的可持续性来支持可持续发展目标(sdg)。为未来的实证研究奠定了基础,并为行业领导者和决策者提供了可操作的指导。
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引用次数: 0
Workplace situations and alcohol consumption: a review of the literature. Rationale for the occupational physician. 工作环境与饮酒:文献综述。职业医生的基本原理。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-23 DOI: 10.2486/indhealth.2025-0123
Mathura Murugavel, Diane Godeau, Bénédicte Barbotin, Michel Lejoyeux, François Guillon, Aïcha El Khatib

The aim of this work is to identify occupational situations that are at risk and/or encourage alcohol use, whatever the type of consumption. This is a review of the literature in search of articles published between 1989 and August 2019, dealing with the effects of work situations on alcohol consumption. A qualitative analysis was conducted on the articles meeting the selection criteria, and the data were summarised based on the main risk factors identified. There is some evidence supporting work organisation as being at risk of alcohol consumption. This concerns mainly shift work and long-working hours, although the relation with drinking behaviours seems to be conflicting. Social relations and interactions within the workplace may induce (or be at risk of) alcohol consumption, particularly in the case of tolerant standards. The results regarding work stress are contradictory. Data regarding physical workload are scarce. Most studies addressed alcohol consumption as a public health issue, in the labour force, and not as an occupational health issue focused on work situations and conditions. Yet this knowledge may help the occupational physician to question the work environment, in order to prevent this risk on a collective technical level and on an individual case-by-case basis.

这项工作的目的是确定有风险的职业情况和/或鼓励使用酒精,无论哪种类型的消费。这是对1989年至2019年8月期间发表的关于工作环境对饮酒影响的文章的文献综述。对符合选择标准的文章进行定性分析,并根据确定的主要危险因素对数据进行总结。有一些证据表明,工作组织存在饮酒的风险。这主要涉及轮班工作和长时间工作,尽管它们与饮酒行为的关系似乎是相互矛盾的。工作场所内的社会关系和互动可能导致(或面临)饮酒的风险,特别是在容忍标准的情况下。关于工作压力的结果是矛盾的。关于物理工作负载的数据很少。大多数研究将饮酒视为劳动力中的公共卫生问题,而不是关注工作环境和条件的职业卫生问题。然而,这些知识可以帮助职业医生质疑工作环境,以便在集体技术水平和个人个案基础上预防这种风险。
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引用次数: 0
The relationship between employment status and mental health among adults of different groups in Taiwan: a study with artistic leisure as a moderator. 台湾不同族群成人就业状况与心理健康之关系:以艺术休闲为调节因子之研究。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-23 DOI: 10.2486/indhealth.2025-0079
Chieh-Jan Chen, Ching-Mei Hsieh, Sheryl Chen, Albert Chen

The relationship between the employment status and mental health is well established, yet the behavioural mechanisms underlying this association across age groups remain unclear. This study investigates whether artistic leisure moderates the association between employment status and mental health, measured with the 12-item Chinese Health Questionnaire (CHQ-12), using nationally representative survey data from Taiwanese adults aged 18 and above. Participants were categorised into three groups. Descriptive statistics summarised mental health prevalence, and χ2 tests assessed associations across age groups. Hierarchical multivariable logistic regression, adjusted for sociodemographic factors, religious affiliation, financial sufficiency, and physical health, was employed to examine the relationship. The prevalence of good mental health was highest among older adults (84.83%), followed by young (79.25%) and middle-aged adults (78.76%). Artistic leisure significantly moderated the association between employment and mental health in young adults, with those in employment who engaged in artistic activities reporting better outcomes (AOR=4.22, 95% CI: 1.98-8.96). No significant moderating association was found in the older age groups. These findings suggest that employment plays a critical role in the mental well-being of young adults, highlighting the importance of understanding the contexts and motivations behind their engagement in artistic leisure.

就业状况与心理健康之间的关系已经确立,但这种关联在各年龄组之间的行为机制尚不清楚。本研究以台湾18岁及以上成人为研究对象,采用12项华人健康问卷(CHQ-12),探讨艺术休闲是否能调节就业状况与心理健康之间的关系。参与者被分为三组。描述性统计总结了心理健康的流行情况,并用χ2检验评估了各年龄组之间的关联。采用分层多变量logistic回归,调整了社会人口因素、宗教信仰、财政充足性和身体健康,来检验两者之间的关系。心理健康状况良好的人群以老年人最高(84.83%),其次是年轻人(79.25%)和中年人(78.76%)。艺术休闲显著调节了年轻人就业与心理健康之间的关系,从事艺术活动的就业人员报告了更好的结果(AOR=4.22, 95% CI: 1.98-8.96)。在老年人群中没有发现显著的调节关联。这些发现表明,就业在年轻人的心理健康中起着至关重要的作用,强调了理解他们参与艺术休闲背后的背景和动机的重要性。
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引用次数: 0
Subjective and objective fatigue dynamics in air traffic control. 空中交通管制主客观疲劳动力学研究。
IF 1.6 4区 医学 Q3 ENVIRONMENTAL SCIENCES Pub Date : 2025-09-20 Epub Date: 2025-02-21 DOI: 10.2486/indhealth.2024-0206
Maximilian Peukert, Lea Claus, Lothar Meyer

Fatigue is a longstanding issue in air traffic control (ATC), closely associated with shift work and time-related factors. However, the dynamics of fatigue across morning, evening, and night shifts in an area control center (ACC) remain largely underexplored. This study examined sleep duration and fatigue progression across different shift types. Both objective (three-minute Psychomotor Vigilance Task, PVT-B) and subjective (Stanford Sleepiness Scale, SSS) measures were conducted at the beginning, middle, and end of each shift. Results indicated that pre-shift sleep duration was shortest before night shifts, likely increasing sleep pressure and reducing alertness during the window of circadian low (WOCL). Subjective fatigue remained stable throughout morning shifts but increased towards the end of evening shifts, reflecting circadian influences. Night shifts exhibited peak fatigue during the WOCL, driven primarily by circadian rhythms rather than task load. Objective measures revealed a mid-shift decline in performance, with only partial recovery in the latter half of night shifts. Compared to day shifts, night shifts resulted in significantly higher fatigue levels, underscoring the critical role of circadian rhythms in fatigue dynamics. These findings highlight the need for targeted fatigue mitigation strategies that address circadian vulnerabilities and irregular sleep patterns in ATC shift systems.

疲劳是空中交通管制(ATC)长期存在的问题,与轮班工作和时间相关因素密切相关。然而,在区域控制中心(ACC)的早、晚、夜班中,疲劳的动态仍未得到充分研究。这项研究调查了不同轮班类型的睡眠时间和疲劳程度。客观(三分钟精神运动警觉性任务,PVT-B)和主观(斯坦福嗜睡量表,SSS)测量分别在每班的开始、中间和结束时进行。结果表明,夜班前的睡眠时间最短,可能增加了睡眠压力,降低了昼夜节律低窗口(WOCL)的警觉性。主观疲劳在早班期间保持稳定,但在晚班结束时增加,反映了昼夜节律的影响。夜班在WOCL期间表现出最大的疲劳,主要是由昼夜节律而不是任务负荷驱动的。客观的测量显示,在轮班中期,表现下降,只有部分恢复在夜班后半段。与白班相比,夜班导致明显更高的疲劳水平,强调昼夜节律在疲劳动力学中的关键作用。这些发现强调需要有针对性的疲劳缓解策略,以解决空中交通管制轮班系统中的昼夜节律脆弱性和不规则睡眠模式。
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引用次数: 0
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