伊朗一家转诊医院工作人员的睡眠障碍和主要决定因素

Z. Fotokian, Reza Ebrahimi Rad, Masume Asghari Valujai
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摘要

导读:由于轮班工作及其相关的昼夜节律紊乱,医院工作人员睡眠障碍的患病率预计会很高。与睡眠障碍相关的复杂性、高患病率和健康影响非常重要。目的:本研究旨在评估医院工作人员睡眠障碍的患病率和主要决定因素。患者和方法:本横断面研究于2015年在伊朗Tonekabon市Shaheed Rajaei医院对200名护士长、护士、助产士、手术室技术人员、卫生保健提供者、所有部门的服务人员和医生进行。评估睡眠障碍的问卷采用全球睡眠评估问卷(GSAQ)、失眠严重程度指数(ISI)、匹兹堡睡眠质量指数(PSQI)和疲劳严重程度量表(FSS)四个量表体系。结果:根据采用问卷调查的方式评估,78%(78.6%的男性和77.8%的女性)存在与工作相关的睡眠障碍。关于轮班与睡眠障碍可能性的关系,结果显示,早晚轮班(100%)、早晚轮班(100%)或早晚轮班(100%)的员工睡眠障碍率显著高于夜班(100%)(P<0.001)。婚姻状况、工作经验和性别对睡眠质量没有影响。结论:大多数医院工作人员,尤其是实习护士和护士存在睡眠障碍。同时和多部门轮班导致员工更容易出现睡眠问题。
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Sleep disorders and main determinants among hospital staffs in a referral hospital in Iran
Introduction: The prevalence rate of sleep disorders among hospital staff is expected to high due to shift work and its related circadian cycle disturbance. Complexity, high prevalence, and health implications related to sleep disorders are of great importance. Objectives: The present study aimed to assess the prevalence and main determinants of sleep disorders among hospital staff. Patients and Methods: This cross-sectional study was performed on 200 head nurses, nurses, midwives, operating room technicians, health care providers, service staffs of all departments, and physicians at Shaheed Rajaei hospital in Tonekabon city, Iran in 2015. The questionnaire which assessed the sleep disturbances was sourced from four scaling systems of Global Sleep Assessment Questionnaire (GSAQ), insomnia severity index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Fatigue Severity Scale (FSS). Results: According to the assessment by the study adopted questionnaire, 78% (78.6% of males and 77.8% of females) suffered from work-related sleep disorders. Regarding association between work shifts and likelihood of sleep disorders, it was shown a significantly higher rate of sleep disturbances in the staffs with morning and evening shifts (100%), morning and night shifts (100%), or evening and night shifts (100%), simultaneously (P<0.001). Marital status, work experience, and gender could not affect sleep quality. Conclusion: Most of the hospital staff especially practical nurses and nurses suffered from sleep disturbances. Simultaneous and multi-sectional work shifts lead to higher likelihood of sleep problem among staffs.
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