Effects of napping on sleepiness and sleep-related performance deficits in night-shift workers: a systematic review.

Effects of napping on sleepiness and sleep-related performance deficits in night-shift workers: a systematic review.
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DOI:
10.1177/1099800413476571
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发表时间:
2014-04
影响因子:
2.5
通讯作者:
Redeker NS
Redeker NS
中科院分区:
医学4区
文献类型:
--
作者:
Ruggiero JS;Redeker NS

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夜班工人容易睡眠不足,昼夜节律失调,随后嗜睡和睡眠相关的表现缺陷。本叙述性系统评价的目的是批判性地回顾和综合关于夜间工作者在轮班时间内有计划地小睡后改善嗜睡和睡眠相关表现缺陷的科学文献,并为未来的研究和实践提出建议。我们使用Medline、PsychInfo、CINAHL、科克伦图书馆和健康与安全科学摘要数据库进行了文献检索,并纳入了英语准实验和实验研究,这些研究评估了在模拟或实际夜班期间小睡的影响。我们确定了13项相关研究,主要包括小样本和混合设计。大多数研究人员发现,尽管小睡后会立即出现短暂的睡眠惯性,但夜班小睡会减少困倦,改善与睡眠相关的表现。没有一项研究调查午睡对工作场所安全结果的影响。在更广泛的实施之前,需要对夜班小睡和直接安全性结果进行更大规模的随机临床试验。
Night-shift workers are prone to sleep deprivation, misalignment of circadian rhythms, and subsequent sleepiness and sleep-related performance deficits. The purpose of this narrative systematic review is to critically review and synthesize the scientific literature regarding improvements in sleepiness and sleep-related performance deficits following planned naps taken during work-shift hours by night workers and to recommend directions for future research and practice. We conducted a literature search using the Medline, PsychInfo, CINAHL, Cochrane Library, and Health and Safety Science Abstracts databases and included English-language quasi-experimental and experimental studies that evaluated the effects of a nighttime nap taken during a simulated or actual night-work shift. We identified 13 relevant studies, which consisted primarily of small samples and mixed designs. Most investigators found that, despite short periods of sleep inertia immediately following naps, night-shift napping led to decreased sleepiness and improved sleep-related performance. None of the studies examined the effects of naps on safety outcomes in the workplace. Larger-scale randomized clinical trials of night-shift napping and direct safety outcomes are needed prior to wider implementation.
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