Shift work disorder in nurses--assessment, prevalence and related health problems.

Shift work disorder in nurses--assessment, prevalence and related health problems.
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DOI:
10.1371/journal.pone.0033981
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发表时间:
2012
期刊:
影响因子:
3.7
通讯作者:
Bjorvatn B
Bjorvatn B
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Flo E;Pallesen S;Magerøy N;Moen BE;Grønli J;Hilde Nordhus I;Bjorvatn B

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本研究调查了护士轮班工作障碍症状的患病率,及其与个体、健康和工作变量的关系。我们调查了三种不同的轮班工作障碍评估程序,均基于现有的诊断标准,并采用基于症状的问题。以轮班工作障碍症状为因变量进行粗略Logistic回归分析和校正Logistic回归分析。参与者(n = 1968)报告了过去一年的年龄、性别、工作时间表、通勤时间、每周工作时间、家庭中的孩子、夜间数量和工作间隔少于11小时的轮班数量、使用强光疗法、褪黑素和安眠药的使用情况,并完成了卑尔根失眠量表、爱普沃斯嗜睡量表、全球睡眠评估问卷、日量表、修订后的昼夜节律类型问卷、性格韧性(坚韧)量表-修订后的疲劳量表、关于酒精和咖啡因消费的问题以及医院焦虑和抑郁量表。根据评估方法的不同,轮班工作障碍症状的患病率在32.4-37.6%之间,根据工作时间表的不同,轮班工作障碍症状的患病率在4.8-44.3%之间。研究发现,轮班工作障碍的症状与年龄、性别、昼夜节律类型、夜间工作、倒班间隔不到11小时的数量以及过去一年的工作夜数、失眠和焦虑有关。不同的评估程序产生了相似的结果(流行率和Logistic回归分析)。表明倒班工作障碍的症状的患病率很高。我们认为,本研究中使用的三个基于症状的问题充分评估了流行病学研究中的倒班工作障碍。
This study investigates the prevalence of symptoms of shift work disorder in a sample of nurses, and its association to individual, health and work variables. We investigated three different shift work disorder assessment procedures all based on current diagnostic criteria and employing symptom based questions. Crude and adjusted logistic regression analyses were performed with symptoms of shift work disorder as the dependent variable. Participants (n = 1968) reported age, gender, work schedule, commuting time, weekly work hours, children in household, number of nights and number of shifts separated by less than 11 hours worked the last year, use of bright light therapy, melatonin and sleep medication, and completed the Bergen Insomnia Scale, Epworth Sleepiness Scale, Global Sleep Assessment Questionnaire, Diurnal Scale, Revised Circadian Type Inventory, Dispositional Resilience (Hardiness) Scale – Revised, Fatigue Questionnaire, questions about alcohol and caffeine consumption, as well as the Hospital Anxiety and Depression Scale. Prevalence rates of symptoms of shift work disorder varied from 32.4–37.6% depending on the assessment method and from 4.8–44.3% depending on the work schedule. Associations were found between symptoms of shift work disorder and age, gender, circadian type, night work, number of shifts separated by less than 11 hours and number of nights worked the last year, insomnia and anxiety. The different assessment procedures yielded similar results (prevalence and logistic regression analyses). The prevalence of symptoms indicative of shift work disorder was high. We argue that three symptom-based questions used in the present study adequately assess shift work disorder in epidemiological studies.
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