Shiftwork impacts and adaptation among health care workers
Shiftwork impacts and adaptation among health care workers
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DOI：
10.1093/occmed/kqp015
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发表时间：
2009-05-01
影响因子：
5.1
通讯作者：
Ogoussan, Kisito
中科院分区：
文献类型：
--
作者：
Burch, James B.;Tom, Jasmine;Ogoussan, Kisito
卫生保健工作者的轮班工作对员工和病人的安全和健康都有影响。目的：描述卫生保健工作者与轮班工作相关的态度、行为、症状和应对策略，（标准轮班指数和压力管理指数）被用来确定预测轮班适应的因素。（n = 376，响应率25%）根据他们的工作时间表（白天，永久晚上，旋转白天加晚上，永久晚上或救济和组合轮班）分组。在对性别、年龄和婚姻状况进行调整后，将不定期轮班工人的生活方式、工作组织、睡眠中断、健康和压力管理指标与白班工人进行了比较。主成分分析和有序Logistic回归之间不规则的轮班工人，以确定预测因素的时间表adaptation.Results夜间和救济/结合轮班工人报告了更大的能力，以适应不规则的时间表和睡眠中断，但也更有可能报告工作相关的影响比白天的工人。长期夜班工人普遍报告说，他们的健康状况较差，缺勤率较高，工作满意度低于日工。与轮班工人的最佳工作表现或时间表满意度相关的因素包括充足的睡眠，晚上的昼夜节律偏好，年龄增加和组织满意度。减少工作表现或时间表不满与睡眠/清醒困难和健康状况不佳。结论本研究证实了以前的研究，并确定了因素，可以有针对性地发展更有效的轮班适应方案，在医疗保健设置（睡眠时间和持续时间，运动和最佳的健康和组织满意度）。
Background Shiftwork among health care workers impacts upon the safety and health of both employees and patients.Aims To characterize shiftwork-related attitudes, behaviours, symptoms and coping strategies among health care workers, two validated questionnaires (the Standard Shiftwork Index and the Pressure Management Indicator) were used to identify factors predicting shiftwork adaptation.Methods Participants (n = 376, response rate 25%) were grouped according to their work schedule (days, permanent evenings, rotating days plus evenings, permanent nights or relief and combined shifts). Indicators of lifestyle, work organization, sleep disruption, health and pressure management among workers on irregular shifts were compared with participants on day shifts, after adjustment for gender, age and marital status. Principal components analysis and ordinal logistic regression were used among irregular shiftworkers to identify factors predicting schedule adaptation.Results Night and relief/combined shiftworkers reported a greater ability to accommodate irregular schedules and disrupted sleep, but were also more likely to report work-related impacts than day workers. Permanent night workers generally reported poorer health, more absenteeism and less job satisfaction than day workers. Factors associated with optimal work performance or schedule contentment among shiftworkers included adequate sleep, evening circadian preference, increased age and organizational satisfaction. Reduced work performance or schedule discontent was associated with sleep/wake difficulties and poor health.Conclusions This study confirmed previous research and identified factors that can be targeted for the development of more effective shiftwork adaptation programmes in a health care setting (sleep timing and duration, exercise and optimal health and organizational satisfaction).