The Effect of Noise-Masking Earbuds (SleepBuds) on Reported Sleep Quality and Tension in Health Care Shift Workers: Prospective Single-Subject Design Study.
The Effect of Noise-Masking Earbuds (SleepBuds) on Reported Sleep Quality and Tension in Health Care Shift Workers: Prospective Single-Subject Design Study.
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DOI：
10.2196/28353
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发表时间：
2022-03-22
影响因子：
2.2
通讯作者：
Eyre AJ
中科院分区：
文献类型：
--
作者：
Duggan NM;Hasdianda MA;Baker O;Jambaulikar G;Goldsmith AJ;Condella A;Azizoddin D;Landry AI;Boyer EW;Eyre AJ
轮班工作与睡眠障碍有关，睡眠障碍会损害警觉性，增加患慢性身心健康疾病的风险。在卫生保健工作者中，轮班工作及其相关的睡眠不足会降低提供者的健康，并可能危及患者的护理。药物睡眠辅助剂或酒精等物质通常用于改善睡眠，对健康和福祉有不同的影响。我们测试了使用噪音掩蔽耳塞是否可以改善卫生保健轮班工作者的睡眠质量，嗜睡和压力水平，并增加夜班后的警觉性和反应时间。招募急诊内科住院医师进行前瞻性、单一受试者设计研究。完成了关于当前睡眠习惯的入学调查。在14天的时间里，参与者每天完成一次调查，报告睡眠辅助剂的使用情况，并使用8分制的李克特量表自我评估困倦感、紧张程度和昨晚的睡眠质量。夜班后，完成3分钟的心理警觉性测试（PVT），测量反应时间。在14天结束时，参与者被提供了噪音掩蔽耳塞，他们除了基线睡眠方案之外还使用了耳塞，因为他们需要在研究期间的剩余时间内睡眠。每日睡眠调查，夜间轮班后PVT和耳塞使用数据收集了额外的14天。线性混合效应回归模型被用来评估干预前后结果的变化，参与者作为他们自己的控制。总共招募了36名居民，其中26名在研究期间完成每日睡眠调查并至少使用一次耳塞的参与者被纳入最终分析。耳塞使用的中位天数为14天中的5天（IQR 2 - 9）。在居民报告使用耳塞的日子里，前几天晚上的睡眠质量提高了0.5分（P <0.001，95% CI 0.23 - 0.80），每日嗜睡减少0.6分（P <0.001，95% CI-0.90至-0.34），每日总紧张度降低0.6分（P <0.001，95% CI-0.81至-0.32）。这些影响在报告干预前睡眠评分低于平均水平的参与者中更为明显。非药物性噪声掩蔽干预措施（如耳塞）可改善医疗保健轮班工作者的日常嗜睡、紧张和感知睡眠质量。需要更大规模的研究来确定这种干预措施对其他轮班工人的夜班后警觉性，用户的长期身心健康以及患者结局的影响。
Shift work is associated with sleep disorders, which impair alertness and increase risk of chronic physical and mental health disease. In health care workers, shift work and its associated sleep loss decrease provider wellness and can compromise patient care. Pharmacological sleep aids or substances such as alcohol are often used to improve sleep with variable effects on health and well-being. We tested whether use of noise-masking earbuds can improve reported sleep quality, sleepiness, and stress level in health care shift workers, and increase alertness and reaction time post night shift. Emergency medicine resident physicians were recruited for a prospective, single-subject design study. Entrance surveys on current sleep habits were completed. For 14 days, participants completed daily surveys reporting sleep aid use and self-rated perceived sleepiness, tension level, and last nights’ sleep quality using an 8-point Likert scale. After overnight shifts, 3-minute psychomotor vigilance tests (PVT) measuring reaction time were completed. At the end of 14 days, participants were provided noise-masking earbuds, which they used in addition to their baseline sleep regimens as they were needed for sleep for the remainder of the study period. Daily sleep surveys, post–overnight shift PVT, and earbud use data were collected for an additional 14 days. A linear mixed effects regression model was used to assess changes in the pre- and postintervention outcomes with participants serving as their own controls. In total, 36 residents were recruited, of whom 26 participants who completed daily sleep surveys and used earbuds at least once during the study period were included in the final analysis. The median number of days of earbud use was 5 (IQR 2-9) days of the available 14 days. On days when residents reported earbud use, previous nights’ sleep quality increased by 0.5 points (P<.001, 95% CI 0.23-0.80), daily sleepiness decreased by 0.6 points (P<.001, 95% CI –0.90 to –0.34), and total daily tension decreased by 0.6 points (P<.001, 95% CI –0.81 to –0.32). These effects were more pronounced in participants who reported worse-than-average preintervention sleep scores. Nonpharmacological noise-masking interventions such as earbuds may improve daily sleepiness, tension, and perceived sleep quality in health care shift workers. Larger-scale studies are needed to determine this interventions’ effect on other populations of shift workers’ post–night shift alertness, users’ long-term physical and mental health, and patient outcomes.
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DOI：
10.15585/mmwr.mm6608a2
发表时间：
2017-03-03
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Shockey TM;Wheaton AG
通讯作者：
Wheaton AG
影响因子：
3.7
作者：
Di Milia L;Waage S;Pallesen S;Bjorvatn B
通讯作者：
Bjorvatn B
影响因子：
33.9
作者：
Liu, Yong;Wheaton, Anne G.;Croft, Janet B.
通讯作者：
Croft, Janet B.
影响因子：
25.8
作者：
Espie, Colin A.;Emsley, Richard;Luik, Annemarie I.
通讯作者：
Luik, Annemarie I.
DOI：
10.3233/wor-162376
发表时间：
2016-01-01
影响因子：
2.3
作者：
Sadeghniiat-Haghighi, Khosro;Bahrami, Hamid;Khajeh-Mehrizi, Ahmad
通讯作者：
Khajeh-Mehrizi, Ahmad