Nurses and Night Shifts: Poor Sleep Quality Exacerbates Psychomotor Performance.
Nurses and Night Shifts: Poor Sleep Quality Exacerbates Psychomotor Performance.
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DOI：
10.3389/fnins.2020.579938
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发表时间：
2020
影响因子：
4.3
通讯作者：
De Gennaro L
中科院分区：
文献类型：
--
作者：
Di Muzio M;Diella G;Di Simone E;Novelli L;Alfonsi V;Scarpelli S;Annarumma L;Salfi F;Pazzaglia M;Giannini AM;De Gennaro L
在欧洲，40% 的医疗保健员工从事轮班工作。夜班护士睡眠/觉醒节律的改变也与认知效率下降有关。在这项研究中，我们研究了大量轮班护士样本中夜班对精神运动表现、困倦和疲劳的影响，并评估了睡眠质量差、性别、年龄或工作年限是否会影响更好地适应轮班工作。 86 名 8 小时快速轮班的护士在三个轮班（早上/下午/晚上）结束时接受了困倦和疲倦评估。通过卡罗林斯卡嗜睡量表测量的困倦和通过疲劳症状量表测量的疲倦在夜班后更加明显。这些增加与夜班后精神运动警戒任务（PVT）注意力表现的降低相平行。虽然性别、年龄和工作年限不会影响夜班后的 PVT 表现，但较低的睡眠质量（匹兹堡睡眠质量，PSQI > 5）与表现下降相关。睡眠质量改变的高发生率表明护士和一般轮班工人面临睡眠质量差的风险。通过 PSQI 评估睡眠质量可以成为一种快速、廉价的工具，用于评估轮流夜班的医护人员或评估应对夜班工作表现不佳的护士。
In Europe, 40% of health-care employees are involved in shift work. The altered sleep/wake rhythm of night-shift nurses is also associated with deteriorated cognitive efficiency. In this study, we examine the effects of the night shift on psychomotor performance, sleepiness, and tiredness in a large sample of shift-working nurses and evaluated if poor sleep quality, sex, age, or years on the job could impact on a better adaptation to shift work. Eighty-six nurses with 8-h-rapidly-rotating-shifts were evaluated at the end of three shifts (morning/afternoon/night) for sleepiness and tiredness. Sleepiness, as measured by the Karolinska Sleepiness Scale, and tiredness, as measured by the Tiredness Symptoms Scale, were more pronounced after the night shift. These increases were paralleled by lower attentional performance on the psychomotor vigilance task (PVT) after the night shift. While sex, age, and years on the job did not affect PVT performance after the night shift, lower sleep quality (Pittsburgh Sleep Quality, PSQI > 5) was associated with decreased performance. The high prevalence of altered sleep quality showed that nurses, and shift workers in general, are at risk for a poor sleep quality. The evaluation of sleep quality through PSQI could represent a rapid, inexpensive tool to assess health-care workers assigned to rotating night shifts or to evaluate nurses who coped poorly with night-shift work.
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影响因子：
3.5
作者：
Folkard, Simon;Lombardi, David A.
通讯作者：
Lombardi, David A.
影响因子：
4.3
作者：
Huang, Li-Bi;Tsai, Mei-Chu;Hsu, Shih-Chieh
通讯作者：
Hsu, Shih-Chieh
影响因子：
6
作者：
Tempesta, Daniela;Cipolli, Carlo;Ferrara, Michele
通讯作者：
Ferrara, Michele
影响因子：
3.9
作者：
Di Muzio, Marco;Reda, Flaminia;De Gennaro, Luigi
通讯作者：
De Gennaro, Luigi
影响因子：
12.7
作者：
GOLD, DR;ROGACZ, S;CZEISLER, CA
通讯作者：
CZEISLER, CA