Association of Current Work and Sleep Situations with Excessive Daytime Sleepiness and Medical Incidents among Japanese Physicians
Association of Current Work and Sleep Situations with Excessive Daytime Sleepiness and Medical Incidents among Japanese Physicians
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DOI：
10.5664/jcsm.1322
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发表时间：
2011-01-01
影响因子：
4.3
通讯作者：
Ohida, Takashi
中科院分区：
文献类型：
--
作者：
Kaneita, Yoshitaka;Ohida, Takashi
目的：本研究的目的是澄清目前的工作和睡眠情况的医生在日本，并澄清这些情况和过度白天嗜睡以及医疗事件之间的关联。方法：自填式问卷调查，在2008年的日本医学会的成员进行。结果：从3，486名医生（男性2，298名，女性1，188名）中获得有效回答。男性平均睡眠时间为6小时36分钟，女性为6小时8分钟。由于睡眠不足而导致缺乏休息的患病率在男性中为30.4%，在女性中为36.6%;失眠的患病率分别为21.0%和18.1%; EDS的患病率为3.5%。对于报告睡眠时间短、由于睡眠剥夺而缺乏休息以及随叫随到/通宵工作频率高的医生，EDS的调整优势比较高。在过去一个月内经历过医疗事故的医生占参与者的19.0%。调整后的比值比为医疗事件是高的那些受到长时间的工作，高频率的随叫随到/通宵工作，缺乏休息，由于睡眠剥夺，和insomnia.Conclusion：为了促进最佳的健康管理的医生，以及确保医疗安全，重要的是要充分考虑医生的工作和睡眠情况。
Objective: The aim of the present study was to clarify the current work and sleep situations of physicians in Japan and to clarify the association between these situations and excessive daytime sleepiness as well as medical incidents.Methods: A self-administered questionnaire survey was conducted among the members of the Japan Medical Association in 2008. The randomly selected subjects comprised 3,000 male physicians and 1,500 female physicians.Results: Valid responses were obtained from 3,486 physicians (2,298 men and 1,188 women). Mean sleep duration was 6 h 36 min for men and 6 h 8 min for women. The prevalence of lack of rest due to sleep deprivation was 30.4% among men and 36.6% among women; the prevalence of insomnia was 21.0% and 18.1%, respectively; and the prevalence of EDS was 3.5%. The adjusted odds ratio for EDS was high for physicians who reported short sleep duration, lack of rest due to sleep deprivation, and a high frequency of on-call/overnight work. Physicians who had experienced a medical incident within the previous one month accounted for 19.0% of participants. The adjusted odds ratio for medical incidents was high for those subjected to long working hours, high frequency of on-call/overnight works, lack of rest due to sleep deprivation, and insomnia.Conclusion: In order to facilitate optimal health management for physicians as well as securing medical safety, it is important to fully consider the work and sleep situations of physicians.