The impact of rotating work schedules, chronotype, and restless legs syndrome/Willis-Ekbom disease on sleep quality among female hospital nurses and midwives: A cross-sectional survey.
The impact of rotating work schedules, chronotype, and restless legs syndrome/Willis-Ekbom disease on sleep quality among female hospital nurses and midwives: A cross-sectional survey.
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轮换工作时间、睡眠时间型和不宁腿综合征/威利斯-埃克博姆病对医院女护士和助产士睡眠质量的影响：一项横断面调查。
DOI：
10.1016/j.ijnurstu.2019.04.013
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发表时间：
2019
影响因子：
8.1
通讯作者：
H. Kondo
中科院分区：
文献类型：
--
作者：
Sakura Uekata;Chiho Kato;Y. Nagaura;Hiromi Eto;H. Kondo
背景：在从事轮班工作的护士和助产士中，主观睡眠质量下降是很普遍的。目的探讨女性护理人员工作时间差异与主观睡眠质量的关系。设计采用横断面调查设计进行描述性和逻辑回归分析。数据收集时间为2016年12月至2017年9月。参与者从日本的五个区域核心医院招募。共有1253名护士和助产士被纳入最终分析。方法采用日本版匹兹堡睡眠质量指数评估主观睡眠质量。研究人员计算了工作日和非工作日的睡眠类型和社交时差。与不宁腿综合征/威利斯-艾伯姆病相关的症状使用日本版的剑桥-霍普金斯问卷短表13进行评估。虽然不符合不宁腿综合征/威利斯-艾伯姆病的标准，但有移动腿部冲动的参与者被归类为腿部运动不安。对睡眠质量差的Logistic回归分析进行了年龄、体重指数、吸烟、饮酒、月经状况、是否存在经前综合症以及是否有配偶等因素的调整。结果轮班、白班、轮班12.5小时夜班、轮班16小时夜班和三班轮班的睡眠不良率（匹兹堡睡眠质量指数评分≥6）分别为41.2%、51.1%、44.5%和60.4%。大约40%的三班倒工人难以入睡。倒班工人倾向于表现出晚睡型、睡眠阶段延迟和高社交时差。不宁腿综合征/Willis-Ekbom病的患病率为2.5%。下肢运动不宁。15.5%的参与者。三班制工作（与白班相比）、夜间睡眠类型（与早晨睡眠类型相比）和存在腿部运动不安（与无腿部运动不安）对睡眠不良者的调整优势比（95%置信区间）分别为2.20（1.47-3.30）、1.95（1.29-2.94）和1.66（1.15-2.39）。结论与工作时间无关，医院女护士和助产士的睡眠不良率较高。我们的研究结果表明，睡眠质量差受到三班轮换、夜间睡眠类型和腿部运动不安的影响。
BackgroundDecreases insubjective sleep quality are prevalent among nurses and midwives engaged in rotating shift work.ObjectivesThe present study aimed to examine the relationship between differences in work schedules and subjective sleep quality among female nursing staff.DesignA cross-sectional survey design was used for descriptive and logistic regression analyses. Data collection was conducted from December 2016 to September 2017.SettingsParticipants were recruited from five regional core hospitals in Japan.ParticipantsA total of 1253 nurses and midwives were included in the final analysis.MethodsSubjective sleep quality was assessed using the Japanese version of the Pittsburgh Sleep Quality Index. Chronotype and social jet lag were calculated for both work day and work-free day. Symptoms related to restless legs syndrome/Willis-Ekbom disease were assessed using the Japanese version of the Cambridge-Hopkins questionnaire short form 13. Participants with the urge to move their legs, though not fulfilling the restless legs syndrome/Willis-Ekbom disease criteria, were classified as having leg motor restlessness. Logistic regression analyses for poor sleep were adjusted for age, body mass index, smoking, drinking, menstruation status, the presence of premenstrual syndrome, and the presence of a spouse.ResultsRates of poor sleep (Pittsburgh Sleep Quality Index score ≥6) among those working, day shifts, rotating 12.5 hour night shifts, rotating 16 hour night shifts, and three-shift rotations were 41.2%, 51.1%, 44.5%, and 60.4%, respectively. Approximately 40% of three-shift rotation workers experienced difficulty initiating sleep. Shift workers tended to exhibit evening chronotype, delayed sleep phase, and high social jet lag. The prevalence of restless legs syndrome/Willis-Ekbom disease was 2.5%. Leg motor restlessness was observed in. 15.5% of participants. The adjusted odds ratios (95% confidence interval) of three-shift work (vs.day shift), evening chronotype (vs.morning chronotype), and the presence of leg motor restlessness (vs.no leg motor restlessness) for those with poor sleep were 2.20 (1.47–3.30), 1.95 (1.29–2.94), and 1.66 (1.15–2.39), respectively.ConclusionsRegardless of the working schedules, rates of poor sleep were high among female hospital nurses and midwives. Our findings suggest that poor sleep quality is influenced by three-shift rotation, the evening chronotype, and leg motor restlessness.
影响因子：
4.8
作者：
Vetter C;Chang SC;Devore EE;Rohrer F;Okereke OI;Schernhammer ES
通讯作者：
Schernhammer ES
影响因子：
5
作者：
Li, Yanping;Mirzaei, Fariba;Gao, Xiang
通讯作者：
Gao, Xiang