Protecting Healthcare Workers' Health and Well-being: The Joint Effects of Sleep and Pain, and Moderations by Work Characteristics

保护医护人员的健康和福祉:睡眠和疼痛的共同影响以及工作特征的调节

基本信息

  • 批准号:
    10537330
  • 负责人:
  • 金额:
    $ 3.23万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-12-21 至 2024-12-20
  • 项目状态:
    已结题

项目摘要

PROJECT SUMMARY/ABSTRACT The relationship between sleep and pain is often described as a vicious cycle, such that poor sleep health and pain cause and exacerbate one another. There is evidence that sleep and pain share the same underlying mechanisms involving serotonin, dopamine, and norepinephrine pathways. While most research to date has focused on the individual effects of sleep or pain on health, the current study proposes to shift this paradigm to study the joint effects of poor sleep and pain among an at-risk group, healthcare workers (HCWs). HCWs are uniquely suited as the focus of this research question because apart from clinical populations (e.g., those with chronic pain or insomnia), HCWs are at greater risk of poorer sleep and pain compared to the general population. The COVID-19 pandemic has exacerbated HCWs' feelings of burden and burnout, as well as brought more attention to these timely issues of the health and well-being among HCWs. Earlier work has found that HCWs experience shorter sleep duration, poorer sleep quality, work-related pain, and the spontaneous onset of pain. There is evidence that sleep and pain have a bidirectional relationship. In Aim 1, the proposed study will examine the joint effects of poor sleep health and pain, and how this negative synergy affects physical, mental, and cognitive health and well-being. Given the ample research studying the moderating effects of work characteristics, Aim 2 will investigate whether job demands and resources moderate the relationship between the joint effects of sleep and pain on health outcomes. These aims will be examined cross-sectionally and over time using survey and micro-longitudinal data (collected daily over 8 days), respectively. In total, data from three separate datasets will be used (n=2,154 HCWs; 5,892 non-HCWs). The central hypothesis is that the joint effects of sleep and pain will be more prevalent among HCWs compared to non-HCWs, and that the joint effects will account for more variance than the single individual effects of sleep and pain. Greater pain reactivity to poor sleep will be associated with more chronic conditions, more negative affect and less positive affect, more depressive symptoms, and lower cognitive functioning. The second hypothesis is that greater job demands and fewer job resources will exacerbate the joint effects of poor sleep and pain. Findings may help inform future workplace interventions and policies to mitigate the harmful effects of poor sleep and pain among HCWs. The proposed training site and team are well equipped to provide the necessary resources to address these aims. Upon completing this project, the PI will acquire the theoretical and statistical knowledge to study the joint effects of sleep and pain among other at-risk groups like older adults. The study team will disseminate their findings by publishing peer-reviewed manuscripts, presenting at conferences, and contributing to the development of pilot interventions to mitigate the joint effects of sleep and pain for all.
项目摘要/摘要 睡眠和疼痛之间的关系通常被描述为恶性循环,这样睡眠健康状况不佳和 痛苦会导致并加剧彼此的痛苦。有证据表明,睡眠和疼痛有着相同的潜在原因 涉及5-羟色胺、多巴胺和去甲肾上腺素途径的机制。虽然到目前为止大多数研究都有 目前的研究着眼于睡眠或疼痛对健康的个体影响,建议将这一范式转变为 研究睡眠不良和疼痛对高危人群--医护人员(HCW)--的联合影响。卫生福利院是 独一无二地适合作为本研究问题的焦点,因为除了临床人群(例如,有 慢性疼痛或失眠),与普通人群相比,卫生工作者睡眠更差和疼痛的风险更大。 新冠肺炎疫情加剧了医务人员的负担感和倦怠感,并带来了更多 关注卫生工作者的健康和福祉这些及时的问题。早期的研究发现,医务工作者 睡眠时间较短,睡眠质量较差,与工作有关的疼痛,以及自发性疼痛。 有证据表明,睡眠和疼痛具有双向关系。在目标1中,拟议的研究将审查 睡眠健康差和疼痛的联合影响,以及这种负面协同作用如何影响身体、精神和 认知健康和幸福。鉴于对工作的调节作用的充分研究 特征,目标2将调查工作需求和资源之间的关系是否调节 睡眠和疼痛对健康结果的共同影响。我们将对这些目标进行全面审查。 时间分别使用调查和微观纵向数据(每天收集超过8天)。总体而言,来自三个国家的数据 将使用单独的数据集(n=2,154个卫生保健工人;5,892个非卫生保健工人)。中心假设是联合效应 与非卫生工作者相比,在卫生工作者中睡眠和疼痛的发生率将更高,而且这种共同影响将 与睡眠和疼痛的单一个体影响相比,差异更大。穷人的疼痛反应性更强 睡眠将与更多的慢性病、更多的负面情绪和更少的积极情绪、更多 抑郁症状和认知功能低下。第二个假设是,更大的工作需求和 较少的工作资源将加剧睡眠不佳和疼痛的联合影响。调查结果可能有助于为未来 工作场所干预措施和政策,以减轻卫生工作者睡眠不佳和疼痛的有害影响。这个 拟议的培训场地和团队具备充分的条件,能够提供必要的资源来实现这些目标。 在完成这个项目后,PI将获得理论和统计知识,以研究联合效应 睡眠和疼痛等其他高危人群,如老年人。研究小组将通过以下方式传播他们的研究结果 出版同行评议的手稿,在会议上发言,并为试点项目的发展作出贡献 减轻睡眠和疼痛对所有人的联合影响的干预措施。

项目成果

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