医院护士的轮班工作、睡眠与因困倦导致的事故
Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses.
作者信息
Gold D R, Rogacz S, Bock N, Tosteson T D, Baum T M, Speizer F E, Czeisler C A
机构信息
Channing Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.
出版信息
Am J Public Health. 1992 Jul;82(7):1011-4. doi: 10.2105/ajph.82.7.1011.
Abstract
A hospital-based survey on shift work, sleep, and accidents was carried out among 635 Massachusetts nurses. In comparison to nurses who worked only day/evening shifts, rotators had more sleep/wake cycle disruption and nodded off more at work. Rotators had twice the odds of nodding off while driving to or from work and twice the odds of a reported accident or error related to sleepiness. Application of circadian principles to the design of hospital work schedules may result in improved health and safety for nurses and patients.
摘要
在635名马萨诸塞州护士中开展了一项基于医院的关于轮班工作、睡眠和事故的调查。与只上日班/晚班的护士相比，轮班护士的睡眠/清醒周期受到更大干扰，且在工作中更容易打瞌睡。轮班护士在上下班途中打瞌睡的几率是前者的两倍，报告的与困倦相关的事故或失误几率也是前者的两倍。将昼夜节律原则应用于医院工作时间表的设计可能会改善护士和患者的健康与安全。
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