不同值班安排下医学生值班后的认知功能和满意度：一项前瞻性观察性试点研究
Post-call cognitive function and satisfaction in medical students on different call schedules: a prospective observational pilot study.
作者信息
Matthews Michelle L, Gross Patricia, Herbert William N P
机构信息
Department of Obstetrics and Gynecology, Carolinas Medical Center, Charlotte, NC 28232, USA.
出版信息
Am J Obstet Gynecol. 2006 Nov;195(5):1484-8. doi: 10.1016/j.ajog.2006.05.004. Epub 2006 Jun 21.
OBJECTIVE
The purpose of this study was to evaluate the effects of 2 different call schedules on post-call cognitive function and satisfaction.
STUDY DESIGN
This is a prospective observational pilot study of 20 third-year medical students. A computerized cognitive function test was administered to students with call every fourth night or a week of 12-hour "night float" shifts. Questionnaires were completed to assess satisfaction on different call schedules.
RESULTS
There was no significant difference in cognitive functioning scores for students on either call schedule. Responses on questionnaires indicate that night float allows students to feel more alert for clinical duties (P = .03).
CONCLUSION
There is no significant impact of sleep deprivation on cognitive scores; however, night float allows students to feel subjectively more alert for clinical duties.
目的
本研究旨在评估两种不同的值班安排对值班后认知功能和满意度的影响。
研究设计
这是一项针对20名三年级医学生的前瞻性观察性试点研究。对每四晚值班一次或进行一周12小时“夜间轮值”的学生进行了计算机化认知功能测试。完成问卷调查以评估对不同值班安排的满意度。
结果
两种值班安排的学生认知功能得分无显著差异。问卷调查的结果表明，夜间轮值让学生在临床工作中感觉更警觉（P = .03）。
结论
睡眠剥夺对认知得分没有显著影响；然而，夜间轮值让学生在主观上感觉在临床工作中更警觉。
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