Ribeiro-Silva Flaviany, Rotenberg Lucia, Soares Renata Elisa, Pessanha Joseane, Ferreira Flavia Leticia, Oliveira Paula, Silva-Costa Aline, Benedito-Silva Ana Amelia
Laboratory of Health and Environment Education, Department of Biology, Oswaldo Cruz Institute, Fiocruz, Rio de Janeiro, Brazil.
Chronobiol Int. 2006;23(6):1389-99. doi: 10.1080/07420520601091931.
Nursing personnel in Brazil are usually submitted to fixed 12 h shifts with no consecutive working days or nights. Moonlighting is common in this group, with a consequent increase in the number of working hours. The possibility of sleeping on the job during the night shift in the studied hospitals had already been described. The present study aims to analyze whether the time devoted to daily activities (sleep, rest, leisure, housework, commuting, personal needs, care of children or other people, non-paid work, and study) is related to the number of worked hours and to nap-taking during the night shift. The field study took place at two public hospitals in Rio de Janeiro, Brazil. Workers filled out a structured form on time devoted to the above-mentioned activities for at least four consecutive days. The time devoted to sleep was analyzed according to its occurrence at home or on the job. Workers were classified according to the number of jobs (one job/two jobs) and the time dedicated to work according to the median of the whole series (below the median/above the median). All workers who had at least one working night were analyzed as to nap-taking on the job. They were classified according to the sleep occurrence during the night shift-the sleep group and the non-sleep group, both of which were compared to daytime workers. Statistical treatment of data included non-parametrical procedures. The study group comprised 144 workers (mean age: 35.7+/-10.5 years old; 91% women; 78% nurse assistants, the remainder registered nurses). They recorded their daily activities for 4-11 days; 829 cumulative days were analyzed for the whole group. A total of 165 working nights were analyzed; sleep or rest occurred during 112 (68%) of them, with mean sleep/rest duration of 141+/-86 min. Time devoted to sleep and leisure varied according to the number of working hours, being significantly reduced in those submitted to longer work hours (p < 0.001 and p = 0.002, respectively). Results close to significance point to a reduction in the time dedicated to housework among workers with long work hours (p = 0.053). The time spent on sleep/rest per working night did not differ according to the number of worked hours (p = 0.490). A tendency was observed for those who have two jobs to devote more time to sleep/rest on the job (p = 0.058). The time of personal needs was significantly lower among those who did not sleep on the job as compared to day workers (p = 0.036). The total sleep time was significantly lower among those who did not sleep on the job, as compared to day workers and to those who slept on the job (p = 0.004 and p = 0.05, respectively). As to home sleep length, workers who slept and those who did not sleep on the job were similar and slept significantly less than exclusively daytime workers (p < 0.001 and p = 0.002, respectively). Sleeping on the job during the night shift seems to partially compensate for the shorter sleep at home among night workers and may play a beneficial effect in coping with two jobs.
巴西的护理人员通常要上固定的12小时轮班,没有连续的工作日或夜晚。兼职在这个群体中很常见,工作时间因此增加。在研究的医院中,已经有人描述过夜班期间在工作时睡觉的可能性。本研究旨在分析用于日常活动(睡眠、休息、休闲、家务、通勤、个人需求、照顾孩子或他人、无薪工作和学习)的时间是否与工作时长以及夜班期间小睡有关。实地研究在巴西里约热内卢的两家公立医院进行。工作人员连续至少四天填写一份关于用于上述活动时间的结构化表格。根据睡眠发生在家里还是工作场所来分析用于睡眠的时间。工作人员根据工作数量(一份工作/两份工作)以及根据整个系列的中位数划分出的用于工作的时间(低于中位数/高于中位数)进行分类。所有至少有一个夜班的工作人员都被分析了在工作时的小睡情况。他们根据夜班期间的睡眠情况分为睡眠组和非睡眠组,这两组都与白班工作人员进行比较。数据的统计处理包括非参数程序。研究组包括144名工作人员(平均年龄:35.7±10.5岁;91%为女性;78%为护士助理,其余为注册护士)。他们记录了4至11天的日常活动;整个组共分析了829个累积日。总共分析了165个夜班;其中112个(68%)期间有睡眠或休息,平均睡眠/休息时长为141±86分钟。用于睡眠和休闲的时间根据工作时长而有所不同,工作时间较长的人这两项时间显著减少(分别为p<0.001和p = 0.002)。接近显著水平的结果表明工作时间长的工作人员用于家务的时间减少(p = 0.053)。每个夜班用于睡眠/休息的时间根据工作时长没有差异(p = 0.490)。观察到有两份工作的人在工作时用于睡眠/休息的时间有更多倾向(p = 0.058)。与白班工作人员相比,在工作时不睡觉的人个人需求时间显著更低(p = 0.036)。与白班工作人员以及在工作时睡觉的人相比,在工作时不睡觉的人总睡眠时间显著更低(分别为p = 0.004和p = 0.05)。至于在家的睡眠时间,在工作时睡觉和不睡觉的工作人员相似,且都比只上白班的工作人员睡眠时间显著更少(分别为p<0.001和p = 0.002)。夜班期间在工作时睡觉似乎部分弥补了夜班工作者在家较短的睡眠时间,并且可能在应对两份工作方面起到有益作用。
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