Glazner L K
AAOHN J. 1991 Sep;39(9):416-21.
Shiftworkers have more complaints in three specific areas: sleep-wake disorders, gastrointestinal disorders, and cardiovascular disorders. After 1 to 4 months of effective shiftworking, more than 50% of shiftworkers leave shiftwork after suffering from fatigue, sleep disturbance, and other problems. In addition, older workers seem less able to adjust to shiftwork and are more likely to leave sooner. Three main factors influence the ability to predict adjustment to shiftwork: rigidity/flexibility of sleeping habits; ability/inability to overcome drowsiness; and morningness/eveningness. Occupational health nurses can influence shiftwork policy and workers' health through health promotion policies aimed at predicting which workers might be less tolerant of shiftwork, scheduling shiftwork so it follows the sun, and providing early diagnosis and rapid treatment to workers with symptoms that need management.
睡眠-觉醒障碍、胃肠疾病和心血管疾病。在进行1至4个月的有效轮班工作后，超过50%的轮班工作者在遭受疲劳、睡眠障碍和其他问题后不再从事轮班工作。此外，年长的工作者似乎更难以适应轮班工作，而且更有可能更早离职。有三个主要因素影响预测对轮班工作适应能力：睡眠习惯的刚性/灵活性；克服嗜睡的能力/无能力；以及晨型/夜型。职业健康护士可以通过旨在预测哪些工作者可能对轮班工作耐受性较低的健康促进政策、按照日照规律安排轮班工作以及为有需要管理症状的工作者提供早期诊断和快速治疗，来影响轮班工作政策和工作者的健康。
