Culpepper Larry
Department of Family Medicine, Boston University Medical Center, Boston, MA, USA.
J Fam Pract. 2010 Jan;59(1 Suppl):S3-S11.
Shift-work disorder (SWD) and its defining symptoms can negatively affect health, quality of life, and work performance. The gravity of these consequences necessitates vigilance for the symptoms of SWD by primary care physicians. The threshold for treatment intervention for emergency service workers, such as firefighters, who make crucial decisions under shift-work conditions and who are experiencing SWD should be lower than for shift workers in general. The economic costs of untreated SWD are likely to be high. Early diagnosis and treatment of SWD may reduce these costs in addition to reducing the human burden of this circadian rhythm sleep disorder.
轮班工作障碍（SWD）及其典型症状会对健康、生活质量和工作表现产生负面影响。这些后果的严重性要求基层医疗医生对SWD症状保持警惕。对于像消防员这样在轮班工作条件下做出关键决策且患有SWD的急救人员，治疗干预的阈值应低于一般轮班工人。未经治疗的SWD的经济成本可能很高。SWD的早期诊断和治疗除了减轻这种昼夜节律睡眠障碍带来的人体负担外，还可能降低这些成本。
