Division of Public Health, Department of Social Medicine, Nihon University School of Medicine, Japan.
J Clin Sleep Med. 2011 Oct 15;7(5):512-22. doi: 10.5664/JCSM.1322.
The aim of the present study was to clarify the current work and sleep situations of physicians in Japan and to clarify the association between these situations and excessive daytime sleepiness as well as medical incidents.
A self-administered questionnaire survey was conducted among the members of the Japan Medical Association in 2008. The randomly selected subjects comprised 3,000 male physicians and 1,500 female physicians.
Valid responses were obtained from 3,486 physicians (2,298 men and 1,188 women). Mean sleep duration was 6 h 36 min for men and 6 h 8 min for women. The prevalence of lack of rest due to sleep deprivation was 30.4% among men and 36.6% among women; the prevalence of insomnia was 21.0% and 18.1%, respectively; and the prevalence of EDS was 3.5%. The adjusted odds ratio for EDS was high for physicians who reported short sleep duration, lack of rest due to sleep deprivation, and a high frequency of on-call/overnight work. Physicians who had experienced a medical incident within the previous one month accounted for 19.0% of participants. The adjusted odds ratio for medical incidents was high for those subjected to long working hours, high frequency of on-call/overnight works, lack of rest due to sleep deprivation, and insomnia.
In order to facilitate optimal health management for physicians as well as securing medical safety, it is important to fully consider the work and sleep situations of physicians.
本研究旨在阐明日本医生目前的工作和睡眠情况，并阐明这些情况与日间嗜睡和医疗事故之间的关联。
2008 年，对日本医师会成员进行了一项自我管理问卷调查。随机选择的对象包括 3000 名男性医生和 1500 名女性医生。
从 3486 名医生（2298 名男性和 1188 名女性）中获得了有效回复。男性的平均睡眠时间为 6 小时 36 分钟，女性为 6 小时 8 分钟。因睡眠不足而缺乏休息的男性患病率为 30.4%，女性患病率为 36.6%；失眠的男性患病率为 21.0%，女性患病率为 18.1%；日间嗜睡的患病率为 3.5%。睡眠时间短、因睡眠不足而缺乏休息、夜间值班/工作频率高的医生，其 EDS 的调整后比值比均较高。在过去一个月内经历过医疗事故的医生占参与者的 19.0%。工作时间长、夜间值班/工作频率高、因睡眠不足而缺乏休息以及失眠的医生发生医疗事故的调整后比值比均较高。
为了促进医生的最佳健康管理并确保医疗安全，充分考虑医生的工作和睡眠情况非常重要。
