Robbins J, Gottlieb F
Department of Internal Medicine, University of California, Davis, Medical Center, Sacramento.
West J Med. 1990 Jan;152(1):82-6.
There is increased concern about the effects of sleep deprivation on physician performance. We administered four standard tests of cognitive function to 23 university hospital house staff. Each physician served as his or her own control, and the tests were administered at rest, after a night on call, and after a night of sleep for recovery. The study was designed so that normal learning would minimize any deterioration in the post-on-call test performance. Statistically significant deterioration occurred in 3 of the 4 tests after a night on call. Even physicians acclimated to sleep deprivation on a regular, every-third-or-fourth-night basis showed functional impairment. The results have implications for patient care under conditions where house staff are stressed by sleep deprivation and prolonged fatigue.
人们越来越关注睡眠剥夺对医生工作表现的影响。我们对23名大学医院住院医生进行了四项认知功能标准测试。每位医生都以自己作为对照，测试分别在休息时、值夜班后以及经过一晚睡眠恢复后进行。该研究的设计使得正常学习能将值夜班后测试表现的任何恶化降至最低。值夜班一晚后，四项测试中有三项出现了具有统计学意义的恶化。即使是那些习惯每隔三到四晚经历一次睡眠剥夺的医生也出现了功能损害。这些结果对于住院医生因睡眠剥夺和长期疲劳而倍感压力的情况下的患者护理具有启示意义。
