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轮班工作对不同生物钟类型的巴西火车司机的影响:通过客观和主观标准的比较分析。

The impact of shift work on Brazilian train drivers with different chronotypes: a comparative analysis through objective and subjective criteria.

机构信息

Centro de Estudo Multidisciplinar em Sonolência e Acidentes (CEMSA), Universidade Federal de São Paulo, São Paulo, Brazil.

出版信息

Med Princ Pract. 2013;22(4):390-6. doi: 10.1159/000345978. Epub 2013 Jan 12.

Abstract

OBJECTIVE

The aim of this study was to compare sleep pattern, tiredness sensation and quality of life between different chronotypes in train drivers from a Brazilian transportation company.

SUBJECTS AND METHODS

Ninety-one train drivers, working a rotary work schedule including night shift, were divided into three groups according to their chronotype (morning types, intermediate or evening types) and were assessed for their sleep and quality of life, as characterized by a subjective questionnaire and the Psychomotor Vigilance Task (PVT), applied before and immediately after the night shift. The pattern of activity and rest was measured for 10 days by actigraphy, and the chronotype was determined through the Morningness-Eveningness Questionnaire.

RESULTS

Forty-one (45.1%) individuals were classified as morning type, 44 (48.4%) were classified as intermediate and 6 (6.6%) as evening type. The evening types had a tendency to remain awake for a longer period of time before the night shift (p = 0.05) and scored worse overall for quality of life compared to morning types (p = 0.11). There was no significant difference between the groups regarding variability in the PVT performance, even when covaried by the period of waking time before the test. There was no significant difference either in feelings of fatigue before and after starting the shift.

CONCLUSION

Although the evening type number was small, evening type individuals scored worse relative to sleep and quality of life than morning type individuals.

摘要

目的

本研究旨在比较巴西某运输公司的火车司机在不同昼夜类型之间的睡眠模式、疲劳感和生活质量。

受试者和方法

91 名火车司机,采用包括夜班的轮班工作制,根据他们的昼夜类型(早型、中间型或晚型)分为三组,并通过主观问卷和精神运动警觉任务(PVT)评估他们的睡眠和生活质量,PVT 在夜班前后立即进行。通过活动记录仪测量 10 天的活动和休息模式,通过 Morningness-Eveningness Questionnaire 确定昼夜类型。

结果

41 名(45.1%)个体被归类为早型,44 名(48.4%)归类为中间型,6 名(6.6%)归类为晚型。晚型在夜班前保持清醒的时间较长(p = 0.05),与早型相比,生活质量总体得分较差(p = 0.11)。尽管晚型人数较少,但在 PVT 表现的变异性方面,各组之间没有显著差异,即使在考虑测试前的清醒时间周期后也是如此。在开始轮班前和轮班后,疲劳感也没有显著差异。

结论

尽管晚型人数较少,但与早型个体相比,晚型个体的睡眠和生活质量较差。

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