法国公立医院麻醉师和重症监护医生的睡眠障碍：一项自我报告的电子调查。

Sleep disorders among French anaesthesiologists and intensivists working in public hospitals: a self-reported electronic survey.

作者信息

Richter Elisa, Blasco Valery, Antonini François, Rey Marc, Reydellet Laurent, Harti Karim, Nafati Cyril, Albanèse Jacques, Leone Marc

机构信息

From the Department of Anesthesiology and Intensive Care Medicine, Conception Hospital (ER, VB, LR, KH, CN, JA), the Department of Anesthesiology and Intensive Care Medicine, North Hospital (FA, ML) and the Department of Sleep Medicine, Timone Hospital (MR), Aix Marseille University, Marseille, France (AN).

出版信息

Eur J Anaesthesiol. 2015 Feb;32(2):132-7. doi: 10.1097/EJA.0000000000000110.

DOI:10.1097/EJA.0000000000000110

PMID:24905488

Abstract

BACKGROUND

Sleep disorders can affect the health of physicians and patient outcomes.

OBJECTIVES

To determine the prevalence of sleep disorders among French anaesthesiologists and intensivists working in a public hospital.

DESIGN

A cross-sectional survey.

SETTING

Anaesthesiologists and intensivists working in French public hospitals.

MAIN OUTCOME MEASURES

Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS) was used to assess the degree of excessive daytime sleepiness.

RESULTS

Among 1504 responders, 677 (45%) physicians reported sleep disorders. The independent factors associated with sleep disorders were reporting of sleep disorders [odds ratio (OR) 12.04, 95% CI (95% confidence interval) 8.89 to 16.46], sleep time less than 7 h (OR 8.86, 95% CI 6.50 to 12.20), work stress (OR 2.04, 95% CI 1.49 to 2.83), stress at home (OR 1.77, 95% CI 1.24 to 2.53), anxiolytic use (OR 3.69, 95% CI 2.23 to 6.25), psychotropic drug use (OR 3.91, 95% CI 1.51 to 11.52) and excessive daytime sleepiness (OR 1.81, 95% CI 1.34 to 2.45). Six hundred and seventy-six (44%) responders reported excessive daytime sleepiness during their professional activity. The independent factors associated with excessive daytime sleepiness were female sex (OR 1.86, 95% CI 1.49 to 2.34), tea consumption (OR 1.47, 95% CI 1.14 to 1.91), regular practice of nap (OR 1.68, 95% CI 1.34 to 2.09), stress at home (OR 1.31, 95% CI 1.02 to 1.68), more than four extended work shifts monthly (OR 1.25, 95% CI 1.01 to 1.56) and sleep disorders (OR 1.73, 95% CI 1.31 to 2.29). Reporting sleep disorder duration and a sleep time less than 7 h were the two major risk factors for sleep disorders. Female sex was the major risk factor for excessive daytime sleepiness.

CONCLUSION

French anaesthesiologists did not report more sleep disorders than the general population, but their alertness is impaired by a factor of two.

摘要

背景

睡眠障碍会影响医生的健康及患者的治疗效果。

目的

确定在一家公立医院工作的法国麻醉医生和重症监护医生中睡眠障碍的患病率。

设计

一项横断面调查。

地点

在法国公立医院工作的麻醉医生和重症监护医生。

主要观察指标

使用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，并用爱泼华嗜睡量表（ESS）评估白天过度嗜睡程度。

结果

在1504名应答者中，677名（45%）医生报告存在睡眠障碍。与睡眠障碍相关的独立因素有：报告有睡眠障碍[比值比（OR）12.04，95%置信区间（CI）8.89至16.46]、睡眠时间少于7小时（OR 8.86，95%CI 6.50至12.20）、工作压力（OR 2.04，95%CI 1.49至2.83）、家庭压力（OR 1.77，95%CI 1.24至2.53）、使用抗焦虑药（OR 3.69，95%CI 2.23至6.25）、使用精神药物（OR 3.91，95%CI 1.51至11.52）和白天过度嗜睡（OR 1.81，95%CI 1.34至2.45）。676名（44%）应答者报告在其职业活动期间有白天过度嗜睡。与白天过度嗜睡相关的独立因素有：女性（OR 1.86，95%CI 1.49至2.34）、饮茶（OR 1.47，95%CI 1.14至1.91）、经常小睡（OR 1.68，95%CI 1.34至2.09）、家庭压力（OR 1.31，95%CI 1.02至1.68）、每月超过4个延长工作班次（OR 1.25，95%CI 1.01至1.56）和睡眠障碍（OR 1.73，95%CI 1.31至2.29）。报告睡眠障碍持续时间和睡眠时间少于7小时是睡眠障碍的两个主要危险因素。女性是白天过度嗜睡的主要危险因素。