Jurado-Gámez Bernabé, Guglielmi Ottavia, Gude Francisco, Buela-Casal Gualberto
Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, España; Unidad del Sueño, UGC Neumología, Hospital Universitario Reina Sofía, Córdoba, España.
Laboratorio de Psicofisiología, Centro de Investigación Mente, Cerebro y Comportamiento (CIMCYC), Facultad de Psicología, Universidad de Granada, Granada, España.
Arch Bronconeumol. 2015 May;51(5):213-8. doi: 10.1016/j.arbres.2014.07.003. Epub 2014 Aug 13.
Obstructive sleep apnea-hypopnea syndrome (OSAHS) has health-related outcomes, but the impact of OSAHS on occupational health has been scarcely studied. The aim of this study was to evaluate the effect of OSAHS on workplace accidents, absenteeism and productivity.
One hundred eighty-two OSAHS patients and 71 healthy subjects completed the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index and the Spanish IMPALA (Impact of Disease on Work Productivity) index and answered various questions on workplace accidents and sick leave. Participants were classified to an OSAHS group or a non-OSAHS group according to polysomnography results.
Patients with OSAHS had more sick leave lasting longer than 30days (16.6% vs. 7%, P=.049) and lower productivity (63.80% vs. 83.20%, P=.000) than subjects without OSAHS, although the rate of workplace accidents was similar in both groups (27.4% vs 25.4%; P>.050). None of the OSAHS-related variables was associated with workplace accidents. A diagnosis of OSAHS was related with absenteeism. Psychological distress and OSAHS were related with productivity.
OSAHS causes limitations in the working lives of patients and leads to a higher incidence of sick leave and lower productivity. A diagnosis of OSAHS was the variable with most influence on the working lives of patients.
阻塞性睡眠呼吸暂停低通气综合征（OSAHS）会引发与健康相关的后果，但OSAHS对职业健康的影响鲜有研究。本研究旨在评估OSAHS对工作场所事故、缺勤率和生产力的影响。
182例OSAHS患者和71名健康受试者完成了Epworth嗜睡量表、匹兹堡睡眠质量指数和西班牙版IMPALA（疾病对工作生产力的影响）指数，并回答了有关工作场所事故和病假的各种问题。根据多导睡眠图结果将参与者分为OSAHS组或非OSAHS组。
与无OSAHS的受试者相比，OSAHS患者的病假天数超过30天的情况更多（16.6%对7%，P = 0.049），生产力更低（63.80%对83.20%，P = 0.000），尽管两组的工作场所事故发生率相似（27.4%对25.4%；P>0.050）。与OSAHS相关的变量均与工作场所事故无关。OSAHS的诊断与缺勤率有关。心理困扰和OSAHS与生产力有关。
OSAHS会给患者的工作生活带来限制，并导致更高的病假发生率和更低的生产力。OSAHS的诊断是对患者工作生活影响最大的变量。
