中国上海睡眠质量差的护士中常见的功能性胃肠疾病：一项试点研究。

Functional Gastrointestinal Disorders Common Among Nurses With Poor Sleep Quality in Shanghai, China: A Pilot Study.

作者信息

Zhou Hui-Qing, Yao Min, Chen Yuan-Wen, Huang Jia-Yi, Chen Guang-Yu

机构信息

Hui-Qing Zhou, PhD, is Senior Consultant, Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China. Min Yao, MD, is Senior Consultant, Department of Paediatrics, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. Yuan-Wen Chen, PhD, is Attending Physician, Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China. Jia-Yi Huang, MD, is Supervisor Nurse, Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China. Guang-Yu Chen, PhD, is Senior Consultant, Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.

出版信息

Gastroenterol Nurs. 2017 Jul/Aug;40(4):312-319. doi: 10.1097/SGA.0000000000000176.

DOI:10.1097/SGA.0000000000000176

PMID:28746117

Abstract

This study aimed to determine whether functional gastrointestinal disorders are more common among nurses with self-reported poor sleep. In total, 468 nurses working the day shift or rotating shifts completed two questionnaires: the questionnaire for irritable bowel syndrome (IBS) using Rome III criteria and the Pittsburgh Sleep Quality Index (PSQI). The prevalence of poor sleep was 41.04% (95% confidence interval, CI: [36.23, 45.85]), and poor sleep was significantly more common among rotating-shift nurses than among day-shift nurses (50.70% vs. 29.95%; p < .05). Among nurses with poor sleep, the prevalence of IBS and functional constipation was 35.15% (95% CI: [27.86, 42.44]) and 11.52% (95% CI: [6.65, 16.39]), respectively. After adjusting for age, work schedule, night pain, and psychological factors, IBS (odds ratio, OR: 1.88; 95% CI: [1.03, 2.49]) and functional constipation (OR: 1.77; 95% CI: [0.64, 2.57]) were significantly more common in nurses with poor sleep. We conclude that IBS and functional constipation are prevalent in nurses with poor sleep. Poor sleep was independently associated with IBS and functional constipation among nurses in Shanghai, China.

摘要

本研究旨在确定自我报告睡眠质量差的护士中功能性胃肠疾病是否更常见。共有468名日班或轮班护士完成了两份问卷：使用罗马Ⅲ标准的肠易激综合征（IBS）问卷和匹兹堡睡眠质量指数（PSQI）。睡眠质量差的患病率为41.04%（95%置信区间，CI：[36.23, 45.85]），轮班护士中睡眠质量差的情况明显比日班护士更常见（50.70%对29.95%；p<0.05）。在睡眠质量差的护士中，IBS和功能性便秘的患病率分别为35.15%（95%CI：[27.86, 42.44]）和11.52%（95%CI：[6.65, 16.39]）。在调整年龄、工作时间表、夜间疼痛和心理因素后，睡眠质量差的护士中IBS（比值比，OR：1.88；95%CI：[1.03, 2.49]）和功能性便秘（OR：1.77；95%CI：[0.64, 2.57]）明显更常见。我们得出结论，IBS和功能性便秘在睡眠质量差的护士中很普遍。在中国上海，睡眠质量差与护士中的IBS和功能性便秘独立相关。