Castro Eleni de Araújo Sales, de Almondes Katie Moraes
a Department of Postgraduate in Psychology , Federal University of Rio Grande Do Norte , Lagoa Nova , Brazil.
b Department of Postgraduate in BioPsychology , Federal University of Rio Grande Do Norte , Lagoa Nova , Brazil.
Int J Neurosci. 2018 Jun;128(6):530-539. doi: 10.1080/00207454.2017.1400970. Epub 2017 Nov 22.
Shift work schedules are biological standpoint worse because compel the body to anticipate periods of wakefulness and sleep and thus eventually cause a disruption of biological rhythms.
The objective of this study is to evaluate the sleep pattern and decision-making in physicians working in mobile units of emergency attention undergoing day shift and rotating shift.
The study included 26 physicians. The instruments utilized were a sociodemographic questionnaire, the Pittsburgh Sleep Quality Index, the Sleep Habits Questionnaire, the Epworth Sleepiness Scale and Chronotype Identification Questionnaire of Horne-Ostberg, the Iowa Gambling Task (IGT) and hypothetical scenarios of decision-making created according to the Policy-Capturing Technique. For inclusion and exclusion criteria, the participants answered the Chalder Fatigue Scale, the Beck Anxiety Inventory, the Beck Depression Inventory and the Inventory of Stress Symptoms for adults of Lipp.
It was found good sleep quality for physicians on day shift schedule and bad sleep quality for physicians on rotating shift schedule. The IGT measure showed no impairment in decision-making, but the hypothetical scenarios revealed impairment decision-making during the shift for both schedules. Good sleep quality was related to a better performance in decision-making.
Good sleep quality seems to influence a better performance in decision-making.
从生物学角度来看，轮班工作安排更糟糕，因为它迫使身体预期清醒和睡眠时段，最终导致生物节律紊乱。
本研究的目的是评估在应急移动单位工作的医生在日班和轮班时的睡眠模式和决策情况。
该研究纳入了26名医生。所使用的工具包括一份社会人口统计学问卷、匹兹堡睡眠质量指数、睡眠习惯问卷、埃普沃思嗜睡量表和霍恩-奥斯特伯格昼夜节律类型识别问卷、爱荷华赌博任务（IGT）以及根据政策捕捉技术创建的决策假设情景。对于纳入和排除标准，参与者回答了查尔德疲劳量表、贝克焦虑量表、贝克抑郁量表和利普成人应激症状量表。
发现日班安排的医生睡眠质量良好，而轮班安排的医生睡眠质量较差。IGT测量显示决策能力没有受损，但假设情景显示两种排班在轮班期间决策能力受损。良好的睡眠质量与更好的决策表现相关。
良好的睡眠质量似乎会影响更好的决策表现。
