Joorabbaf Motlagh Samira, Shabany Maryam, Sadeghniiat Haghighi Khosro, Nikbakht Nasrabadi Alireza, Emami Razavi Seyed Hassan
Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2017 Nov;55(11):690-695.
One of the important reasons for accidents is sleepiness.With this description, the sleep disorders are associated with health and mortality, and not only affect the person but also the family and the whole society. Aim of this study was assessing of relationship between Sleep Quality, Obstructive sleep Apnea and Sleepiness during day with related factors in professional drivers. This was a cross-sectional study measuring correlation between sleep quality questionnaire (Pittsburgh Sleep Quality Index or PSQI), Epworth Sleepiness Scale (ESS) and Stop Bang questionnaire (STOP BANG).the appropriate sample size to achieve a 95% confidence level was 943 people. The study population was chosen among qualified drivers using a convenience sampling method that took place over 12 months duration. Exclusion criterion consisted of the presence of a physical or mental disability. Data analyzed by software SPSS, version 15. In this study, all drivers were men with mean of age 36±9/5 year (minimum 22 year and maximum 72 year), 799 (84.7%) were married, 535 (56.7%) had high school education. Also, 96.4 % of drivers had undesirable sleep quality, 25.8% obstructive sleep apnea and 6.8% abnormal sleepiness during day. Multiple linear regression test showed, Score of STOP-Bang was correlated with smoking (OR (β)=0/2, P=0.006) and history of hurt disease (OR (β)=0.95, P=0.003), shift work (OR (β)=0.19, P=0.006) more probability. Moreover, PSQI was statistically significant with shift work (OR (β)=0.44, P=0.02), smoking (OR (β)=0.98, P=0.001), history of pulmonary disease (OR (β)=3.58, P=0.009) more probability , and ESS was statistically significant with smoking (OR (β)=0.64, P=0.007) and history of pulmonary disease(OR (β)=2.82, P=0.006), shift work (OR (β)=0.59, P=0.008) more probability. In our study, according to the results, it should be planning to reduce the driving time in day and night and also it are recommended short breaks during driving. It is suggested the more widespread and prospective studies, as well as informing the drivers about the benefits of proper sleep and annual checkup drivers of health.
事故的重要原因之一是困倦。基于此描述，睡眠障碍与健康和死亡率相关，不仅影响个人，还会波及家庭和整个社会。本研究的目的是评估职业司机的睡眠质量、阻塞性睡眠呼吸暂停和日间嗜睡与相关因素之间的关系。这是一项横断面研究，测量睡眠质量问卷（匹兹堡睡眠质量指数或PSQI）、爱泼华嗜睡量表（ESS）和阻塞性睡眠呼吸暂停筛查问卷（STOP BANG）之间的相关性。为达到95%的置信水平，合适的样本量为943人。研究人群采用便利抽样方法从合格司机中选取，研究持续了12个月。排除标准包括存在身体或精神残疾。数据使用SPSS 15版软件进行分析。在本研究中，所有司机均为男性，平均年龄36±9.5岁（最小22岁，最大72岁），799人（84.7%）已婚，535人（56.7%）具有高中学历。此外，96.4%的司机睡眠质量不佳，25.8%有阻塞性睡眠呼吸暂停，6.8%日间嗜睡异常。多元线性回归测试显示，STOP - Bang评分与吸烟（OR(β)=0.2，P = 0.006）、既往受伤病史（OR(β)=0.95，P = 0.003）、轮班工作（OR(β)=0.19，P = 0.006）关联可能性更大。此外，PSQI与轮班工作（OR(β)=0.44，P = 0.02）、吸烟（OR(β)=0.98，P = 0.001）、肺部疾病史（OR(β)=3.58，P = 0.009）关联可能性更大，ESS与吸烟（OR(β)=0.64，P = 0.007）、肺部疾病史（OR(β)=2.82，P = 0.006）、轮班工作（OR(β)=0.59，P = 0.008）关联可能性更大。在我们的研究中，根据结果，应计划减少司机白天和夜间的驾驶时间，同时建议驾驶过程中进行短暂休息。建议开展更广泛的前瞻性研究，并告知司机适当睡眠的益处以及每年进行健康检查。
