Puerta Yolanda, García Mirian, Heras Elena, López-Herce Jesús, Fernández Sarah N, Mencía Santiago
Pediatric Intensive Care Unit, General Gregorio Marañón Hospital, Madrid, Spain.
Gregorio Marañón Hospital Research Institute, Madrid, Spain.
Front Pediatr. 2017 Dec 22;5:288. doi: 10.3389/fped.2017.00288. eCollection 2017.
The objective is to evaluate the sleep characteristics of the staff working in a pediatric intensive care unit (PICU). They were asked to complete an anonymous survey concerning the characteristics and quality of their sleep, as well as the impact of sleep disturbances on their work and social life, assessed by Functional Outcomes of Sleep Questionnaire (FOSQ)-10 questionnaire. The response rate was 84.6% (85% females): 17% were doctors, 57% nurses, 23% nursing assistants, and 3% porters. 83.8% of them worked on fix shifts and 16.2% did 24-h shifts. 39.8% of workers considered that they had a good sleep quality and 39.8% considered it to be poor or bad. The score was good in 18.2% of the staff and bad in 81.8%. Night shift workers showed significantly worse sleep quality on both the objective and subjective evaluation. There was a weak concordance (kappa 0.267; = 0.004) between the perceived quality of sleep and the FOSQ-10 evaluation. Sleep disorders affected their emotional state (30.2% of workers) and relationships or social life (22.6%). In conclusion, this study finds that a high percentage of health professionals from PICU suffer from sleep disorders that affect their personal and social life. This negative impact is significantly higher in night shift workers. Many health workers are not aware of their bad sleep quality.
目的是评估在儿科重症监护病房（PICU）工作的工作人员的睡眠特征。他们被要求完成一份关于其睡眠特征和质量，以及睡眠障碍对其工作和社会生活影响的匿名调查问卷，该问卷通过睡眠功能结果问卷（FOSQ）-10进行评估。回复率为84.6%（女性占85%）：17%为医生，57%为护士，23%为护理助理，3%为搬运工。其中83.8%的人固定班次工作，16.2%的人值24小时班。39.8%的工作人员认为他们睡眠质量良好，39.8%的人认为睡眠质量差或不好。18.2%的工作人员得分良好，81.8%的人得分差。无论是客观评估还是主观评估，夜班工作人员的睡眠质量都明显更差。睡眠质量的主观感受与FOSQ-10评估之间存在微弱的一致性（kappa 0.267；P = 0.004）。睡眠障碍影响了他们的情绪状态（30.2%的工作人员）和人际关系或社会生活（22.6%）。总之，本研究发现，PICU中很大比例的医护人员患有睡眠障碍，这些障碍影响了他们的个人和社会生活。这种负面影响在夜班工作人员中明显更高。许多医护人员并未意识到自己睡眠质量差。
