Vinstrup Jonas, Jakobsen Markus Due, Calatayud Joaquin, Jay Kenneth, Andersen Lars Louis
National Research Centre for the Working Environment, Copenhagen, Denmark.
Sport Sciences, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Front Neurol. 2018 Nov 21;9:968. doi: 10.3389/fneur.2018.00968. eCollection 2018.
While acute stress and pain are part of our inherent survival mechanisms, persistent stress and pain can negatively impact health and well-being. This may also lead to poor sleep and thus a lack of recovery. This study investigated the influence of stress and musculoskeletal pain on sleep quality. A total of 3,593 Danish hospital workers replied to a questionnaire about work and health. Pain intensity was evaluated using subjective values as an average of 9 body parts. Stress was assessed using the full version of Cohen's Perceived Stress scale. Sleep quality was rated using 3 questions on sleep characteristics. Associations between stress and pain (mutually adjusted predictors) and sleep (outcome) were modeled using binary logistic regression controlling for gender, age, education, BMI and smoking. The risk ratio of moderate stress (compared to no/low stress) on poor sleep was 1.27 (CI 1.26-1.29), whereas the risk ratio of high stress on poor sleep was 1.87 (CI 1.83-1.91). Similarly, for pain, the risk ratio of moderate pain (compared to no/low pain) on poor sleep was 1.18 (95% CI 1.16-1.19), whereas the risk ratio of a high pain score on poor sleep was 1.48 (95% CI 1.44-1.52). This study demonstrates that both stress and musculoskeletal pain are associated with poor sleep among hospital workers. Hospital management should consider implementing strategies for preventing stress and musculoskeletal pain to improve the overall health and workability among hospital workers.
虽然急性应激和疼痛是我们固有的生存机制的一部分，但持续的应激和疼痛会对健康和幸福产生负面影响。这也可能导致睡眠不佳，进而缺乏恢复。本研究调查了应激和肌肉骨骼疼痛对睡眠质量的影响。共有3593名丹麦医院工作人员回复了一份关于工作和健康的问卷。疼痛强度通过对9个身体部位的主观值进行平均来评估。应激使用完整版的科恩感知应激量表进行评估。睡眠质量通过关于睡眠特征的3个问题进行评分。使用二元逻辑回归模型，控制性别、年龄、教育程度、体重指数和吸烟情况，对应激与疼痛（相互调整的预测因素）和睡眠（结果）之间的关联进行建模。中度应激（与无/低应激相比）导致睡眠不佳的风险比为1.27（置信区间1.26 - 1.29），而高度应激导致睡眠不佳的风险比为1.87（置信区间1.83 - 1.91）。同样，对于疼痛，中度疼痛（与无/低疼痛相比）导致睡眠不佳的风险比为1.18（95%置信区间1.16 - 1.19），而高疼痛评分导致睡眠不佳的风险比为1.48（95%置信区间1.44 - 1.52）。本研究表明，应激和肌肉骨骼疼痛均与医院工作人员睡眠不佳有关。医院管理层应考虑实施预防应激和肌肉骨骼疼痛的策略，以改善医院工作人员的整体健康和工作能力。
