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夜间轮班工作及相关应激反应:保安人员研究。

Night-Time Shift Work and Related Stress Responses: A Study on Security Guards.

机构信息

Department of Sciences for Health Promotion and Mother and Child Care "Giuseppe D'Alessandro", University of Palermo, via del Vespro 133, 90127 Palermo, Italy.

Department of Prevention, Area of Protection and Safety in the Workplace, Provincial Health Authority, 95124 Catania, Italy.

出版信息

Int J Environ Res Public Health. 2020 Jan 15;17(2):562. doi: 10.3390/ijerph17020562.

Abstract

UNLABELLED

Work-related stress can induce a break in homeostasis by placing demands on the body that are met by the activation of two different systems, the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. Night-shift work alters the body's exposure to the natural light-dark schedule and disrupts circadian (daily) rhythms. The greatest effect of night-shift work is the disruption of circadian rhythms. The impact that these disruptions may have on the pathogenesis of many diseases, including cancer, is unknown. This study aims to discover the relationship among three different job activities of security guards and their stress-related responses by evaluating salivary cortisol levels and blood pressure.

METHODS

Ninety security guards, including night-time workers and night-time and daily-shift workers, were recruited for this study. Each security guard provided two saliva samples before and after three scheduled time points: (i) at 22:00, (ii) at 06:30, and (iii) at 14:00.

RESULTS

The results of the study showed a significant alteration in cortisol levels. Night-time shift cortisol levels significantly increased before and after the work shifts. A physiological prevalence of the vagal tone on the cardiocirculatory activity was found during night-shift work.

CONCLUSIONS

This study indicates that cortisol levels and blood pressure are sensitive markers of biological responses to severe work stress. Shift-change consequences may occur at the end of the night shift when there is a significant increase in the cortisol level and a significant variation in cardiovascular parameters.

摘要

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工作相关的压力会通过激活两个不同的系统(下丘脑-垂体-肾上腺轴和交感神经系统)对身体产生需求,从而打破体内的稳态平衡。轮班工作会改变身体对自然明暗周期的暴露,并扰乱昼夜节律(日常)节律。轮班工作最大的影响是打乱昼夜节律。这些干扰可能对许多疾病(包括癌症)的发病机制产生的影响尚不清楚。本研究旨在通过评估唾液皮质醇水平和血压,发现保安人员的三种不同工作活动与应激相关反应之间的关系。

方法

本研究招募了 90 名保安人员,包括夜班工人和夜班和白班工人。每位保安人员在三个预定时间点(i)22:00、(ii)06:30 和(iii)14:00 之前和之后提供了两份唾液样本。

结果

研究结果显示皮质醇水平发生了显著变化。夜班工作前皮质醇水平显著升高,夜班工作后也显著升高。在夜间轮班工作期间,发现心血管活动存在迷走神经张力的生理优势。

结论

本研究表明,皮质醇水平和血压是对严重工作压力的生物反应的敏感标志物。在夜班结束时,皮质醇水平显著升高,心血管参数发生显著变化,可能会出现轮班变化的后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956f/7013811/b69761f6798a/ijerph-17-00562-g001.jpg

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