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轮班工作对重症监护护士注意障碍的影响。

Effect of shift work in intensive care on attention disorder in nurses.

机构信息

Department of Psychiatry, University of Health Sciences, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey.

Department of Emergency Medicine, University of Health Sciences, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey.

出版信息

Int J Clin Pract. 2021 Apr;75(4):e13774. doi: 10.1111/ijcp.13774. Epub 2020 Dec 15.

DOI:10.1111/ijcp.13774
PMID:33078452
Abstract

AIM

The purpose of this study was to determine the level of attention between shifts and to make recommendations about the regulation of shifts.

METHODS

The researchers applied the Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Pittsburgh Sleep Quality Index (PSQI) and Stroop color word interaction test (SCWI) in 72 intensive care workers working in different shifts.

RESULT

The study included a total of 72 participants, including 30 (43.3%) females and 42 (58.3%) males. There were statistically significant differences between the groups in the sub-items of the HAM-D and SCWI test (Table 3). There was a significant elongation in the night-shift employees at all times within the SCWI sub-items. A significant height in the number of errors and corrections in the cards applied in the continuation of the test was also determined in the night-shift group.

CONCLUSION

This study revealed a significant decrease in the level of attention in the night-shift compared with the day-shift. This increase in attention deficit may also be a preventable cause of increased mortality in the night-shift.

摘要

目的

本研究旨在确定轮班之间的注意力水平,并就轮班调整提出建议。

方法

研究人员对在不同班次工作的 72 名重症监护室工作人员应用了汉密尔顿抑郁评定量表(HAM-D)、汉密尔顿焦虑评定量表(HAM-A)、匹兹堡睡眠质量指数(PSQI)和 Stroop 色词干扰测验(SCWI)。

结果

本研究共纳入 72 名参与者,其中女性 30 名(43.3%),男性 42 名(58.3%)。HAM-D 和 SCWI 测试的亚项中,组间存在统计学差异(表 3)。在 SCWI 亚项中,夜班员工的所有时间点的夜间延长情况都显著。在测试的卡片继续进行中,夜班组的错误和校正数量也显著增加。

结论

与日班相比,夜班的注意力水平显著下降。这种注意力缺陷的增加也可能是夜班死亡率增加的一个可预防的原因。

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