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特殊光眼镜能减轻夜班工作者的困倦并改善其睡眠吗?一项安慰剂对照的探索性现场研究。

Can Special Light Glasses Reduce Sleepiness and Improve Sleep of Nightshift Workers? A Placebo-Controlled Explorative Field Study.

作者信息

Aarts Mariëlle P J, Hartmeyer Steffen L, Morsink Kars, Kort Helianthe S M, de Kort Yvonne A W

机构信息

Department of the Built Environment, Eindhoven University of Technology, P.O. Box 513, 5600 MB Eindhoven, The Netherlands;

Department of Industrial Engineering and Innovation Sciences, Eindhoven University of Technology, P.O. Box 513, 5600 MB Eindhoven, The Netherlands;

出版信息

Clocks Sleep. 2020 May 29;2(2):225-245. doi: 10.3390/clockssleep2020018. eCollection 2020 Jun.

Abstract

Nightshift workers go against the natural sleep-wake rhythm. Light can shift the circadian clock but can also induce acute alertness. This placebo-controlled exploratory field study examined the effectiveness of light glasses to improve alertness while reducing the sleep complaints of hospital nurses working nightshifts. In a crossover within-subjects design, 23 nurses participated, using treatment glasses and placebo glasses. Sleepiness and sleep parameters were measured. A linear mixed model analysis on sleepiness revealed no significant main effect of the light intervention. An interaction effect was found indicating that under the placebo condition, sleepiness was significantly higher on the first nightshift than on the last night, while under the treatment condition, sleepiness remained stable across nightshift sessions. Sleepiness during the commute home also showed a significant interaction effect, demonstrating that after the first nightshift, driver sleepiness was higher for placebo than for treatment. Subjective sleep quality showed a negative main effect of treatment vs. placebo, particularly after the first nightshift. In retrospect, both types of light glasses were self-rated as effective. The use of light glasses during the nightshift may help to reduce driver sleepiness during the commute home, which is relevant, as all participants drove home by car or (motor) bike.

摘要

夜班工作者违背了自然的睡眠-清醒节律。光线可以改变昼夜节律时钟,但也能引发急性警觉性。这项安慰剂对照的探索性现场研究考察了光眼镜在提高警觉性的同时减少夜班医院护士睡眠问题的有效性。在交叉受试者内设计中,23名护士参与,使用治疗眼镜和安慰剂眼镜。测量了嗜睡程度和睡眠参数。对嗜睡程度的线性混合模型分析显示光干预没有显著的主效应。发现了一个交互效应,表明在安慰剂条件下,第一个夜班时的嗜睡程度显著高于最后一个夜班,而在治疗条件下,整个夜班期间嗜睡程度保持稳定。通勤回家期间的嗜睡程度也显示出显著的交互效应,表明在第一个夜班后,安慰剂组的司机嗜睡程度高于治疗组。主观睡眠质量显示治疗组与安慰剂组相比有负面主效应,尤其是在第一个夜班之后。事后回想,两种光眼镜都被自我评定为有效。夜班期间使用光眼镜可能有助于减少通勤回家期间的司机嗜睡,这很重要,因为所有参与者都是开车或骑(电动)自行车回家的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ae/7445845/51456c40bb3d/clockssleep-02-00018-g001.jpg

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