Department of Occupational and Environmental Medicine, Hanyang University, Seoul 04763, Korea.
Int J Environ Res Public Health. 2021 Feb 1;18(3):1294. doi: 10.3390/ijerph18031294.
Shift work disorder (SWD), which is characterized by insomnia and excessive sleepiness related with shift work, is one of the most common health problems in shift workers. Shift work disorder causes insomnia, fatigue, worse work performance, an increased likelihood of accidents, and a poor quality of life. In addition, SWD is associated with decreased productivity and increased economic costs. The correct management of SWD is important to prevent sleep disturbances and maintain work performance in shift workers. To diagnose and evaluate SWD, it is necessary to take detailed medical histories, assess the severity of sleep disturbances, and evaluate shift workers' sleep using a sleep diary and actigraphy. The work-fitness evaluation should include recommendations on how shift workers can reduce their sleep disturbances and increase work performance, as well as the assessment of work performance. This paper reviews previous research on the evaluation, diagnosis, and management of SWD and summarizes the work-fitness evaluation of SWD.
轮班工作障碍（SWD）的特征是与轮班工作相关的失眠和过度嗜睡，是轮班工作者中最常见的健康问题之一。轮班工作障碍会导致失眠、疲劳、工作表现更差、事故发生的可能性增加以及生活质量下降。此外，SWD 还与生产力下降和经济成本增加有关。正确管理 SWD 对于预防轮班工作者的睡眠障碍和维持工作表现非常重要。为了诊断和评估 SWD，有必要详细了解病史，评估睡眠障碍的严重程度，并使用睡眠日记和活动记录仪评估轮班工人的睡眠。工作适应性评估应包括如何减少睡眠障碍和提高工作表现的建议，以及对工作表现的评估。本文回顾了之前关于 SWD 的评估、诊断和管理的研究，并总结了 SWD 的工作适应性评估。
