Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, Pôle Santé Nord, 42270 Saint Priest en Jarez, France; Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, PRES Lyon, 42023 Saint-Etienne, France.
Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, Pôle Santé Nord, 42270 Saint Priest en Jarez, France.
Sleep Med. 2021 Apr;80:228-235. doi: 10.1016/j.sleep.2021.01.041. Epub 2021 Feb 2.
Although insufficient sleep among firefighters reduces work efficiency and increases the risk of injury, little is known about the sleep quality of French firefighters in the Loire department. The aim of the FIRESLEEP study was to evaluate sleep quality and sleep disturbances among professional and voluntary French firefighters.
A cross-sectional observational study was conducted between November 2018 and May 2019. Firefighters were invited to complete a questionnaire on a secure platform including clinical questions and validated questionnaires (Pittsburgh Sleep Quality Index [PSQI], Epworth sleepiness scale [ESS], Insomnia Severity Index [ISI] and the STOP-Bang score) during their periodic medical examination.
193 firefighters were included in this study, of which 29% were of professional status and 71% were volunteer firefighters. Among them, 26.9% had poor sleep quality, 27.7% showed excessive daytime sleepiness (EDS), 18.8% reported moderate-to-severe symptoms of insomnia, and 1.6% had moderate-to-high risk of obstructive sleep apnea. Subgroup analysis revealed that professional firefighters had poorer sleep quality and higher sleep disturbances than volunteer firefighters. The independent risk factors associated with poor sleep quality were known sleep disorder, treated anxiety/depression, night calls, and insomnia symptoms. Moreover, the independent risk factors associated with EDS were short sleep duration, taking a nap, and insomnia symptoms; while older age was a protective factor for EDS.
Poor sleep quality and sleep disturbances are highly frequent in French firefighters and underdiagnosed. Prevention through education and systematic screening could limit the impact of sleep disturbances on firefighters' global health.
尽管消防员睡眠不足会降低工作效率并增加受伤风险，但法国卢瓦尔省消防员的睡眠质量知之甚少。FIRESLEEP 研究的目的是评估职业和志愿法国消防员的睡眠质量和睡眠障碍。
这是一项横断面观察性研究，于 2018 年 11 月至 2019 年 5 月进行。消防员受邀在定期体检期间通过安全平台完成一份包括临床问题和经过验证的问卷（匹兹堡睡眠质量指数 [PSQI]、Epworth 嗜睡量表 [ESS]、失眠严重程度指数 [ISI] 和 STOP-Bang 评分）。
本研究共纳入 193 名消防员，其中 29%为职业消防员，71%为志愿消防员。其中，26.9%的消防员睡眠质量差，27.7%的消防员有日间嗜睡（EDS），18.8%的消防员有中重度失眠症状，1.6%的消防员有中重度阻塞性睡眠呼吸暂停风险。亚组分析显示，与志愿消防员相比，职业消防员的睡眠质量较差，睡眠障碍较多。与睡眠质量差相关的独立危险因素包括已知的睡眠障碍、焦虑/抑郁治疗、夜间值班和失眠症状。此外，与 EDS 相关的独立危险因素包括睡眠持续时间短、小睡和失眠症状；而年龄较大是 EDS 的保护因素。
法国消防员的睡眠质量差和睡眠障碍非常常见且未得到充分诊断。通过教育和系统筛查进行预防，可以限制睡眠障碍对消防员整体健康的影响。
