Toyoshima Ayako, Moriyama Michiko, Yamashita Hidehisa, Rahman Md Moshiur, Huq Katm Ehsanul, Jahan Yasmin, Kazawa Kana
Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Health Promot Perspect. 2021 Feb 7;11(1):87-96. doi: 10.34172/hpp.2021.12. eCollection 2021.
Sleep disorders have an enormous impact on occupational health and are counterproductive from an economic perspective. However, the processes of causing sleep disorders from psychosocial aspects have not yet been known. The purpose of this study was to describe how sleep disorders develop among workers with respect to different psychosocial conditions. A conventional qualitative content analysis was conducted with a semi-structured interview among twenty-seven workers (14 males and 13 females) who were diagnosed with sleep disorders or had a self-reported history of sleep difficulties. Study participants were recruited from a specialized clinic and communities using snowball sampling. This paper adhered to the Standards for Reporting Qualitative Research (SRQR) checklist. The results showed that there were four steps involved in the sleep disorders development process. Firstly, participants with sleep disorders developed 'early warning signs' with 11 categories of triggers; secondly, 'aggravating factors' on top of these early warning signs; thirdly, workers tried to 'cope with' their sleep disorders in the ways they thought would be effective. Finally, when coping failed to improve the quality of sleep, it led to the onset of sleep disorders. The development of sleep disorders and triggers of psychosocial factors were revealed. An occupational health nurse can bring these findings in practice for preventing worker's sleep disorders.
睡眠障碍对职业健康有巨大影响，且从经济角度来看会产生反作用。然而，从社会心理层面导致睡眠障碍的过程尚不清楚。本研究的目的是描述在不同社会心理状况下，工人中睡眠障碍是如何发展的。对27名被诊断患有睡眠障碍或有自我报告睡眠困难史的工人（14名男性和13名女性）进行了半结构化访谈，并进行了传统的定性内容分析。研究参与者通过滚雪球抽样从一家专业诊所和社区招募。本文遵循了定性研究报告标准（SRQR）清单。结果表明，睡眠障碍发展过程涉及四个步骤。首先，患有睡眠障碍的参与者出现了11类触发因素的“预警信号”；其次，在这些预警信号之上出现了“加重因素”；第三，工人们试图以他们认为有效的方式“应对”他们的睡眠障碍。最后，当应对措施未能改善睡眠质量时，就导致了睡眠障碍的发作。揭示了睡眠障碍的发展以及社会心理因素的触发因素。职业健康护士可以将这些发现应用于实践中，以预防工人的睡眠障碍。
