From the Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
Saudi Med J. 2021 Dec;42(12):1296-1301. doi: 10.15537/smj.2021.42.12.20210416.
To delineate the relation between shift work and glycemic control among the healthcare workers (HCWs) with diabetes mellitus (DM) in the hospitals of Dammam, Saudi Arabia.
A cross-sectional study was conducted among HCWs with DM working in 3 hospitals in Dammam, Saudi Arabia, from November 2018 to January 2019. The study participants answered a self-administered questionnaire related to sociodemographic data, work-related questions, diabetes-related questions, the latest hemoglobin A1C test outcome, and self-management activities. The Chi-square and t-test were used to determine the association between the risk factor of glycemic control and shift work.
The HCW's ages ranged from 24-60 years. The mean age of the employees in the day shift was 42.4±7.7 years and night shift was 42.1±7.3 years. The significant difference between daytime workers and shift workers was observed in terms of occupation, and obesity. Day shift employees reported being significantly more physically active than shift workers. The daily day shift led the employee to miss their routine clinic visits for DM. Shift workers had more weight gain due to unhealthy food intake, sleep deprivation, and improper physical activity when compared with daytime employees. Anti-clockwise shift rotation significantly demonstrated that 92.9% of employees developed uncontrolled DM.
Glycemic control was worsened among the shift worker with DM compared to daytime workers.
阐明沙特阿拉伯达曼医院的糖尿病医护人员(HCWs)轮班工作与血糖控制之间的关系。
2018 年 11 月至 2019 年 1 月,在沙特阿拉伯达曼的 3 家医院中,对患有糖尿病的 HCWs 进行了横断面研究。研究参与者回答了一份与社会人口统计学数据、与工作相关的问题、与糖尿病相关的问题、最新的血红蛋白 A1C 检测结果和自我管理活动相关的自我管理问卷。卡方检验和 t 检验用于确定血糖控制的危险因素与轮班工作之间的关联。
HCWs 的年龄在 24-60 岁之间。白班员工的平均年龄为 42.4±7.7 岁,夜班员工的平均年龄为 42.1±7.3 岁。在职业和肥胖方面,白班员工和轮班员工之间存在显著差异。白班员工报告说他们的体力活动明显多于轮班员工。与白天员工相比,轮班员工因摄入不健康的食物、睡眠不足和身体活动不当而导致体重增加。与顺时针轮班相比,逆时针轮班导致 92.9%的员工出现不受控制的糖尿病。
与白天工作的员工相比,轮班工作的糖尿病患者血糖控制更差。