Department of General Practice, Institute of Clinical Medicine, University of Turku and Turku University Hospital, Turku, Finland.
Department of Biostatistics, University of Turku, Turku, Finland.
J Sleep Res. 2022 Dec;31(6):e13605. doi: 10.1111/jsr.13605. Epub 2022 Apr 15.
In this prospective follow-up study, we aimed to examine whether changes in self-reported sleep quality, sleep duration, and sleep medication use are temporally associated with changes in quality of life and work ability in municipal employees when several confounding factors are considered. The study was conducted in Finland among 637 municipal employees (88% women, mean [SD] age 48 [10] years) in 2014 and 2015. Information about the participants was collected by self-administered questionnaire and from medical history. Predicting variables were changes in self-reported sleep quality, sleep duration, and sleep medication use. Outcome variables were changes in the EUROHIS-QOL eight-item index and the Work Ability Score. Improved or unchanged sleep quality compared to worse sleep quality were associated with a preferable change in quality of life (both p < 0.001). No change in sleep duration compared to a decrease and no change in sleep medication use compared to increased use were also associated with favourable changes in quality of life. Increased use of sleep medication was associated with a decline in work ability, and the change in Work Ability Score also differed significantly between improved and worsened sleep quality. In this study, changes in sleep were widely associated with changes in quality of life and work ability of municipal employees. Programmes aiming for better sleep health would probably be beneficial both from a health-oriented and an economical point of view. Special attention should be paid to employees with a need for sleep medication.
在这项前瞻性随访研究中，我们旨在探讨在考虑到多种混杂因素的情况下，自我报告的睡眠质量、睡眠时间和睡眠药物使用的变化是否与市政雇员的生活质量和工作能力的变化有关。该研究在芬兰进行，共纳入了 2014 年至 2015 年期间的 637 名市政雇员（88%为女性，平均[SD]年龄 48[10]岁）。通过自我管理问卷和病史收集参与者的信息。预测变量为自我报告的睡眠质量、睡眠时间和睡眠药物使用的变化。结局变量为 EUROHIS-QOL 八项指数和工作能力评分的变化。与睡眠质量变差相比，睡眠质量改善或保持不变与生活质量的改善相关（均 p<0.001）。与睡眠时间减少相比，睡眠时间不变和与睡眠药物使用增加相比，睡眠药物使用不变也与生活质量的改善相关。睡眠药物使用的增加与工作能力的下降相关，且工作能力评分的变化在睡眠质量改善和恶化之间也存在显著差异。在这项研究中，睡眠的变化与市政雇员的生活质量和工作能力的变化广泛相关。旨在改善睡眠健康的计划可能从健康和经济角度都有益处。应特别关注需要使用睡眠药物的员工。
