Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
BMC Public Health. 2022 Sep 3;22(1):1670. doi: 10.1186/s12889-022-14098-5.
There exists a great diversity of schedules concerning the way shift work is organized and implemented with ample agreement regarding recommendable features of a shift system. In order to adapt the shift schedule of a metropolitan police department to current recommendations, a remodelled shift schedule was introduced in 2015. The aim of this study was to evaluate the potential associations between the remodelled shift schedule and work ability, quality of life and self-rated health after one and five years.
A controlled before-and- after study was conducted during the piloting phase (2015-2016) as well as a 5-year follow-up using paper questionnaires. Outcome parameters included work ability, quality of life and self-rated health.
Work ability, quality of life and self-rated health improved after the first year of the newly implemented shift schedule among police officers working in the piloting police stations compared to those working according to the former schedule. In 5-year follow-up differences between indicators diminished.
The implementation of a remodelled shift schedule including more 12-h shifts accompanied by more days off and a coherent weekend off duty was not associated with detrimental effects to work ability, quality of life or self-reported health among police officers.
关于轮班工作的组织和实施方式存在着很大的多样性,对于轮班制度的推荐特征也有很多共识。为了使大都市警察局的轮班时间表适应当前的建议,2015 年引入了一种经过改造的轮班时间表。本研究的目的是评估改造后的轮班时间表在一年和五年后与工作能力、生活质量和自我报告的健康之间的潜在关联。
在试点阶段(2015-2016 年)进行了一项对照前后研究,并在 5 年内使用纸质问卷进行了随访。结果参数包括工作能力、生活质量和自我报告的健康状况。
与根据旧时间表工作的警察相比,在新实施的轮班时间表的第一年,在试点警察局工作的警察的工作能力、生活质量和自我报告的健康状况有所改善。在 5 年的随访中,指标之间的差异缩小了。
实施包括更多 12 小时轮班、更多休息日和连贯的周末休息日的改造后的轮班时间表,不会对警察的工作能力、生活质量或自我报告的健康状况产生不利影响。