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医护人员的睡眠与安全:阻塞性睡眠呼吸暂停和睡眠剥夺对安全的影响。

Sleep and Safety among Healthcare Workers: The Effect of Obstructive Sleep Apnea and Sleep Deprivation on Safety.

机构信息

Hennepin Healthcare, Minneapolis, MN 55415, USA.

G9QC+GGM CMH Lahore Medical College, Abdul Rehman Rd, Sarwar Colony, Lahore 54000, Pakistan.

出版信息

Medicina (Kaunas). 2022 Nov 24;58(12):1723. doi: 10.3390/medicina58121723.

Abstract

Almost one billion people worldwide are affected by Obstructive Sleep Apnea (OSA). Affected individuals experience disordered breathing patterns during sleep, which results in fatigue, daytime drowsiness, and/or sleep deprivation. Working under the influence of these symptoms significantly impairs work productivity and leads to occupational accidents and errors. This impact is seen in healthcare workers (HCWs) who are not immune to these conditions. However, poorly controlled OSA in this subset of individuals takes a heavy toll on patient care due to the increased risk of medical errors and can also alter the mental and physical well-being of the affected HCW in various ways. OSA and safety issues have been recognized and mitigated among the airline and transport industries; however, the healthcare industry lags in addressing these concerns. This article reviews hypersomnolence and sleep disorder as key clinical features of OSA and their effect on HCW safety.

摘要

全球有近 10 亿人受到阻塞性睡眠呼吸暂停(OSA)的影响。受影响的个体在睡眠期间会出现呼吸模式紊乱,导致疲劳、白天嗜睡和/或睡眠剥夺。在这些症状的影响下工作会显著降低工作效率,并导致职业事故和错误。医护人员(HCWs)也无法避免这些情况,因此也会受到影响。然而,由于医疗错误的风险增加,这部分人群中未得到良好控制的 OSA 会对患者护理造成严重影响,并且还会以各种方式改变受影响的 HCW 的身心健康。航空和运输行业已经认识到 OSA 和安全问题,并采取了措施加以缓解;然而,医疗行业在解决这些问题方面落后了。本文回顾了嗜睡和睡眠障碍作为 OSA 的关键临床特征及其对 HCW 安全的影响。

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