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住院医师睡眠状况:麻醉科与职业医学科住院医师的比较。

Sleep in Residents: A Comparison between Anesthesiology and Occupational Medicine Interns.

机构信息

Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Department of Woman, Child & Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2023 Jan 28;20(3):2356. doi: 10.3390/ijerph20032356.

Abstract

Sleep deprivation is a significant risk to the health and judgment of physicians. We wanted to investigate whether anesthesiology residents (ARs) who work only one night shift per week have different physical and mental health from occupational medicine residents (OMRs) who do not work at night. A total of 21 ARs and 16 OMRs attending a university general hospital were asked to wear an actigraph to record sleep duration, heart rate and step count and to complete a questionnaire for the assessment of sleep quality, sleepiness, fatigue, occupational stress, anxiety, depression and happiness. ARs had shorter sleep duration than OMRs; on average, they slept 1 h and 20 min less ( < 0.001). ARs also had greater daytime sleepiness, a higher heart rate and lower happiness than OMRs. These results should be interpreted with caution given the cross-sectional nature of the study and the small sample size, but they are an incentive to promote sleep hygiene among residents.

摘要

睡眠剥夺是医生健康和判断力的重大风险。我们想调查每周只上一个夜班的麻醉科住院医师(ARs)与不值夜班的职业医学住院医师(OMRs)相比,他们的身心健康状况是否不同。共有 21 名 ARs 和 16 名 OMRs 在一所大学综合医院参加了调查,他们被要求佩戴活动记录仪来记录睡眠时间、心率和步数,并完成一份用于评估睡眠质量、嗜睡、疲劳、职业压力、焦虑、抑郁和幸福感的问卷。ARs 的睡眠时间比 OMRs 短;平均而言,他们的睡眠时间少了 1 小时 20 分钟(<0.001)。ARs 的日间嗜睡程度更高,心率更高,幸福感更低。鉴于研究的横断面性质和样本量较小,这些结果的解释应谨慎,但它们激励人们在住院医师中推广睡眠卫生。

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