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轮班工作对护理专业人员健康的影响。

Influence of Shift Work on The Health of Nursing Professionals.

作者信息

Roman Pablo, Perez-Cayuela Isabel, Gil-Hernández Esther, Rodriguez-Arrastia Miguel, Aparicio-Mota Adrian, Ropero-Padilla Carmen, Rueda-Ruzafa Lola

机构信息

Faculty of Health Sciences, Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain.

Health Research Center CEINSA, University of Almería, 04120 Almeria, Spain.

出版信息

J Pers Med. 2023 Apr 2;13(4):627. doi: 10.3390/jpm13040627.

Abstract

Shift work is increasingly common in health services, subjecting healthcare professionals to work schedules that can alter circadian rhythms and eating habits with consequent repercussions for the intestinal homeostasis. The objective of this study was to describe the relationship of rotating work shifts with the intestinal health, sleep quality, and emotional dimension of nursing professionals. In March and May 2019, an observational and comparative study was conducted among 380 nursing professionals from different Spanish cities and divided into fixed shift ( = 159) and rotating shift ( = 221). To carry out the present work, the variables measured were gastrointestinal symptoms, stool consistency and shape, anxiety, depression, sleep, as well as stress and work environment. Nurses with rotating shifts reported more abdominal pain and symptoms of depersonalization, as well as worse sleep efficiency and worse nursing practice environment. In addition, overall scores of the Gastrointestinal Symptom Rating Scale and Hospital Anxiety and Depression Scale were found to be significantly worse in nurses with these shifts. Rotating shift work by nursing staff may be associated with the occurrence of gastrointestinal and anxiety-related symptoms. These findings, together with the presence of negative and insensitive attitudes towards patients by nurses on rotating shifts, should be considered to maintain the quality of healthcare.

摘要

轮班工作在医疗服务中越来越普遍,这使得医护人员的工作时间表可能会改变昼夜节律和饮食习惯,进而对肠道内环境稳定产生影响。本研究的目的是描述轮班工作与护理专业人员肠道健康、睡眠质量和情绪状况之间的关系。2019年3月和5月,对来自西班牙不同城市的380名护理专业人员进行了一项观察性对比研究,这些人员被分为固定班次组(n = 159)和轮班组(n = 221)。为开展本研究,所测量的变量包括胃肠道症状、粪便稠度和形状、焦虑、抑郁、睡眠以及压力和工作环境。轮班护士报告有更多腹痛和人格解体症状,睡眠效率更差,护理实践环境也更差。此外,发现这些轮班护士的胃肠道症状评分量表和医院焦虑抑郁量表的总体得分明显更差。护理人员的轮班工作可能与胃肠道及焦虑相关症状的发生有关。这些发现,再加上轮班护士对患者存在消极和冷漠态度,在维持医疗质量时应予以考虑。

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