筛查职业消防人员睡眠障碍共病情况。
Screening for Comorbidity of Sleep Disorders in Career Firefighters.
机构信息
From the University of Kansas, Lawrence, Kansas (N.A.H., J.R., K.H., W.Y., A.T., T.A.N.); and Lawrence, Douglas County Fire and Medical, Lawrence, Kansas (K.J.).
出版信息
J Occup Environ Med. 2024 Jan 1;66(1):43-50. doi: 10.1097/JOM.0000000000002993. Epub 2023 Oct 18.
BACKGROUND
The purpose of this study was to assess the prevalence and sequelae of insomnia, obstructive sleep apnea (OSA), and comorbid OSA and insomnia (COMISA).
METHOD
In the morning, after a shift end, Midwest career firefighters ( N = 89) in a midsized city completed an electronic battery of questionnaire to screen for OSA, daytime sleepiness, insomnia, presleep arousal, nightmares, mental and physical health symptoms, and a one-night sleep diary.
RESULTS
Prevalence of firefighters exceeding screening thresholds: OSA: 54%; insomnia: 30%; COMISA: 17%; four or more nightmares per month: 15%. Firefighters who met criteria for COMISA had shorter total sleep time, less restful and worse sleep quality, higher depression and anxiety symptoms, and presleep arousal symptoms than firefighters without self-reported sleep problems.
CONCLUSIONS
Many firefighters are at elevated risk of individual behavioral sleep disorders, COMISA, and daytime dysfunction.
背景
本研究旨在评估失眠、阻塞性睡眠呼吸暂停（OSA）以及共病 OSA 和失眠（COMISA）的患病率和后遗症。
方法
在一个中型城市，中西部职业消防员（N=89）在轮班结束后的早晨，通过电子问卷筛查 OSA、日间嗜睡、失眠、睡前觉醒、噩梦、精神和身体健康症状以及一夜睡眠日记。
结果
消防员超过筛查阈值的患病率：OSA：54%；失眠：30%；COMISA：17%；每月出现四个或更多噩梦：15%。符合 COMISA 标准的消防员总睡眠时间更短，睡眠质量更差，睡眠更不安，抑郁和焦虑症状以及睡前觉醒症状更严重，而自我报告无睡眠问题的消防员则没有这些症状。
结论
许多消防员存在个体行为性睡眠障碍、COMISA 和日间功能障碍的风险增加。
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