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模拟海上轮班制对警觉性、睡眠和困意的影响。

Effects of a simulated maritime shift schedule on vigilance, sleep, and sleepiness.

机构信息

Naval Medical Center of PLA, Naval Medical University (Second Military Medical University), Shanghai, China.

Key Laboratory of Molecular Neurobiology of Ministry of Education, Naval Medical University (Second Military Medical University), Shanghai, China.

出版信息

Chronobiol Int. 2024 Feb;41(2):237-247. doi: 10.1080/07420528.2023.2298279. Epub 2023 Dec 26.

Abstract

Shift work is associated with circadian misalignment, which causes sleep loss, impairs performance, and increases the risk of accidents. Shorter, more frequently shifting watch schedules, widely used in industries such as maritime operation, defense, and mining, may mitigate these risks by reducing shift length and providing sleep opportunities for all workers across the biological night. However, the effects of frequently shifting work on sleep and performance still need to be clarified. The current study investigated the vigilance, sleepiness, and sleep patterns of fifteen participants who lived in a controlled and confined laboratory that mimicked a maritime environment for 14 d following a simulating frequent shift schedule. The results of psychomotor vigilance tasks (PVT) suggest that this shift schedule may lead to an accumulation of vigilance detrimental across watch days, with both reaction speed impairment and error growth. Furthermore, the circadian phase significantly affects PVT performance, with the afternoon shift section showing relatively better performance. Overall, more working hours per day resulted in poorer PVT performance. As the shift progressed, total sleep duration reduced slightly, and wake after sleep onset (WASO) increased. Sleep during the biological night was generally longer than sleep in the daytime. Less on-watch time was linked to longer overall sleep duration. Additionally, although the subjective sleepiness obtained by the Karolinska Sleepiness Scale (KSS) varied insignificantly across days, the KSS score was negatively correlated with PVT performance. This research can serve as a foundation for developing countermeasures to mitigate frequently shifting schedules' potentially detrimental effects and safety risks.

摘要

轮班工作与昼夜节律失调有关,这会导致睡眠不足、工作表现下降,并增加事故风险。在航海作业、国防和采矿等行业广泛使用的更短、更频繁的轮班时间表,通过减少轮班时间并为所有工人在整个生物夜间提供睡眠机会,可能会降低这些风险。然而,频繁换班对睡眠和工作表现的影响仍需进一步阐明。本研究调查了 15 名参与者在模拟频繁换班时间表 14 天后,在一个模拟航海环境的受控和封闭实验室中的警觉性、困意和睡眠模式。心理运动警觉任务(PVT)的结果表明,这种轮班时间表可能会导致警觉性在轮班期间逐渐累积,从而导致反应速度受损和错误增加。此外,昼夜节律相位显著影响 PVT 表现,下午轮班段的表现相对较好。总体而言,每天的工作时间越多,PVT 表现越差。随着轮班的进行,总睡眠时间略有减少,睡眠后觉醒时间(WASO)增加。生物夜间的睡眠通常比白天长。更少的轮班时间与总睡眠时间延长有关。此外,尽管卡尔斯塔德睡眠量表(KSS)获得的主观困意在不同天之间没有显著差异,但 KSS 评分与 PVT 表现呈负相关。这项研究可以为制定应对措施提供基础,以减轻频繁换班时间表可能产生的不利影响和安全风险。

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