Rosado Magda Margarida Granadeiro, Carvalho Lucinda Sofia, Coelho André
Cardiology Department, Hospital Espírito Santo EPE, Évora, Portugal.
Interdisciplinary Research Unit on Building Functional Ageing Communities (AGE.COMM), Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, Castelo Branco, Portugal.
Sleep Sci. 2024 Mar 26;17(1):e64-e74. doi: 10.1055/s-0043-1776743. eCollection 2024 Mar.
Different factors, such as medication use and shift work, can influence sleep quality. We aimed to determine the association between medication use and sleep quality in shift workers versus daytime workers. We conducted a quantitative cross-sectional study with a convenience sample of active workers. Online questionnaires were applied to assess sleep quality, sleepiness, medication use, and sociodemographic characteristics. A total of 296 participants were included: 124 (41.89%) daytime workers and 172 (58.11%) shift workers. In total, 130 (43.92%) participants worked in the healthcare sector, 116 (39.19%), in industry, and 50 (16.89%), in other sectors. After a bivariate analysis, poor sleep quality was associated with the presence of sleep disorders ( < 0.001), type of work (shift or day work) ( < 0.001), and the use of sleeping medication ( < 0.001). Although shift workers had worse sleep quality, no differences were found regarding the use of medications that act directly on the central nervous system or with proven effects on sleep. No association was found between medication use and sleep quality. When adjusted for the different variables that were individually associated with poor sleep quality, through a logistic regression model, none showed an increased risk of poor sleep quality. In spite of the need for further research, our results have shown that sleep quality is influenced by many different factors whose impact must be evaluated in combination, and not just in a bivariate manner. There are many factors individually associated with poor sleep quality, but when adjusted to each other, they have shown no increased risk of having poor sleep quality.
不同因素，如药物使用和轮班工作，会影响睡眠质量。我们旨在确定轮班工人与日班工人在药物使用与睡眠质量之间的关联。
我们对在职员工进行了一项定量横断面研究，采用方便抽样。通过在线问卷评估睡眠质量、嗜睡情况、药物使用及社会人口学特征。
总共纳入了296名参与者：124名（41.89%）日班工人和172名（58.11%）轮班工人。总体而言，130名（43.92%）参与者在医疗保健行业工作，116名（39.19%）在工业领域工作，50名（16.89%）在其他行业工作。经过双变量分析，睡眠质量差与睡眠障碍的存在（<0.001）、工作类型（轮班或日班）（<0.001）以及助眠药物的使用（<0.001）相关。尽管轮班工人的睡眠质量较差，但在直接作用于中枢神经系统或已证实对睡眠有影响的药物使用方面未发现差异。未发现药物使用与睡眠质量之间存在关联。通过逻辑回归模型对与睡眠质量差分别相关的不同变量进行调整后，没有一个变量显示出睡眠质量差风险增加。
尽管需要进一步研究，但我们的结果表明，睡眠质量受许多不同因素影响，这些因素的影响必须综合评估，而不仅仅是以双变量方式评估。有许多因素分别与睡眠质量差相关，但相互调整后，它们并未显示出睡眠质量差风险增加。
