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马来西亚一项横断面研究:三级医院医务人员睡眠剥夺的流行率及其影响。

The prevalence of sleep deprivation and its impact among medical officers in a tertiary hospital, a cross-sectional study from Malaysia.

机构信息

Department of Public Health and Community Medicine, School of Medicine,IMU University, Kuala Lumpur, Malaysia.

Department of Surgery, School of Medicine,IMU University, Clinical Campus, Seremban, Malaysia.

出版信息

PLoS One. 2024 Aug 29;19(8):e0306574. doi: 10.1371/journal.pone.0306574. eCollection 2024.

Abstract

Sleep deprivation (SD), defined as an inability to get a minimum of 7 hours of regular sleep at night is a serious health problem that impacts the performance of medical professionals. This study aims to determine the impact of sleep deprivation on perceived performance among medical officers (MOs). A cross-sectional study design involved 231 MOs from six disciplines in Hospital Tuanku Ja'afar, a tertiary center in the south of Malaysia. A self-administered questionnaire was introduced in the English language. The questionnaire involved the sociodemographic characteristics; job-related factors, and the Sleep Deprivation Impact Scale (SDIS). The SDIS is a 12-question scale, rated on a 5-point Likert scale from strongly disagree to strongly agree. A higher SDIS score reflected a higher impact of sleep deprivation. A total of 206 MOs returned the completed questionnaire yielding a response rate of 89.17%. The mean age of respondents was 31.68 (±3.49) years. Most of the respondents were female, of Malay ethnicity, and married. More than three-quarters (78.64%) reported sleep deprivation. Being less effective in communication and formulating diagnosis (3 (1.01) vs 2.5 (1.15),p = 0.005); taking longer time to do things (3.44 (1.07) vs 2.8 (1.34),p = 0.001); and feeling unsafe while driving (3.56 (1.25) vs 2.93 (1.55),p = 0.006) manifested significantly higher mean among sleep-deprived respondents. In conclusion, sleep deprivation is a prevalent problem; that adversely affects crucial functioning domains that may endanger patients and healthcare providers alike. Radical countermeasures are required to ensure satisfactory sleep duration and address areas jeopardizing MO safety.

摘要

睡眠剥夺(SD)是指无法在夜间获得至少 7 小时的规律睡眠,这是一个严重的健康问题,会影响医疗专业人员的表现。本研究旨在确定睡眠剥夺对医疗军官(MO)感知表现的影响。一项横断面研究设计涉及马来西亚南部三级中心 Tuanku Ja'afar 医院的六个学科的 231 名 MO。引入了一份自我管理问卷,以英语呈现。问卷涉及社会人口统计学特征、与工作相关的因素以及睡眠剥夺影响量表(SDIS)。SDIS 是一个 12 个问题的量表,从非常不同意到非常同意进行 5 点李克特量表评分。更高的 SDIS 分数反映了更高的睡眠剥夺影响。共有 206 名 MO 返回了已完成的问卷,回应率为 89.17%。受访者的平均年龄为 31.68(±3.49)岁。大多数受访者为女性,马来族裔,已婚。超过四分之三(78.64%)报告睡眠不足。在沟通和制定诊断方面效率较低(3(1.01)与 2.5(1.15),p = 0.005);完成任务的时间更长(3.44(1.07)与 2.8(1.34),p = 0.001);以及在驾驶时感到不安全(3.56(1.25)与 2.93(1.55),p = 0.006),睡眠不足的受访者的平均得分明显更高。总之,睡眠剥夺是一个普遍存在的问题;它会对关键的功能领域产生不利影响,这可能会危及患者和医疗保健提供者。需要采取激进的对策来确保充足的睡眠时间,并解决危及 MO 安全的领域。

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