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体重对医护人员睡眠质量与其躯体健康、性生活、职业倦怠及压力之间关系的影响。

Impact of body weight on the relationships between sleep quality in healthcare workers and their somatic health, sexual life, occupational burnout and stress.

作者信息

Białorudzki Maciej, Undra Michał, Izdebski Zbigniew

机构信息

University of Zielona Góra, Zielona Góra, Poland (Department of Humanization of Health Care and Sexology, Collegium Medicum).

Warsaw University, Warsaw, Poland (Department of Biomedical Aspects of Development and Sexology, Faculty of Education).

出版信息

Int J Occup Med Environ Health. 2024 Dec 9;37(5):545-556. doi: 10.13075/ijomeh.1896.02472. Epub 2024 Nov 14.

Abstract

OBJECTIVES

Sleep disorders can significantly affect the performance and well-being of healthcare workers. This study explores the influence of body weight on the links between sleep quality and various self-reported health indicators - including somatic and mental health, sexual life, and workrelated stress - among healthcare workers.

MATERIAL AND METHODS

A national cross-sectional survey was conducted in February - April 2022 using a predominantly online, self-administered questionnaire. The group analyzed for this study included 1478 healthcare workers from 99 hospitals and specialized clinics across Poland.

RESULTS

Sleep disturbances, assessed via the 4-item Jenkins Sleep Scale scale, were reported by 16% of the participants. Over half (54.7%) of the respondents were categorized as overweight or obese based on their body mass index (BMI). A higher BMI was found to be associated with being male, age >50 years, working as a paramedic, possessing over ten years of work experience, and reporting poorer health and sexual life (p < 0.001). Sleep quality showed significant correlations with assessments of sexual life, stress levels, and occupational burnout (p < 0.001). These correlations remained significant after adjusting for BMI. Notably, in both univariate and adjusted models, sexual life assessment was a robust predictor of sleep quality across all BMI groups. For non-obese individuals, the impact of sexual life on sleep quality persisted even after adjusting for health indicators.

CONCLUSIONS

The findings suggest that body weight may modulate how sleep quality is influenced by sexual life assessments, work-related stress, and somatic and mental health in healthcare workers. Int J Occup Med Environ Health. 2024;37(5):545-56.

摘要

目的

睡眠障碍会显著影响医护人员的工作表现和身心健康。本研究探讨了体重对医护人员睡眠质量与各种自我报告的健康指标(包括身心健康、性生活和工作相关压力)之间联系的影响。

材料与方法

2022年2月至4月进行了一项全国性横断面调查,主要采用在线自填问卷的方式。本研究分析的群体包括来自波兰99家医院和专科诊所的1478名医护人员。

结果

通过4项詹金斯睡眠量表评估,16%的参与者报告存在睡眠障碍。超过一半(54.7%)的受访者根据体重指数(BMI)被归类为超重或肥胖。研究发现,较高的BMI与男性、年龄>50岁、从事护理人员工作、拥有超过十年工作经验以及报告较差的健康状况和性生活有关(p<0.001)。睡眠质量与性生活评估、压力水平和职业倦怠之间存在显著相关性(p<0.001)。在调整BMI后,这些相关性仍然显著。值得注意的是,在单变量和调整模型中,性生活评估在所有BMI组中都是睡眠质量的有力预测指标。对于非肥胖个体,即使在调整健康指标后,性生活对睡眠质量的影响仍然存在。

结论

研究结果表明,体重可能会调节性生活评估、工作相关压力以及医护人员的身心健康对睡眠质量的影响。《国际职业医学与环境卫生杂志》。2024;37(5):545 - 56。

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