轮班时长对新生儿科医生睡眠、疲劳及健康状况的影响：一项横断面调查分析
Impact of shift durations on sleep, fatigue, and wellness among neonatologists: a cross-sectional survey analysis.
作者信息
McAdams Ryan M, Savich Renate, McNamara Patrick J, Lou Lily, Eickhoff Jens C, Lakshminrusimha Satyan
机构信息
Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
出版信息
J Perinatol. 2025 Apr 25. doi: 10.1038/s41372-025-02310-4.
OBJECTIVE
To assess the effects of shift durations on sleep, fatigue, and wellness among U.S. neonatologists in diverse settings.
METHODS
A cross-sectional survey of U.S. neonatologists yielded 810 responses from 4400 recipients. Statistical analyses included ANOVA, logistic regression, and cluster analysis.
RESULTS
Younger neonatologists (<35 years) reported the highest fatigue levels, with females more affected than males (p = 0.0185). Male neonatologists were less likely than females (OR 0.55, p = 0.0013), and those in university settings more likely than non-university settings (OR 1.43, p = 0.0389), to report adverse effects of shifts >16 h. Cluster analysis identified three fatigue patterns, with the most severe among younger neonatologists working shifts >16 h.
CONCLUSION
Long shifts (>16 h) negatively affect neonatologists' wellness, particularly younger and female clinicians. With most neonatal-perinatal medicine fellows being female, policies addressing shift duration are needed.
目的
评估不同工作环境下，轮班时长对美国新生儿科医生的睡眠、疲劳和健康状况的影响。
方法
对美国新生儿科医生进行的一项横断面调查，从4400名受访者中获得了810份回复。统计分析包括方差分析、逻辑回归和聚类分析。
结果
年轻的新生儿科医生（<35岁）报告的疲劳水平最高，女性比男性受影响更大（p = 0.0185）。男性新生儿科医生报告轮班>16小时产生不良反应的可能性低于女性（OR 0.55，p = 0.0013），而在大学环境中的医生比非大学环境中的医生更有可能报告此类不良反应（OR 1.43，p = 0.0389）。聚类分析确定了三种疲劳模式，在轮班>16小时的年轻新生儿科医生中最为严重。
结论
长时间轮班（>16小时）对新生儿科医生的健康有负面影响，尤其是年轻医生和女医生。由于大多数新生儿-围产医学专科住院医生为女性，因此需要制定有关轮班时长的政策。
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