Khemakhem Rim, Kammoun Nesrine, Fehri Sirine, Gargouri Rahma, Bader Saeb, Abid Narjes, Boudaoura Nadia Keskes, Elghoul Jamel, Kallel Nesrine, Moussa Nedia, Kwas Hamida, Msaad Sameh, Kammoun Samy
Department of Respiratory and Sleep Medicine, Hedi Chaker University Hospital of Sfax, Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Tunisian Occupational Health and Safety Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Sleep Breath. 2025 Apr 28;29(2):172. doi: 10.1007/s11325-025-03335-x.
Night shift work is common today and disrupts circadian rhythms, leading to health concerns. This study examines the impact of night shifts on sleep quality among Tunisian workers, determines the prevalence of sleep disorders, and identifies factors associated with poor sleep quality.
This cross-sectional study employed an online questionnaire to assess sleep disorders among night workers aged 18 and older. Key measures included sleep quality, daytime alertness, mood, and subjective well-being, assessed with validated Arabic versions of the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), Patient Health Questionnaire-9 (PHQ-9), and WHO-Five Well-Being Index (WHO-5).
A study of 503 Tunisian night shift workers aged 25 to 64 revealed significant sleep disturbances. Poor sleep quality (PSQI score > 5) was found in 59.4%, while 13.7% reported insomnia (ISI score > 15). Severe insomnia, excessive daytime sleepiness, severe depression, and poor well-being were present in 2%, 32.6%, 4%, and 58.3%, respectively. Factors linked to poor sleep quality included BMI, active smoking, fatty meals, hypnotic use, nasal obstruction, sinusitis, gastrointestinal disorders, and well-being scores.
The findings of this study highlight the significant impact of night shift work on sleep quality and overall well-being among Tunisian workers. To mitigate these effects, practical interventions are essential, including promoting shift work schedules, improving workplace wellness programs, encouraging healthier lifestyle choices, and providing access to mental health support. Future research should investigate the relationship between shift work, sleep, and mental health while finding ways to mitigate these effects.
如今夜班工作很常见，它会扰乱昼夜节律，引发健康问题。本研究考察夜班对突尼斯工人睡眠质量的影响，确定睡眠障碍的患病率，并找出与睡眠质量差相关的因素。
这项横断面研究采用在线问卷来评估18岁及以上夜班工人的睡眠障碍。关键指标包括睡眠质量、日间警觉性、情绪和主观幸福感，通过匹兹堡睡眠质量指数（PSQI）、失眠严重程度指数（ISI）、爱泼华嗜睡量表（ESS）、患者健康问卷-9（PHQ-9）和世界卫生组织五福安康指数（WHO-5）的阿拉伯语有效版本进行评估。
一项针对503名年龄在25至64岁之间的突尼斯夜班工人的研究发现了明显的睡眠障碍。59.4%的人睡眠质量差（PSQI得分>5），而13.7%的人报告有失眠（ISI得分>15）。严重失眠、日间过度嗜睡、严重抑郁和幸福感差的比例分别为2%、32.6%、4%和58.3%。与睡眠质量差相关的因素包括体重指数、主动吸烟、高脂饮食、使用催眠药、鼻塞、鼻窦炎、胃肠道疾病和幸福感得分。
本研究结果凸显了夜班工作对突尼斯工人睡眠质量和整体幸福感的重大影响。为减轻这些影响，切实可行的干预措施至关重要，包括推广轮班工作时间表、改善工作场所健康计划、鼓励更健康的生活方式选择以及提供心理健康支持。未来的研究应调查轮班工作、睡眠和心理健康之间的关系，同时找到减轻这些影响的方法。
