Liu Xiaoqiang, Huang Yisen, Wang Yubin, Lin Chanchan, Xu Boming, Zeng Yilin, Chen Peizhong, Huang Yingxuan, Liu Xiaobo
Department of Gastroenterology, First Hospital of Quanzhou Affiliated to Fujian Medical University, Quanzhou, Fujian, China.
McConnell Brain Imaging Centre, Montreal Neurological Institute, McGill University, Montreal, QC, Canada.
Sci Rep. 2025 Jun 4;15(1):19572. doi: 10.1038/s41598-025-05079-w.
Healthcare workers frequently encounter demanding schedules, shift work, and significant psychological stressors, all of which can contribute to gastrointestinal disturbances and sleep irregularities. Although research has established that stress and shift work are independent risk factors for gastrointestinal discomfort and insomnia, the direct link between these two conditions in healthcare workers remains insufficiently explored. In this cross-sectional study, we recruited 372 healthcare workers from 6 public hospitals in Quanzhou via an online survey. Gastrointestinal and insomnia symptoms were measured using the Gastrointestinal Symptom Rating Scale (GSRS) and the Insomnia Severity Index (ISI), respectively, and analyzed via univariate and multivariate logistic regression models. Overall, 40.6% of participants reported insomnia symptoms. The GSRS total score was positively associated with insomnia both before (OR 1.18, 95% CI 1.12-1.25) and after adjustment for confounders including age, gender, anxiety, depression, somatization, and weekly night shift count (adjusted OR 1.07, 95% CI 1.00-1.15). These findings underscore a significant relationship between gastrointestinal symptoms and insomnia among healthcare workers, highlighting the need for targeted interventions to improve both GI health and sleep quality, thereby enhancing work efficiency and the overall quality of patient care.
医护人员经常面临繁重的工作安排、轮班工作以及巨大的心理压力源，所有这些都可能导致胃肠道紊乱和睡眠不规律。尽管研究已经证实压力和轮班工作是胃肠道不适和失眠的独立风险因素，但医护人员中这两种情况之间的直接联系仍未得到充分探索。在这项横断面研究中，我们通过在线调查从泉州市6家公立医院招募了372名医护人员。分别使用胃肠道症状评定量表（GSRS）和失眠严重程度指数（ISI）测量胃肠道和失眠症状，并通过单变量和多变量逻辑回归模型进行分析。总体而言，40.6%的参与者报告有失眠症状。在调整包括年龄、性别、焦虑、抑郁、躯体化和每周夜班次数等混杂因素之前（OR 1.18，95%CI 1.12-1.25）和之后（调整后的OR 1.07，95%CI 1.00-1.15），GSRS总分与失眠均呈正相关。这些发现强调了医护人员胃肠道症状与失眠之间的显著关系，突出了需要采取有针对性的干预措施来改善胃肠道健康和睡眠质量，从而提高工作效率和患者护理的整体质量。
