Alhajaji Raghad, Alfahmi Manal Z, Alshaikhi Saleh Ahmed, Fairaq Abdulmajeed Mohammed, Fudlaldeen Jan Salman, Aljuaid Sultan, AlFaifi Mashael, Alaboud Mashael S, Khojah Imad Mohammed, Alkofide Hadeel, Al Sulaiman Khalid
Makkah Branch of Ministry of Health, Ministry of Health, Makkah, Saudi Arabia.
Sleep Medicine Fellowship, King Saud University medical City, Riyadh, Saudi Arabia.
Front Psychiatry. 2025 Aug 21;16:1461698. doi: 10.3389/fpsyt.2025.1461698. eCollection 2025.
Cardiovascular diseases (CVDs) are a leading cause of death worldwide. Healthcare workers are at increased risk due to workplace stressors such as long hours, shift work, and high job demands, which may worsen both modifiable and non-modifiable CVD risk factors. This systematic review examines the impact of these workplace stressors on the risk for CVD among healthcare providers.
We conducted a systematic review of observational studies from inception to January 2024, following PRISMA guidelines. We searched databases including PubMed, Embase, Scopus, Web of Science, and PsycINFO using keywords related to workplace stressors and CVDs among healthcare professionals. The quality of the studies was assessed using the Newcastle-Ottawa Scale (NOS).
Our review included 31 observational studies (15 cohort studies, 13 cross-sectional studies, and three case-control studies) with a total of 323,978 participants from 17 countries. The key stressors identified were long working hours, night shifts, and high job strain. Most studies reported significant associations between these stressors and increased risks of hypertension, ischemic heart disease, and cardiometabolic disorders. The quality of the studies ranged from fair to good, indicating a low risk of bias.
Growing evidence suggests a strong correlation between workplace stressors and an increased risk of cardiovascular disease among healthcare workers. This leads to negative consequences that affect their performance and may extend to the quality of their patients' care. Addressing these stressors through targeted interventions is crucial for protecting their health and improving patient care outcomes.
心血管疾病（CVDs）是全球主要的死亡原因。由于长时间工作、轮班工作和高工作要求等工作场所压力源，医护人员面临的风险增加，这些压力源可能会使可改变和不可改变的心血管疾病风险因素恶化。本系统评价探讨了这些工作场所压力源对医护人员心血管疾病风险的影响。
我们按照PRISMA指南，对从开始到2024年1月的观察性研究进行了系统评价。我们使用与医护人员工作场所压力源和心血管疾病相关的关键词，搜索了包括PubMed、Embase、Scopus、Web of Science和PsycINFO在内的数据库。使用纽卡斯尔-渥太华量表（NOS）评估研究质量。
我们的评价纳入了31项观察性研究（15项队列研究、13项横断面研究和3项病例对照研究），共有来自17个国家的323,978名参与者。确定的关键压力源是长时间工作、夜班和高工作压力。大多数研究报告了这些压力源与高血压、缺血性心脏病和心脏代谢紊乱风险增加之间的显著关联。研究质量从中等到良好不等，表明偏倚风险较低。
越来越多的证据表明，工作场所压力源与医护人员心血管疾病风险增加之间存在密切关联。这会导致负面影响他们的工作表现，并可能延伸到他们对患者的护理质量。通过有针对性的干预措施来应对这些压力源，对于保护他们的健康和改善患者护理结果至关重要。
