Shift workers' experiences and views of sleep disturbance, fatigue and healthy behaviors: a systematic review and qualitative evidence synthesis.

IF 4.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jack S Benton, Charlotte L Lee, Hannah A Long, Thavapriya Sugavanam, Leah Holmes, Annie Keane, Neal Thurley, Simon Kyle, David Ray, David P French
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引用次数: 0

Abstract

Objective: Shift work is common across most societies but poses significant risks to the health of shift workers. In part, this risk is due to the disruption of healthy sleep-wake schedules. This systematic review identified qualitative research on shift workers' experiences of sleep disturbance, fatigue and healthy behaviors.

Methods: We conducted a systematic search of four databases (CINAHL, EMBASE, MEDLINE, PsycINFO) and identified 28 eligible studies involving 1519 participants. We appraised the studies using an adapted Critical Appraisal Skills Programme (CASP) checklist, and confidence in the review findings was formally assessed using the Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) approach. Data were thematically synthesized.

Results: Three analytical themes were generated. 'Inevitability of fatigue and tiredness' outlines how shift workers experience a culture where they feel "peer pressure to soldier through" their shifts regardless of fatigue. 'Balancing sleep needs with competing responsibilities' highlights how shift workers struggle to balance the need for daytime sleep with family, leisure, and work responsibilities, often prioritizing family needs over their own sleep. 'Obstacles to engaging in healthy behaviors' describes how shift workers often know which actions would benefit their health and reduce fatigue but find it challenging to translate this knowledge into behavior due to fatiguing and stressful work environments. For the purposes of the GRADE-CERQual assessment, short summary statements were developed to describe 22 review findings: there was moderate or high confidence in all but one of these findings.

Conclusion: This review suggests that sleep education alone is unlikely to be effective. Interventions should focus on helping shift workers self-regulate their behaviors, thoughts, and emotions to better manage sleep and fatigue.

轮班工人对睡眠障碍、疲劳和健康行为的经验和看法:系统回顾和定性证据综合。
目的:轮班工作在大多数社会都很普遍,但对轮班工人的健康构成重大风险。在某种程度上,这种风险是由于健康的睡眠-觉醒时间表被打乱。本系统综述确定了轮班工人睡眠障碍、疲劳和健康行为经历的定性研究。方法:系统检索4个数据库(CINAHL、EMBASE、MEDLINE、PsycINFO),确定28项符合条件的研究,涉及1519名受试者。我们使用了一套改编的关键评估技能计划(CASP)清单对研究进行了评估,并使用建议评估、发展和评估分级-定性研究综述证据的置信度(GRADE-CERQual)方法对综述结果的置信度进行了正式评估。数据按主题合成。结果:生成了三个分析主题。《疲劳和疲劳的必然性》概述了轮班工人如何体验一种文化,在这种文化中,他们感到“同辈压力要坚持”轮班,而不顾疲劳。“平衡睡眠需求和相互竞争的责任”强调了轮班工人如何努力平衡白天的睡眠需求与家庭、休闲和工作责任,往往优先考虑家庭需求而不是自己的睡眠。“参与健康行为的障碍”描述了轮班工人通常如何知道哪些行为有利于他们的健康并减少疲劳,但由于疲劳和压力大的工作环境,很难将这些知识转化为行为。为了进行grade - cerqal评估,编写了简短的摘要说明来描述22项审查结果:除了一项调查结果外,所有这些调查结果都有中等或高度的可信度。结论:本综述提示单纯的睡眠教育不太可能有效。干预措施应侧重于帮助轮班工人自我调节自己的行为、思想和情绪,以更好地管理睡眠和疲劳。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Scandinavian journal of work, environment & health
Scandinavian journal of work, environment & health 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.20
自引率
9.50%
发文量
65
审稿时长
>12 weeks
期刊介绍: The aim of the Journal is to promote research in the fields of occupational and environmental health and safety and to increase knowledge through the publication of original research articles, systematic reviews, and other information of high interest. Areas of interest include occupational and environmental epidemiology, occupational and environmental medicine, psychosocial factors at work, physical work load, physical activity work-related mental and musculoskeletal problems, aging, work ability and return to work, working hours and health, occupational hygiene and toxicology, work safety and injury epidemiology as well as occupational health services. In addition to observational studies, quasi-experimental and intervention studies are welcome as well as methodological papers, occupational cohort profiles, and studies associated with economic evaluation. The Journal also publishes short communications, case reports, commentaries, discussion papers, clinical questions, consensus reports, meeting reports, other reports, book reviews, news, and announcements (jobs, courses, events etc).
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