Sleep disorders among Tunisian night-shift workers: a cross-sectional study.

IF 2 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2025-04-28 DOI:10.1007/s11325-025-03335-x

Rim Khemakhem, Nesrine Kammoun, Sirine Fehri, Rahma Gargouri, Saeb Bader, Narjes Abid, Nadia Keskes Boudaoura, Jamel Elghoul, Nesrine Kallel, Nedia Moussa, Hamida Kwas, Sameh Msaad, Samy Kammoun

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引用次数: 0

Abstract

Purpose: 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.

Methodology: 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).

Results: 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.

Conclusion: 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.

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突尼斯夜班工人的睡眠障碍：一项横断面研究。

目的：夜班工作在今天很常见，扰乱了昼夜节律，导致健康问题。本研究考察了夜班对突尼斯工人睡眠质量的影响，确定了睡眠障碍的患病率，并确定了与睡眠质量差相关的因素。方法：本横断面研究采用在线调查问卷评估18岁及以上夜班工人的睡眠障碍。主要测量指标包括睡眠质量、白天警觉性、情绪和主观幸福感，评估方法包括经过验证的阿拉伯语版本的匹兹堡睡眠质量指数（PSQI）、失眠严重指数（ISI）、爱普沃斯嗜睡量表（ESS）、患者健康问卷-9 （PHQ-9）和世卫五幸福指数（WHO-5）。结果：一项对503名年龄在25岁到64岁之间的突尼斯夜班工人的研究显示出明显的睡眠障碍。睡眠质量差（PSQI评分> - 5）的占59.4%，失眠（ISI评分> - 15）的占13.7%。严重失眠、白天嗜睡、严重抑郁和健康状况不佳的比例分别为2%、32.6%、4%和58.3%。与睡眠质量差相关的因素包括身体质量指数、吸烟、高脂肪饮食、使用催眠剂、鼻塞、鼻窦炎、胃肠道疾病和健康评分。结论：这项研究的结果强调了夜班工作对突尼斯工人的睡眠质量和整体幸福感的重大影响。为了减轻这些影响，实际的干预措施是必不可少的，包括促进轮班工作时间表，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。未来的研究应该调查轮班工作、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。

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

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.