Relationship between night shift and sleep problems, risk of metabolic abnormalities of nurses: a 2 years follow-up retrospective analysis in the National Nurse Health Study (NNHS).

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Heli Zhang, Jingpin Wang, Siwei Zhang, Sumei Tong, Jinping Hu, Ying Che, Lin Zhuo, Peng Wang, Rongmei Geng, Yujie Zhou, Panfeng Wang, Siyan Zhan, Baohua Li
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引用次数: 0

Abstract

Background and purpose: Efforts to improve nurses' physical and mental health are critical to ensuring the safety and quality of the healthcare system. Long-term studies targeting the relevancy of nurses' occupation characteristics with health conditions remain insufficient. This study aimed to examine the relationship between nurses' night shift and sleep problems and metabolic abnormalities risk.

Methods: This study was a part of the National Nurse Health Study, an ambispective cohort study in China, in 2021. Based on an integration physical examination data system, this study carried out a retrospective analysis of 730 nurses from 2018 to 2020 and combined with a questionnaire survey in 2021. The STROBE guidelines were adopted for reporting.

Results: In the 23 (23.0, 24.0) months follow-up, higher night shift load was associated with more sleep problems such as shortened sleep duration, sleep disorders, poor sleep quality, and sleep deprivation. Moreover, night shift load was associated with chronic diseases risk factors, increasing body mass index and body fat, with more night shift density, increasing the occurrence of low levels of high-density lipoprotein cholesterol, high triglyceride, triglyceride/high-density lipoprotein cholesterol ratio, and serum uric acid.

Conclusion: The night shift load has become an occupational health concern, contributing to chronic diseases relevant metabolic risk factors and negative influence on sleep health. Focus on the strategies to improve the sleep quality of nurses undergoing night shift work, optimize work scheduling and ongoing monitor the relevant risk factors are essential to enhance the stability and well-being of the nursing workforce.

Clinical trials registration information: NCT04572347, on October 1, 2020. https://www.

Clinicaltrials: gov/ct2/show/NCT04572347.

Abstract Image

夜班与护士睡眠问题、代谢异常风险之间的关系:国家护士健康研究(NNHS)的2年随访回顾性分析。
背景和目的:努力改善护士的身心健康对于确保医疗系统的安全和质量至关重要。针对护士职业特征与健康状况相关性的长期研究仍然不足。本研究旨在探讨护士夜班与睡眠问题和代谢异常风险之间的关系。方法:本研究是2021年中国全国护士健康研究的一部分,该研究是一项前瞻性队列研究。基于综合体检数据系统,本研究对2018年至2020年730名护士进行了回顾性分析,并结合2021年的问卷调查。采用了STROBE准则进行报告。结果:在23个月(23.0,24.0)的随访中,夜班负荷越高,睡眠问题越多,如睡眠时间缩短、睡眠障碍、睡眠质量差和睡眠剥夺。此外,夜班负荷与慢性病危险因素有关,增加体重指数和体脂,夜班密度越高,高密度脂蛋白胆固醇、高甘油三酯、甘油三酯/高密度脂脂蛋白胆固醇比值和血清尿酸水平越低。结论:夜班负荷已成为一种职业健康问题,导致慢性病相关代谢危险因素,并对睡眠健康产生负面影响。关注提高夜班护士睡眠质量的策略,优化工作安排,持续监测相关风险因素,对于提高护理人员的稳定性和幸福感至关重要。临床试验注册信息:NCT045723472020年10月1日。https://www.Clinicaltrials:gov/ct2/show/NCT04572347。
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
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
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