{"title":"生活方式与工作相关因素与睡眠品质之关系:台湾医院医师之性别分析。","authors":"Wen-Hsuan Hou, Tzu-Chin Hsu, Fu-Li Chen, Jeng-Cheng Wu","doi":"10.2147/NSS.S503570","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Poor sleep in physicians is a major concern, affecting their physical and psychological well-being and increasing the risk of medical errors. In this cross-sectional study, we explored gender-specific differences in factors associated with sleep quality in physicians.</p><p><strong>Participants and methods: </strong>Self-report questionnaires were distributed to 401 hospital physicians in Taiwan. Statistical analyses-Student's <i>t</i> test, Pearson's correlation test, and multivariate linear regression-were conducted to identify factors associated with sleep quality. Subgroup analyses were also conducted to analyze gender-specific differences in sleep quality and its related factors.</p><p><strong>Results: </strong>Of a total of 189 physicians, approximately 40% reported poor sleep quality, with no significant gender-specific differences. Multivariate analysis revealed that unhealthy dietary habits (β = 0.39, <i>p</i> = 0.02) and a lack of regular exercise (β = -0.52, <i>p</i> = 0.04) were significantly associated with poor sleep quality in the female physicians. By contrast, higher job demands were significantly associated with poorer sleep quality in the male physicians (β = 0.16, <i>p</i> = 0.03).</p><p><strong>Conclusion: </strong>In physicians, sleep quality is influenced by gender-specific factors. To enhance sleep quality, male physicians should focus on reducing their workload, and female physicians should prioritize improving their dietary and exercise habits. To achieve these goals, we recommend implementing gender-sensitive strategies involving flexible scheduling and workload management to reduce job demands for male physicians. We also recommend providing on-site healthy meal options and establishing exercise facilities to promote healthier lifestyle habits for female physicians. In addition, we recommend developing sleep hygiene education and mentorship programs to support work-life balance and aid stress management tailored to gender-specific needs. These strategies could help enhance the sleep quality of physicians, potentially improving their well-being and patient care quality.</p>","PeriodicalId":18896,"journal":{"name":"Nature and Science of Sleep","volume":"17 ","pages":"437-446"},"PeriodicalIF":3.0000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910049/pdf/","citationCount":"0","resultStr":"{\"title\":\"Lifestyle and Job-Related Factors Associated with Sleep Quality: Gender-Specific Insights from Taiwanese Hospital Physicians.\",\"authors\":\"Wen-Hsuan Hou, Tzu-Chin Hsu, Fu-Li Chen, Jeng-Cheng Wu\",\"doi\":\"10.2147/NSS.S503570\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Poor sleep in physicians is a major concern, affecting their physical and psychological well-being and increasing the risk of medical errors. In this cross-sectional study, we explored gender-specific differences in factors associated with sleep quality in physicians.</p><p><strong>Participants and methods: </strong>Self-report questionnaires were distributed to 401 hospital physicians in Taiwan. Statistical analyses-Student's <i>t</i> test, Pearson's correlation test, and multivariate linear regression-were conducted to identify factors associated with sleep quality. Subgroup analyses were also conducted to analyze gender-specific differences in sleep quality and its related factors.</p><p><strong>Results: </strong>Of a total of 189 physicians, approximately 40% reported poor sleep quality, with no significant gender-specific differences. Multivariate analysis revealed that unhealthy dietary habits (β = 0.39, <i>p</i> = 0.02) and a lack of regular exercise (β = -0.52, <i>p</i> = 0.04) were significantly associated with poor sleep quality in the female physicians. By contrast, higher job demands were significantly associated with poorer sleep quality in the male physicians (β = 0.16, <i>p</i> = 0.03).</p><p><strong>Conclusion: </strong>In physicians, sleep quality is influenced by gender-specific factors. To enhance sleep quality, male physicians should focus on reducing their workload, and female physicians should prioritize improving their dietary and exercise habits. To achieve these goals, we recommend implementing gender-sensitive strategies involving flexible scheduling and workload management to reduce job demands for male physicians. We also recommend providing on-site healthy meal options and establishing exercise facilities to promote healthier lifestyle habits for female physicians. In addition, we recommend developing sleep hygiene education and mentorship programs to support work-life balance and aid stress management tailored to gender-specific needs. These strategies could help enhance the sleep quality of physicians, potentially improving their well-being and patient care quality.</p>\",\"PeriodicalId\":18896,\"journal\":{\"name\":\"Nature and Science of Sleep\",\"volume\":\"17 \",\"pages\":\"437-446\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-03-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910049/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nature and Science of Sleep\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/NSS.S503570\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nature and Science of Sleep","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/NSS.S503570","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景:医生睡眠不足是一个主要问题,影响他们的身心健康,增加医疗差错的风险。在这项横断面研究中,我们探讨了与医生睡眠质量相关因素的性别差异。对象与方法:对台湾401名医院医师进行问卷调查。统计分析——学生t检验、Pearson相关检验和多元线性回归——被用来确定与睡眠质量相关的因素。还进行了亚组分析,以分析睡眠质量的性别差异及其相关因素。结果:在总共189名医生中,大约40%的人报告睡眠质量差,没有明显的性别差异。多因素分析显示,不健康的饮食习惯(β = 0.39, p = 0.02)和缺乏定期运动(β = -0.52, p = 0.04)与女医生睡眠质量差显著相关。相比之下,男性医生较高的工作要求与较差的睡眠质量显著相关(β = 0.16, p = 0.03)。结论:医生的睡眠质量受到性别因素的影响。为了提高睡眠质量,男性医生应该把重点放在减少工作量上,而女性医生应该优先改善她们的饮食和运动习惯。为了实现这些目标,我们建议实施性别敏感的战略,包括灵活的日程安排和工作量管理,以减少对男性医生的工作需求。我们还建议在现场提供健康膳食选择,并建立锻炼设施,以促进女医生更健康的生活习惯。此外,我们建议开展睡眠卫生教育和指导计划,以支持工作与生活的平衡,并帮助根据性别需求量身定制压力管理。这些策略可以帮助提高医生的睡眠质量,潜在地改善他们的健康和病人的护理质量。
Lifestyle and Job-Related Factors Associated with Sleep Quality: Gender-Specific Insights from Taiwanese Hospital Physicians.
Background: Poor sleep in physicians is a major concern, affecting their physical and psychological well-being and increasing the risk of medical errors. In this cross-sectional study, we explored gender-specific differences in factors associated with sleep quality in physicians.
Participants and methods: Self-report questionnaires were distributed to 401 hospital physicians in Taiwan. Statistical analyses-Student's t test, Pearson's correlation test, and multivariate linear regression-were conducted to identify factors associated with sleep quality. Subgroup analyses were also conducted to analyze gender-specific differences in sleep quality and its related factors.
Results: Of a total of 189 physicians, approximately 40% reported poor sleep quality, with no significant gender-specific differences. Multivariate analysis revealed that unhealthy dietary habits (β = 0.39, p = 0.02) and a lack of regular exercise (β = -0.52, p = 0.04) were significantly associated with poor sleep quality in the female physicians. By contrast, higher job demands were significantly associated with poorer sleep quality in the male physicians (β = 0.16, p = 0.03).
Conclusion: In physicians, sleep quality is influenced by gender-specific factors. To enhance sleep quality, male physicians should focus on reducing their workload, and female physicians should prioritize improving their dietary and exercise habits. To achieve these goals, we recommend implementing gender-sensitive strategies involving flexible scheduling and workload management to reduce job demands for male physicians. We also recommend providing on-site healthy meal options and establishing exercise facilities to promote healthier lifestyle habits for female physicians. In addition, we recommend developing sleep hygiene education and mentorship programs to support work-life balance and aid stress management tailored to gender-specific needs. These strategies could help enhance the sleep quality of physicians, potentially improving their well-being and patient care quality.
期刊介绍:
Nature and Science of Sleep is an international, peer-reviewed, open access journal covering all aspects of sleep science and sleep medicine, including the neurophysiology and functions of sleep, the genetics of sleep, sleep and society, biological rhythms, dreaming, sleep disorders and therapy, and strategies to optimize healthy sleep.
Specific topics covered in the journal include:
The functions of sleep in humans and other animals
Physiological and neurophysiological changes with sleep
The genetics of sleep and sleep differences
The neurotransmitters, receptors and pathways involved in controlling both sleep and wakefulness
Behavioral and pharmacological interventions aimed at improving sleep, and improving wakefulness
Sleep changes with development and with age
Sleep and reproduction (e.g., changes across the menstrual cycle, with pregnancy and menopause)
The science and nature of dreams
Sleep disorders
Impact of sleep and sleep disorders on health, daytime function and quality of life
Sleep problems secondary to clinical disorders
Interaction of society with sleep (e.g., consequences of shift work, occupational health, public health)
The microbiome and sleep
Chronotherapy
Impact of circadian rhythms on sleep, physiology, cognition and health
Mechanisms controlling circadian rhythms, centrally and peripherally
Impact of circadian rhythm disruptions (including night shift work, jet lag and social jet lag) on sleep, physiology, cognition and health
Behavioral and pharmacological interventions aimed at reducing adverse effects of circadian-related sleep disruption
Assessment of technologies and biomarkers for measuring sleep and/or circadian rhythms
Epigenetic markers of sleep or circadian disruption.