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Médecine du travail du personnel hospitalier

Shift-related sleep problems vary according to work schedule

Auteur     Elisabeth Flo
Auteur     Ståle Pallesen
Auteur     Torbjørn Akerstedt
Auteur     Nils Magerøy
Auteur     Bente Elisabeth Moen
Auteur     Janne Grønli
Auteur     Inger Hilde Nordhus
Auteur     Bjørn Bjorvatn
Résumé     OBJECTIVES: Shift-related sleep and sleepiness problems may be due to characteristics of both shifts (ie, day, evening and night shifts) and work schedules (ie, permanent vs rotational schedules). The Bergen Shift Work Sleep Questionnaire (BSWSQ) was used to investigate associations between shift-related sleep problems and work schedules. METHODS: 1586 nurses completed the BSWSQ. Participants who, in relation to a shift, ‘often’ or ‘always’ experienced both a sleep problem and a tiredness/sleepiness problem were defined as having shift-related insomnia (separate for day, evening and night shifts and rest-days). Logistic regression analyses were conducted for day, evening, night, and rest-day insomnia with participants on both permanent and rotational schedules. RESULTS: Shift-related insomnia differed between the work schedules. The evening shift insomnia was more prevalent in the two-shift rotation schedule than the three-shift rotation schedule (29.8% and 19.8%, respectively). Night shift insomnia showed higher frequencies among three-shift rotation workers compared with permanent night workers (67.7% and 41.7%, respectively). Rest-day insomnia was more prevalent among permanent night workers compared with two- and three-shift rotations (11.4% compared with 4.2% and 3.6%, respectively). CONCLUSIONS: The prevalences of shift-related insomnia differed between the work schedules with higher frequencies for three-shift rotations and night shifts. However, sleep problems were present in all shifts and schedules. This suggests that both shifts and work schedules should be considered in the study of shift work-related sleep problems.
Publication     Occupational and environmental medicine
Volume     70
Numéro     4
Pages     238-245
Date     Apr 2013

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doi:10.1136/oemed-2012-101091

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