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首页> 外文期刊>International Journal of Environmental Research and Public Health >Blood Pressure, Sleep Quality and Fatigue in Shift Working Police Officers: Effects of a Twelve Hour Roster System on Cardiovascular and Sleep Health
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Blood Pressure, Sleep Quality and Fatigue in Shift Working Police Officers: Effects of a Twelve Hour Roster System on Cardiovascular and Sleep Health

机译：血压，睡眠质量和疲劳转变工作警察：十二小时名册系统对心血管和睡眠健康的影响

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Police officers have been reported to exhibit a high incidence of pathologies, which present prematurely in an otherwise healthy population. Shift work has also been associated with an increased risk of cardiovascular and sleep disorders, attributable to its propensity for circadian rhythm dysfunction. However, contention exists as to whether shift work has a direct effect upon blood pressure (BP) regulation. Methods: This cross-sectional study sought to determine changes in BP and associations with the overall sleep quality and fatigue in 206 general duties police officers (n = 140 males) of the New South Wales Police Force in Australia. The subjects’ BP was assessed before and after their twelve hour shift, during which time they also completed the Lifestyle Appraisal Questionnaire, Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale and Fatigue Severity Scale (FSS). Results: Poor sleep quality (PSQI) and fatigue severity (FSS) were found to predominate in the sample (69% and 51% respectively). Although there was no change in BP for male participants, female officers’ systolic blood pressure (SBP) was found to increase significantly across the shift (p < 0.001), but with no change found in females’ diastolic blood pressure (DBP). Finally, higher pre and post-shift SBP (r = ?0.26, p = 0.001; r = ?0.25, p = 0.001, respectively) and DBP (r = ?0.26, p = 0.001; r = ?0.26, p = 0.001, respectively) were significantly correlated with lower FSS scores after accounting for age, waist-hip ratio and lifestyle risk factors. Conclusions: Based on these preliminary findings, there was a significant increase in SBP of female police officers after shift work, while BP and fatigue levels in all police officers were strongly related. Moreover, the predominating poor sleep quality and impact of fatigue in this sample remain a concern. Further research is required to ensure the physiological welfare of police officers, while strategies must be implemented to manage the detrimental effects shift work may be having upon their cardiovascular and sleep health.
机译：据报道，警察展示了病理发病率高，这在其他健康的人口中过早存在。转移工作也与心血管和睡眠障碍的风险增加有关，归因于其对昼夜节律功能障碍的倾向。但是，争用存在于转移工作是否对血压（BP）调节有直接影响。方法：这种横断面研究旨在确定BP和协会的变化，与澳大利亚新的南威尔士警察部队的206名普通职务警察（N = 140名男性）的全面睡眠质量和疲劳。主题的BP在十二个小时之前和之后进行评估，在此期间他们还完成了生活方式评估问卷，匹兹堡睡眠质量指数（PSQI），欧洲峰嗜睡量表和疲劳严重程度（FSS）。结果：发现睡眠质量不佳（PSQI）和疲劳严重程度（FSS）在样品中占主导地位（分别为69 ％和51％）。虽然男性参与者的BP没有变化，但女性官员在换档中发现了显着增加（P <0.001），但在女性舒张压（DBP）中没有发现变化。最后，更高的前和后换后SBP（R = 0.26，p = 0.001; r =Δ0.25，p = 0.001，分别）和dbp（r = 0.26，p = 0.001; r = 0.26，p = 0.001分别在核算年龄，腰臀比和生活方式风险因素后，分别与较低的FSS分数显着相关。结论：根据这些初步调查结果，转移工作后女警察SBP大幅增加，而所有警察的BP和疲劳水平都与强烈相关。此外，在该样本中疲劳的睡眠质量和疲劳的影响仍然是一个问题。进一步的研究是为了确保警察的生理福利，而必须实施战略以管理不利影响的转变工作可能是对其心血管和睡眠健康的影响。

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