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首页> 外文期刊>Sleep medicine reviews >Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review
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Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review

机译：个人脆弱性对失眠，过度睡觉和换档工作障碍的医疗保健转换工作者。 系统评价

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Shift workers often experience reduced sleep quality, duration and/or excessive sleepiness due to the imposed conflict between work and their circadian system. About 20–30% of shift workers experience prominent insomnia symptoms and excessive daytime sleepiness consistent with the circadian rhythm sleep disorder known as shift work disorder. Individual factors may influence this vulnerability to shift work disorder or sleep-related impairment associated with shift work. This paper was registered with Prospero and was conducted using recommended standards for systematic reviews and meta-analyses. Published literature that measured sleep-related impairment associated with shift work including reduced sleep quality and duration and increased daytime sleepiness amongst healthcare shift workers and explored characteristics associated with individual variability were reviewed. Fifty-eight studies were included. Older age, morning-type, circadian flexibility, being married or having children, increased caffeine intake, higher scores on neuroticism and lower on hardiness were related to a higher risk of sleep-related impairment in response to shift work, whereas physical activity was a protective factor. The review highlights the diverse range of measurement tools used to evaluate the impact of shift work on sleep. Use of standardised and validated tools would enable cross-study comparisons. Longitudinal studies are required to establish causal relationships between individual factors and the development of shift work disorder.
机译：由于工作与昼夜节约系统之间的冲突，转变工人经常经历减少睡眠质量，持续时间和/或过度嗜睡。大约20-30％的换档工人经历了突出的失眠症状，与昼夜节律睡眠障碍称为换档工作障碍的昼夜节律睡眠症状过度嗜睡。个人因素可能会影响这种脆弱性，以改变与转移工作相关的工作障碍或与睡眠相关的损害。本文在Prospero注册，并使用推荐的系统评价和荟萃分析进行了。出版的文献，即测量与换档工作相关的睡眠相关的损害，包括减少睡眠质量和持续时间，并在医疗移位工作者之间增加日间嗜睡，并审查了与个人可变性相关的探索特征。包括五十八项研究。年龄较大的年龄，早晨型，昼夜节律灵活性，结婚或生育儿童，增加咖啡因摄入量，较高的神经质和较低的耐寒性与睡眠相关障碍的风险较高有关，而响应转移工作，而体育活动是一个保护因素。此次审查介绍了用于评估速度工作对睡眠影响的各种测量工具。使用标准化和验证的工具将实现跨学习比较。需要纵向研究来建立个体因素与移位工作障碍的发展之间的因果关系。

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