文倩倩, 邢亚丹, 曹牧原, 王丽, 赵勇. 轮班工作者睡眠障碍预防及管理的最佳证据总结[J]. 职业卫生与应急救援, 2023, 41(3): 347-352. DOI: 10.16369/j.oher.issn.1007-1326.2023.03.025
引用本文: 文倩倩, 邢亚丹, 曹牧原, 王丽, 赵勇. 轮班工作者睡眠障碍预防及管理的最佳证据总结[J]. 职业卫生与应急救援, 2023, 41(3): 347-352. DOI: 10.16369/j.oher.issn.1007-1326.2023.03.025
WEN Qianqian, XING Yadan, CAO Muyuan, WANG Li, ZHAO Yong. Summary of the best evidence for the prevention and management of sleep disorders in shift workers[J]. Occupational Health and Emergency Rescue, 2023, 41(3): 347-352. DOI: 10.16369/j.oher.issn.1007-1326.2023.03.025
Citation: WEN Qianqian, XING Yadan, CAO Muyuan, WANG Li, ZHAO Yong. Summary of the best evidence for the prevention and management of sleep disorders in shift workers[J]. Occupational Health and Emergency Rescue, 2023, 41(3): 347-352. DOI: 10.16369/j.oher.issn.1007-1326.2023.03.025

轮班工作者睡眠障碍预防及管理的最佳证据总结

Summary of the best evidence for the prevention and management of sleep disorders in shift workers

  • 摘要:
      目的  检索并获取轮班工作者睡眠障碍预防及管理的相关证据,以降低轮班工作者睡眠障碍的发生率,为临床医护工作者提供参考。
      方法  采用循证护理方法对轮班工作者睡眠障碍的预防及管理提出问题。系统检索PubMed、UpToDate、Embase、Cochrane Library、BMJ Best Practice、Joanna Briggs Institute、CINAHL、中国临床指南文库网、国际指南协作网、美国临床指南网、英国国家临床医学研究所指南库等数据库中有关轮班工作者睡眠障碍预防及管理的相关文献,并对各类文献进行文献质量评价、证据级别评定。检索时限:建库至2022年4月。
      结果  共纳入17篇文献,包括指南6篇、临床决策4篇、专家共识4篇和系统评价3篇。从睡眠的评估、诊断、干预策略及健康教育4个方面汇总了28条证据。
      结论  总结了轮班工作者睡眠障碍预防及管理的最佳证据,可为医护工作者管理轮班工作睡眠障碍提供循证依据。通过应用最佳证据,以科学的方法管理和预防轮班工作者睡眠障碍问题,降低睡眠障碍发生率,提升健康质量。

     

    Abstract:
      Objective  To retrieve and obtain relevant evidence on the prevention and management of sleep disorders in shift workers and provide references for clinical medical workers in order to reduce the incidence of sleep disorders in shift workers.
      Methods  An evidence-based nursing approach was used to raise questions about the prevention and management of sleep disturbances in shift workers. Relevant literatures on the prevention and management of sleep disorders in shift workers were retrieved by systematic searches of PubMed, UpToDate, Embase, the Cochrane Library, BMJ Best Practice, the Joanna Briggs Institute, CINAHL, China Guideline Clearinghouse, Guidelines International Network, AHRQ, the British National Institute of Clinical Medicine Guidelines Database, and other databases, and literature quality and evidence levels were evaluated. Search deadline: from the establishment of the database to April 2022.
      Results  A total of 17 papers were included (6 guidelines, 4 clinical decision papers, 4 expert consensus papers, and 3 systematic reviews). A total of 28 pieces of evidence were summarized from four aspects: sleep assessment, diagnosis, intervention strategies, and health education.
      Conclusions  This study summarizes the best evidence for the prevention and management of sleep disorders in shift workers and provides evidence-based guidance for healthcare workers to manage patients' sleep. By applying the best evidence, scientific methods are used to manage and prevent sleep disorders in shift workers, reduce their incidence of sleep disorders, and improve their health quality.

     

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