护理轮班工作对睡眠和血压昼夜值、节律的影响(英文)

Influence of shift work in nursing on sleep and circadian blood pressure and rhythm

目的：探讨护理轮班工作对睡眠和血压昼夜值、节律的影响。方法：选择长期在我院工作的29例轮班护士为轮班护士组，以32例白班护士为白班护士对照组（白班对照组），两组入选对象均接受了“匹兹堡睡眠质量指数问卷（PSQI）”评估和24h动态血压（ABPM）监测。结果：与白班对照组比较，PSQI问卷评估显示，轮班护士组的大部分因子分及 PSQI总分[（8.67±2.16）分比（11.98±3.30）分]均显著升高（P＜0.05～0.01）；24h动态血压监测表明，轮班护士组的平均夜间 SBP [（106.51±12.94）mmHg 比（115.74±13.72）mmHg]和 DBP [（71.23±9.76）mmHg比（74.96±10.68）mmHg]均明显升高（P＜0.05）；平均SBP下降率[（7.84±1.52）%比（3.66±1.47）%]和DBP下降率[（6.55±1.39）%比（2.83±0.51）%]，SBP杓型比例（59.38%比31.03%）和DBP杓型比例（68.75%比27.59%）明显减少，而 SBP非杓型比例（40.63%比68.97%）和 DBP非杓型比例（31.25%比72.41%）均显著增加（P＜0.05～＜0.01）。结论：轮班护士存在明确的睡眠障碍，并有血压昼夜值和节律的显著改变。

Objective：To explore influence of shift Work in nursing on sleep and circadian blood pressure and rhythm. Methods：A total of 2 9 shift nurses,Who Worked in our hospital for a long period,Were enrolled as shift nurse group.Another 32 day shift nurses Were regarded as day shift nurse control group （control group）.Both groups re-ceived Pittsburgh sleep quality index （PSQI）assessment and 24h ambulatory blood pressure monitoring （ABPM）. Results：Compared With control group,PSQI assessment shoWed that most factor scores and PSQI total score [（8.6 7 ±2.16）scores vs.（11.98±3.30）scores]significantly increased in shift nurse group （P〈0.05-0.01）;24h ABPM shoWed that mean nighttime SBP [（106.51 ± 12.94）mmHg vs.（115.74 ± 13.72）mmHg]and nighttime DBP [（71.23±9.76）mmHg vs.（74.96±10.68）mmHg]significantly rose in shift nurse group,P〈0.05;Mean SBP de-creasing rate [（7.84±1.52）% vs.（3.66±1.47）%]and mean DBP decreasing rate [（6.55±1.39）% vs.（2.83± 0.51）%],SBP dipper percentage （59.38% vs.31.03%）and DBP dipper percentage （68.75% vs.27.59%）signifi-cantly reduced,SBP non-dipper percentage （40.63% vs.68.97%）and DBP non-dipper percentage （31.25% vs. 72.41%）significantly rose in shift nurse group,P〈0.05-〈0.01.Conclusion：There exists definite somnipathy and significant change of circadian blood pressure and rhythm in shift nurses.