Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)a...Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)and quality of sleep.Methods:A total of 20 nurses of the therapeutic depar tments and 20 nurses of the surgical depar tments were enrolled in the study.Sleep quality was assessed using the Pittsburgh Sleep Quality Index(PSQI).BP was measured according to the standard protocol using the Korotkoff method;a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m.and 10:30 a.m.The average value for the 2 indicators was calculated.The diagnosis of essential ar terial hyper tension(AH)was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension(2018).Results:The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality;this was true in respondents of both the surgical and therapeutic profiles.However,it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments.Moreover,poor sleep quality was associated with AH,which was diagnosed in 65%of the nurses of the therapeutic departments and 45%of the nurses of the surgical departments,that is,in almost all of the subjects.Herewith,in the nurses of the therapeutic departments,the level of systolic BP exceeded that of the nurses of the surgical departments.Conclusions:Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work.Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.展开更多
目的对成人急性严重创伤患者开展院前急救的评估指标进行分析,为急救工作“零通道”的启动提供循证依据。方法利用计算机在PubMed、Medline、Embase、Cochrane Central Register of Controlled Trials、中国知网检索专家共识、临床研究...目的对成人急性严重创伤患者开展院前急救的评估指标进行分析,为急救工作“零通道”的启动提供循证依据。方法利用计算机在PubMed、Medline、Embase、Cochrane Central Register of Controlled Trials、中国知网检索专家共识、临床研究、指南、系统评价等文献,检索时间2013年1月至2023年11月。根据标准筛选出文献后,采用不同工具进行质量评价和证据分级。结果共纳入8篇文献,其中4篇临床研究,2篇专家共识,2篇系统评价。最终总结了10项成人急性严重创伤患者“零通道”启用的循证依据。结论该研究总结了成人急性严重创伤患者“零通道”启动的相关指标,有助于临床医护人员及时启动急救“零通道”,提高抢救成功率。展开更多
文摘Objective:The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical depar tments and to establish possible relationships between level of blood pressure(BP)and quality of sleep.Methods:A total of 20 nurses of the therapeutic depar tments and 20 nurses of the surgical depar tments were enrolled in the study.Sleep quality was assessed using the Pittsburgh Sleep Quality Index(PSQI).BP was measured according to the standard protocol using the Korotkoff method;a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m.and 10:30 a.m.The average value for the 2 indicators was calculated.The diagnosis of essential ar terial hyper tension(AH)was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension(2018).Results:The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality;this was true in respondents of both the surgical and therapeutic profiles.However,it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments.Moreover,poor sleep quality was associated with AH,which was diagnosed in 65%of the nurses of the therapeutic departments and 45%of the nurses of the surgical departments,that is,in almost all of the subjects.Herewith,in the nurses of the therapeutic departments,the level of systolic BP exceeded that of the nurses of the surgical departments.Conclusions:Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work.Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.
文摘目的对成人急性严重创伤患者开展院前急救的评估指标进行分析,为急救工作“零通道”的启动提供循证依据。方法利用计算机在PubMed、Medline、Embase、Cochrane Central Register of Controlled Trials、中国知网检索专家共识、临床研究、指南、系统评价等文献,检索时间2013年1月至2023年11月。根据标准筛选出文献后,采用不同工具进行质量评价和证据分级。结果共纳入8篇文献,其中4篇临床研究,2篇专家共识,2篇系统评价。最终总结了10项成人急性严重创伤患者“零通道”启用的循证依据。结论该研究总结了成人急性严重创伤患者“零通道”启动的相关指标,有助于临床医护人员及时启动急救“零通道”,提高抢救成功率。
