РАССТРОЙСТВА СНА У ВРАЧЕЙ КАК РЕЗУЛЬТАТ ПРОФЕССИОНАЛЬНО-ДЕТЕРМИНИРОВАННОГО ДЕСИНХРОНОЗА

Abstract

Intervention in the sleep-wake cycle affects the physical and mental state of the body, the social and professional functioning of the doctor working at night shift. This article presents the results of a study conducted among 755 doctors, 446 of them work at night shifts (the main group), 309 don't work at night shift (the comparison group). Significantly worse results were obtained in the main group in relation to the comparison group with indicators of all Pittsburgh Insomnia Rating Scale (PIRS) subscales with a significant effect. Unmarried respondents of the main group showed significantly worse results on a number of PIRS subscales. In the comparison group, the differences in the PIRS subscales between married and unmarried respondents were statistically unreliable. Male respondents, who work at night shifts, are less vulnerable to such sleep disorders as falling asleep, the duration of sleep, the frequency of nighttime awakenings and the state of dissatisfaction of sleep's quality. The main group of respondents who had to work two consecutive night shifts during the month showed significantly worse results in a few PIRS subscales in relation to their colleagues who didn't have two or more consecutive night shifts. The obtained results allow for consider the doctors over 40 y.old and working at night shifts as more vulnerable to sleep disorders then their colleagues under 40. Respondents with morning and intermediate types of circadian rhythms are less vulnerable to circadian desynchronosis and showing the best results on the most PIRS subscales in relation to the respondents with an evening type of daily rhythm.