Shift work disorder and its related factors among health-care workers in a Tertiary Care Hospital in Bangalore, India.

Jesly Joseph Mathew,Merlyn Joseph,Bobby Joseph,Madonna Britto

doi:10.12669/pjms.345.16026

Jesly Joseph Mathew, Merlyn Joseph + Show 2 more

Open Access

https://doi.org/10.12669/pjms.345.16026

Copy DOI

Abstract

Background & Objective:Shift work disorder is the presence of excessive day time sleepiness and insomnia affecting people whose work hours overlap with the typical sleep period. Shift work has pronounced effect on physical and mental health of an individual. Our objective was to estimate the prevalence of symptoms of shift work disorder and the factors associated with it among hospital staff in a tertiary care hospital in Bangalore, India.Methods:This cross-sectional study was conducted at a private teaching tertiary hospital among 318 hospital workers in Bangalore during September to December 2015. Stratified random sampling method was used and the study population was divided into five strata based upon their parent department. Socioeconomic details, work profile and standard tools– Insomnia severity index, The Epworth sleepiness scale and the FACIT fatigue scale were used.Results:Of the 318 workers, 290 (91.2%) were females, between 21-25 years of age. Most had work experience of ≤4 years (77.6%). Insomnia was reported among 39.9%, and fatigue among 4.7% of hospital staff. Around 19.8% staff had excessive daytime sleepiness out of which 2.8% warranted medical attention.Conclusion:Periodic screening during annual medical check-ups and health education on practicing good sleep hygiene will help address this important issue of shift work disorders among workers.

Highlights

Shift work is commonly regarded as work that extends outside the daylight hours
To determine the factors associated with shift work disorder among hospital staff in a tertiary care hospital in Bangalore. This cross-sectional study was conducted at a private teaching tertiary hospital located in Bangalore during September to December 2015.Hospital workers belonging to the following departments or occupations – nursing, housekeeping, hospital aide, nursing aide and laboratory technicians were our study population
A majority of the study population resided in hostels (58.8%), was unmarried (68.6%) and belonged to a nuclear family (78.9%)

Summary

Introduction

Shift work is commonly regarded as work that extends outside the daylight hours. “Shift work” commonly denotes those work schedules that divide 24 hours in a day into roughly equal sized time schedules which will be covered by different teams in sequence. Work hours that displace sleep to the daytime and work to the night time interferes with the circadian and homeostatic regulation of sleep. In about 5 to 10 percent of night-shift workers, the sleep-wake disturbance is severe enough to warrant diagnosis as shift-work sleep disorder, which is characterized. Shift work disorder is the presence of excessive day time sleepiness and insomnia affecting people whose work hours overlap with the typical sleep period. Our objective was to estimate the prevalence of symptoms of shift work disorder and the factors associated with it among hospital staff in a tertiary care hospital in Bangalore, India. Conclusion: Periodic screening during annual medical check-ups and health education on practicing good sleep hygiene will help address this important issue of shift work disorders among workers

Objectives

Methods

Results

Conclusion