Mental Fatigue Research Articles

Workload analysis with the full time equivalent method approach to determine workforce required

This research aims to to analyse the workload using the Full Time Equivalent (FTE) method to produce the optimal number of human resources. The post-pandemic economic recovery has led to increased productivity in various sectors, including PT Mada Wikri Tunggal which has experienced an increase in sales in the last three years. However, this increase in sales is inversely proportional to the number of human resources in the office sector of the company. Excessive or too minimal workload will cause inefficiency in the productivity of a company. The amount of workload that is too heavy indicates that the amount of workforce available is not balanced with the workload given, so it can cause physical and mental fatigue which results in a decrease in productivity. The data analysis method used in this research is the Full Time Equivalent (FTE) method. FTE can be assumed as a measure of the time required for the workforce to completely carry out work activities.

The Level of Psychological Tension and Professional Burnout in Nurses Employed in Hospital Emergency Departments

Burnout syndrome is a collection of adverse symptoms that affect nursing staff employed in medical facilities. This syndrome is marked by a low mood, mental fatigue, and physical discomfort. Its emergence is impacted by strenuous work, organizational problems, and interpersonal conflicts. The aim of this study was to analyze the degree of mental burden and occupational burnout of nurses employed in Hospital Emergency Departments (ER). The data collection was based on the author’s questionnaire, as well as the MBI Maslach occupational burnout questionnaire and the Meister’s mental burden assessment questionnaire. The sample comprised 113 professionally active nurses employed in the HED. Conclusions: (1) the respondents exhibit a low and medium level of occupational burnout and mental workload, (2) socio-demographic factors, work experience and prevention methods do not affect the level of mental workload and occupational burnout, (3) employment in several workplaces causes a higher level of workload and professional burnout, (4) satisfaction with remuneration and support from colleagues is a key factor in reducing the risks of professional burnout.

Resilient Social Work Practice: From the Experiences of Filipino Social Workers

'Resilience' refers to a person's capacity to handle difficulties, demands and pressure without experiencing negative effects. The concept of resilience draws from and reinforces a strengths perspective. The term refers to the belief that we have personal wisdom and capacity to persevere and grow from experience. Adopting a resilience mindset helps us to tap into these capacities and to flourish, even in the face of challenge. The pressures and demands of social work practice requires social workers to remain steadfast and strong despite all the personal and professional challenges. Since our country experiences many challenges like natural and manmade disaster and the COVID 19. There are evidence that social workers had experience mental and emotional fatigue. A study which aims to describe Resilient social work practice and actual experiences of Filipino Social Workers both personally and professionally amidst challenges and pandemic is needed to shed some light on how Filipino Social Workers deals with all these difficulties. Specifically, the study answers the following questions: 1. What is their perspective of resilient social work? 2.What are examples of resilience as practice by social workers on a personal and professional level? 3.How do social workers build resilience in professional practice? 4. In what ways (what aspect of their personal and professional level) did the participants practice Resiliency? Through online platform social workers in Davao Region from different social work settings participated in the study descriptive-qualitative research and concluded that social workers utilized various resiliency tools both personal and professional in their practice in dealing with clients in various organizations.

Diets of Vegetarians and Meat-Eaters Affect the Health Problems They Suffer

As society evolves, dietary choices have expanded significantly, offering a wealth of options beyond traditional limitations. One noticeable trend is the rising number of non-religious vegans, who are embracing plant-based diets due to their myriad health benefits when balanced correctly, mitigating some issues seen with conventional vegetarian diets. Conversely, the surge in meat production has led to an increasing number of carnivores, with some individuals even adopting exclusively meat-based diets. This article aims to explore the dietary disparities between vegetarians and meat eaters and the potential health concerns associated with each. Dietary habits play a pivotal role in shaping health. Vegetarians often grapple with protein and iron deficiencies due to their exclusion of meat, leading to potential clotting disorders and symptoms such as mental depression and fatigue. In contrast, meat eaters generally have an ample protein supply, but excessive consumption of red and processed meats has been linked to diseases like cancer. Furthermore, vegetarians may sometimes overlook essential nutrients found in meat, such as heme iron. This nutrient can be absorbed more easily than non-heme iron in plant, which may cause deficiency anemia. On the flip side, meat-heavy diets may lack essential aspects. A diet devoid of fruits and vegetables typically results in insufficient dietary fiber intake, giving rise to various health problems. Both dietary patterns have their merits and demerits, individuals must adjust their diets to address these shortcomings.

Muslim Prayer (Salah), and Its Restorative Effect: Psychophysiological Explanation

Stress is the most common problem experienced by people across ages and is associated with poor psychological and physical health. Stress is related to emotional and mental states that can be seen psychologically, namely relaxed and focused, also physiologically through the central nervous system (CNS) and autonomic nervous system (ANS), both sympathetic (SNS) and parasympathetic nervous systems (PNS). Salah, as obligatory Muslim worship, is a coping strategy beneficial for psychological and other aspects, such as physical and neurological health. Salah has a restorative effect, such as reducing mental fatigue and stress, as explained by attention restorative theory (ART) and stress restorative theory (SRT). Salah can reduce stress, psychologically and physiologically, indicated by an increment in PNS [nuHF of heart rate variability (HRV), galvanic skin responses (GSR), heart rate (HR), and blood pressure (BP) activity and a decrease in SNS (nuLF and LF/HF of HRV) also increase of alpha brainwave which part of the central nervous system (CNS). In terms of focus, concentration, and awareness, salah is perceived as giving the worshiper a better mental state. In addition, salah increases the gamma power, which is part of CNS and related to awareness. Interestingly, the relaxation effect of salah is higher in the prostration position; also, reciting the Holy Quran while doing salah has higher effects on focus and attention than mimic salah. Apart from the obligation of salah, the psychological and physiological benefits of salah should make a Muslim pray obediently, and the finding that reciting the Holy Quran ayah during salah and prostration has a higher effect shows that remembering Allah is vital.

Correlation of Work Fatigue and Mental Workload in Train Drivers: A Cross-sectional Study.

Evidence suggests that train drivers experience a high level of fatigue and mental workload. The present study aimed to assess overall, physical, and mental fatigue levels and their correlations with the mental workload in the metro train operation. Study Design: A cross-sectional study. This study was conducted on all 1194 train drivers in the Tehran Metro. The train drivers completed the Samn-Perelli Fatigue Scale and the Fatigue Assessment Scales at the beginning and end of the shift. In addition, they completed the National Aeronautics and Space Administration Task Load Index in the middle and at the end of the shift. Correlation and regression analyses were performed on the data to test the study hypothesis. Overall, physical, and mental fatigue levels increased significantly at the end of the shift compared to the onset of the shift (P<0.001). The mental workload and related dimensions were significantly increased at the end of the shift compared to the middle of the shift (P<0.001). Mental demand was the most important workload problem among the train drivers. The highest correlation was found between overall workload and time pressure (R=0.68, P<0.001). The mental workload had a significant correlation with work fatigue in the train drivers. Control measures should be focused on the mental workload and related dimensions, especially mental demand and time pressure.

Acute smartphone use impairs vigilance and inhibition capacities

Smartphones are now in very widespread use, and concerns have arisen about potential detrimental effects, even with acute use. These adverse consequences are often linked to the emergence of mental fatigue. While the cognitive implications of fatigue are well-documented, knowledge about the specific influence of acute smartphone use on cognitive performance remains scarce. The aim of this study was therefore to investigate the impact of acute smartphone use on cognitive performance. It included two experiments: one designed to assess the impact of smartphone use on vigilance, and the other focusing on evaluating inhibition capacities. In Experiment 1, two groups of 40 participants completed a Psychomotor Vigilance Task (PVT) before and after using a smartphone for 45 min (experimental group), or before and after watching a documentary (control group). In Experiment 2, two groups of 40 participants were subjected to a similar experimental design but had to perform a Go/NoGo task instead of a PVT. Mental fatigue and drowsiness were evaluated with visual analog scales before and after smartphone use and watching a documentary. Results suggested that both watching a documentary and using a smartphone for 45 min increased subjective mental fatigue and drowsiness. Watching the documentary did not impair cognitive performance. Reaction times on the PVT and number of errors on NoGo trials in the Go/NoGo task were higher among the participants in the smartphone condition. These results indicate reduced vigilance and impaired inhibition capacities only after smartphone use. We conclude that acute smartphone use induces mental fatigue and decreases cognitive performance. Further research is needed to understand the mechanisms underlying this decline in cognitive performance.

“A sprained ankle is the biggest sign of mental fatigue”: A qualitative study of the perceptions and experiences of mental fatigue in professional ballet

Mental fatigue is known to influence endurance, skill, and tactical performance in sport. Research investigating the impact of mental fatigue on tasks that combine physical, cognitive, and aesthetic performance such as professional ballet does not exist. Objective: To understand the perceptions and experiences of mental fatigue in professional ballet. Design: Qualitative, focus groups and semi-structured interviews. Setting: The Australian Ballet. Participants: Thirty-nine professional ballet dancers (53% of the company) and six dance staff members aged 18 years or above (53% female). Main outcome measures: N/a. Results: The average focus group and interview length was 48 ± 7 min and 41 ± 8 min. Key categories were; (1) Dancers and dance staff perceive that new learning contributes to mental fatigue, (2) Dancers perceive changes to their mood and perception of effort when they are mentally fatigued, and (3) Dancers and dance staff perceive that mental fatigue negatively affects their physical and cognitive performance and, increases their risk of injury. Conclusion: This is the first study where participants associated mental fatigue with injury risk and provides a springboard to measure the impact of mental fatigue on learning, injury, and performance in professional ballet.

Exploring The Potential of Microlearning for Toefl Ibt Preparation Among High School Students

The aim of this needs analysis is to investigate the potential of microlearning as a learning approach to prepare high school students for the TOEFL iBT. Microlearning is an instructional method that involves brief participation in an activity that is intended to yield a specific result. While prior research has shown its benefits in encouraging independent learning, reducing mental fatigue, and preventing demotivation and cognitive impairments, most studies have focused on adult learners, with only a small fraction conducted in high school settings. In Indonesia, certificates of English aptitude tests, such as TOEFL iBT, are necessary for higher education and job applications. However, the topic and skills are rarely discussed in schools, resulting in many high school graduates being unprepared for the exam. Typically, students resort to private institutions or tutors to acquire the necessary skills, but the associated costs and time commitment can be discouraging. Therefore, it is essential to examine the perceived importance of TOEFL iBT, learning difficulties, and learning preferences. The findings will inform recommendations on integrating microlearning into the existing educational framework. Future studies should explore microlearning themes further, expand research to high school context, and explore mobile-based microlearning.

Neuromuscular behaviour in the first dorsal interosseus following mental fatigue.

We examined sex-specific changes to neuromuscular function in response to mental fatigue. Twenty-five young, healthy adults (13 F, 12M) performed a mentally fatiguing task and control condition for 30min on two separate days. Neuromuscular function was assessed in the first dorsal interosseous before and after each condition. Reaction time decreased after the mentally fatiguing task (P<0.001, η2 =0.47). Males and females reported higher levels of subjective fatigue after the mentally fatiguing task (P<0.02, η2 =0.07). Motor unit firing rate increased over time at 10% maximal voluntary contraction (MVC; P<0.04, η2 =0.16), and decreased over time at 50% MVC (P<0.01, η2 =0.14); however, this was not unique to either sex. During a variable force contraction, error decreased in females over time and increased in males (P<0.05, η2 =0.13), although changes were not unique to mental fatigue. Physiological function of the neuromuscular system was not specifically affected by mental fatigue in males or females.

Task reallocation of human-robot collaborative production workshop based on a dynamic human fatigue model

As collaborative robots become more popular in industry, they are used to collaborate with human workers and free human workers from repeated and heavy work and reduce the risk of physical injuries. However, human workers need to finish tasks that require high cognitive abilities, which increases the risk of mental fatigue. Fatigue can negatively impact workers and even threaten the safety of workers. Currently, the dynamics of human fatigue model are rarely considered. Hence, it is crucial to develop a dynamic allocation method for human-robot collaborative tasks that considers dynamic human fatigue to ensure efficient and safe human-robot collaboration. This paper proposes a task reallocation method for human-robot collaborative production workshop based on a dynamic human fatigue model. A fatigue feature extraction method from multimodal data and a fatigue evaluation network are proposed to evaluate the current fatigue status of human workers. Based on the evaluation results, the human fatigue model is dynamically updated. If the worker’s fatigue state changes, a task reallocation scheme is generated by an improved genetic algorithm based on reinforcement learning and the dynamic human fatigue model. The experimental results show that the proposed model and algorithm are effective and efficient, and can provide innovative insights for realizing a human-centered manufacturing workshop.

Effect of boxers' social support on mental fatigue: Chain mediating effects of coach leadership behaviors and psychological resilience.

Athletic fatigue is an inescapable issue in competitive sports. It belongs to a physiological response that is triggered when competitive athletes are trained to a critical point. The study aims to explore the relationships involving boxers' social support, mental fatigue, coach leadership behaviors and psychological resilience. 1050 boxers were selected in several provinces across China and investigated on the basis of the Social Support Questionnaire for Athletes, Mental Fatigue Scale, Psychological Resilience Scale, and Leadership Scale for Sport. Boxers' social support was negatively correlated with mental fatigue and psychological resilience, while it was positively correlated with coach leadership behaviors. Apart from direct effects on mental fatigue, other impacts are imposed by boxers' social support via mediating effects such as coach leadership behaviors and psychological resilience. The total effect value was -0.18, the direct effect value was -0.08, and the indirect effect value was -0.12; furthermore, coach leadership behaviors and psychological resilience play a mediating role, accounting for 65.57% of the total. In order to alleviate the stress from intense competitive training and abate mental fatigue, competitive athletes may be encouraged in subsequent training to seek all-sided social support for social interpersonal relationships. While clarifying the mechanism how the external environment affects individuals, this paper explains the principle of social support on athletes' psychological fatigue and identifies mutual influences between coaches and athletes.

Factors affecting physical and mental fatigue in adults from South Korea: A cross-sectional study.

In modern society, demanding and stressful events contribute to increased fatigue in adults. Moreover, fatigue is the most prevalent symptom of long coronavirus disease 2019. Fatigue is a subjective feeling of tiredness that can be attributed to various causes. This cross-sectional study investigated factors affecting physical and mental fatigue in adults living in South Korea. Self-reported data were collected through an online survey conducted between July 11 and July 17, 2021. The final sample comprised 362 participants, excluding those with uncertain responses. The collected data were analyzed using IBM SPSS version 27.0. General characteristics and variables of the participants were examined through descriptive statistical analysis. Differences in fatigue level according to the general characteristics of the participants were analyzed using t tests and one-way analysis of variance. The correlation between variables was analyzed using Pearson correlation coefficients. To investigate factors affecting fatigue, stepwise multiple regression analysis was conducted. The overall level of fatigue according to participants' general characteristics differed significantly based on alcohol use, economic status, number of chronic diseases, stress, depression, and sleep problems. Factors affecting physical fatigue were depression, sleep problems, General Health Questionnaire (GHQ-12) scores, and number of chronic diseases. The factors affecting mental fatigue were depression, GHQ-12 score, and alcohol use. The variables that had the most significant impact on overall fatigue were alcohol consumption, the number of chronic illnesses, depression, and GHQ-12, in that order. This emphasizes the importance of lifestyle improvement and dietary management in adults for preventing chronic diseases and managing mental health. The results of this study should be considered when planning health services to provide fatigue interventions for Korean adults.

DIGITAL BURNOUT IN DISTANCE EDUCATION PROCESS: INVESTIGATION OF SECONDARY SCHOOL TEACHERS' OPINIONS

The main purpose of this study is to assess the perspectives of secondary school teachers regarding digital burnout within the context of distance learning during the COVID-19 pandemic. This study employed a qualitative research methodology, utilizing a semi-structured interview format to obtain the data. During the process of developing the semi-structured interview questions, a thorough review of the literature was conducted to ensure the creation of a reliable tool for data collecting. The research study's sample comprises 21 teachers who were selected using the criterion sampling approach. The data derived from this sample were subjected to analysis using the content analysis methodology. The findings of the study revealed that the participants' engagement with digital environments throughout the distant education process yielded both advantageous and disadvantageous outcomes. Several individuals encountered feelings of insufficiency inside digital contexts throughout the duration of the distance learning process. However, the subsequent impacts can be enumerated as follows: The topics of interest include digital aging, digital addiction, and mental fatigue. Within the parameters of the study, the findings unveiled the recommendations provided by the participants for mitigating digital burnout.

The impact of virtual reality technologies on the health of employees

The article is a review of research on the impact of virtual reality on the functional state and human health. The relevance of the work is due to the growing interest in the use of virtual reality technologies in industry, education, medicine and other fields. At the same time, it is known that more than 80% of users have various side effects.&#x0D; The authors have analyzed more than 60 foreign literary sources in order to study the peculiarities of the negative effects of being in a virtual environment on human organisms.&#x0D; An analysis of scientific publications has shown that most of them are devoted to the study of cyber sickness, although researchers note other negative symptoms and effects caused by virtual reality: visual and muscle fatigue, acute stress and mental fatigue. We identified three groups of factors influencing the development of side effects: individual, hardware and software factors, and found that the characteristics of the visual display have the greatest impact on the user's condition.&#x0D; The disadvantage of most studies is the use of the questionnaire method, as well as the assessment of the impact of short-term work in extended environments on the human body.&#x0D; The issues discussed in this article form the directions for further research in the field of human interaction and the virtual environment.

Classification of cognitive impairment in older adults based on brain functional state measurement data via hierarchical clustering analysis.

Cognitive impairment (CI) is a common degenerative condition in the older population. However, the current methods for assessing CI are not based on brain functional state, which leads to delayed diagnosis, limiting the initiatives towards achieving early interventions. A total of one hundred and forty-nine community-dwelling older adults were recruited. Montreal Cognitive Assessment (MoCA) and Mini-Mental State Exam (MMSE) were used to screen for CI, while brain functional was assessed by brain functional state measurement (BFSM) based on electroencephalogram. Bain functional state indicators associated with CI were selected by lasso and logistic regression models (LRM). We then classified the CI participants based on the selected variables using hierarchical clustering analysis. Eighty-one participants with CI detected by MoCA were divided into five groups. Cluster 1 had relatively lower brain functional states. Cluster 2 had highest mental task-switching index (MTSi, 13.7 ± 3.4), Cluster 3 had the highest sensory threshold index (STi, 29.9 ± 7.7), Cluster 4 had high mental fatigue index (MFi) and cluster 5 had the highest mental refractory period index (MRPi), and external apprehension index (EAi) (21.6 ± 4.4, 35.4 ± 17.7, respectively). Thirty-three participants with CI detected by MMSE were divided into 3 categories. Cluster 1 had the highest introspective intensity index (IIi, 63.4 ± 20.0), anxiety tendency index (ATi, 67.2 ± 13.6), emotional resistance index (ERi, 50.2 ± 11.9), and hypoxia index (Hi, 41.8 ± 8.3). Cluster 2 had the highest implicit cognitive threshold index (ICTi, 87.2 ± 12.7), and cognitive efficiency index (CEi, 213.8 ± 72.0). Cluster 3 had higher STi. The classifications both showed well intra-group consistency and inter-group variability. In our study, BFSM-based classification can be used to identify clinically and brain-functionally relevant CI subtypes, by which clinicians can perform personalized early rehabilitation.

The Relationship Between Mental Fatigue and Shooting Performance Over the Course of a National Collegiate Athletic Association Division I Basketball Season.

Daub, BD, McLean, BD, Heishman, AD, Peak, KM, and Coutts, AJ. The relationship between mental fatigue and shooting performance over the course of a National Collegiate Athletic Association Division I basketball season. J Strength Cond Res 38(2): 334-341, 2024-The aim of this investigation was to examine the presence of mental fatigue and concurrent changes in shooting performance across various experimental weeks throughout a National Collegiate Athletic Association (NCAA) basketball season. Fifteen elite male NCAA Division I collegiate basketball players (age 20.2 ± 1.2 years, height 199.3 ± 7.1 cm, and body mass 93.1 ± 8.6 kg) volunteered for this study. Mental fatigue and basketball shooting performance was evaluated at 4 timepoints with varying seasonal demands: high game volume (GAME), high academic load (ACADEMIC), no games and no academic load (PRACTICE), and standard number of games and academic requirements (TYPICAL). Subjective mental fatigue increased significantly ( p ≤ 0.05) from Pre to Post brief psychomotor vigilance test (PVT-B) measurements at the end of the ACADEMIC week ( p = 0.002, d = 1.51) and from beginning to end of the ACADEMIC week ( p < 0.001, d = 2.21). Ratings of mental effort were significantly increased during the ACADEMIC week ( p < 0.001, d = 1.67). Recovery stress questionnaire (REST-Q) showed significant differences between week GAME and ACADEMIC with an increase in Social Stress ( p = 0.001, d = 0.84), Fatigue ( p = 0.021, d = 1.12), Disturbed Breaks ( p = 0.024, d = 0.57), and Emotional Exhaustion ( p = 0.035, d = 0.75). Lower shooting performance was observed during the ACADEMIC week from Pre to Post ( p = 0.009, d = 0.35) and higher scores Pre to Post in the TYPICAL week ( p = 0.008, d = 0.25). Basketball shooting performance was significantly reduced after increased levels of mental fatigue stemming from added academic stress. In addition, an increase in sport-specific training or games had no effect on subsequent basketball shooting performance. Special consideration should be given by coaches around examination periods because the existence of academic stressors can influence basketball shooting performance.

Videoconference fatigue: validation of the Italian translated Zoom Exhaustion and Fatigue Scale (ZEFS)

ABSTRACT Background The global COVID-19 pandemic prompted widespread lockdowns as governments sought to contain the spread of the virus and minimize fatalities. Measures such as the stay-at-home orders imposed in Italy and the suspension of non-essential economic activities disrupted work and education worldwide. Telework, previously used by only one in five workers, gained prominence, albeit unevenly across countries. The surge in telework required the extensive use of video conferencing platforms. However, prolonged use of these platforms led to ‘Zoom fatigue’, characterized by mental fatigue and exhaustion. Objectives The aim of this study is to validate the Zoom Exhaustion & Fatigue Scale (ZEFS) in its Italian version, examining its relationship with videoconferencing characteristics, and outcomes such as emotional exhaustion, sleep problems, and technostress. Method The study included a sample of 372 workers (50% female) who held video conferences at least once a week. They were asked to complete an online self-report questionnaire. Results The results confirmed the original structure of the scale and identified a second-order factor and the five dimensions of Zoom fatigue, namely general fatigue, visual fatigue, social fatigue, emotional fatigue, and motivational fatigue. In addition, Zoom fatigue was positively correlated with sleep problems, emotional exhaustion, techno-stressors, frequency of video conferences and burstiness, and negatively correlated with attitudes toward video conferences, confirming the construct validity of the ZEFS. Conclusions The present study suggests that the Italian version of the ZEFS is a psychometrically sound measure for assessing Zoom fatigue in the Italian working population. The practical implications are discussed.

Investigation of the Relationship between Mental Fatigue and Clinical Decision-Making in Operating Room Nurses

Giriş: Stresli ve karmaşık ameliyathane ortamları hemşirelerin zihinsel olarak yorulmasına neden olabilmektedir. Ameliyat öncesi, sırası ve sonrası hasta bakımında doğru klinik kararlar alması beklenen ameliyathane hemşirelerinin zihinsel yorgunluğu, hasta güvenliğini doğrudan etkileyebilir. Amaç: Bu çalışma, ameliyathane hemşirelerinde zihinsel yorgunluk ile klinik karar verme arasındaki ilişkinin belirlenmesi amacıyla gerçekleştirildi. Yöntem: Tanımlayıcı-ilişki arayıcı tipteki bu araştırma, Türkiye’de kamu, özel ve üniversite hastanelerinde çalışan ve çevrimiçi olarak ulaşılan 168 ameliyathane hemşiresi ile yapıldı. Veriler, Tanıtıcı Özellikler Formu, Zihinsel Yorgunluk Ölçeği ve Hemşirelikte Klinik Karar Verme Ölçeği ile toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, gruplar arası karşılaştırmalarda Mann-Whitney U ve Kruskal-Wallis testleri ve ölçekler arasındaki ilişkinin değerlendirilmesinde Spearman korelasyon testi kullanıldı. Bulgular: Hemşirelerin %31,5’i 1-5 yıl arasında mesleki deneyime sahip olup, %41,1’i kamu hastanesinde ve %94,0’ü scrub/sirküle hemşire pozisyonunda çalışmaktadır. Hemşirelerin Zihinsel Yorgunluk Ölçeği puan ortalamasının 13,16 ± 6,81, Hemşirelikte Klinik Karar Verme Ölçeği puan ortalaması ise 138,87 ± 14,95 saptandı. Zihinsel Yorgunluk Ölçeği ile Hemşirelikte Klinik Karar Verme Ölçeği toplam puan ortalaması arasında negatif yönde ve zayıf şiddette istatistiksel olarak anlamlı bir ilişki olduğu belirlendi (r = -0,165; p &amp;lt; 0,05). Sonuç: Ameliyathane hemşirelerinin zihinsel yorgunluğunun klinik karar vermelerini olumsuz yönde etkilediği sonucuna ulaşıldı. Bu doğrultuda ameliyathane hemşirelerinin zihinsel yorgunluğunu azaltacak uygulamaların yapılması, hasta bakım kalitesinin iyileşmesine katkı sağlayacaktır.

Do Patients with Chronic Spinal Pain and Comorbid Insomnia Have More Features of Central Sensitization? A Case-Control Study.

Chronic spinal pain (CSP) is a major public health problem worldwide, frequently related to sleep problems. Central sensitization (CS) may worsen the clinical picture of CSP patients with insomnia. The aim of this study was to compare self-reported and objectively measured clinical outcomes between insomniac CSP patients with comorbid insomnia with and without symptoms of CS. A case-control study on baseline self-reported sleep, functioning, and psychological distress through online questionnaires. Objective sleep and physical activity parameters and pressure pain thresholds (PPTs) were assessed through polysomnography, actigraphy, and digital algometry, respectively. Independent sample t-test and Mann-Whitney U tests were used to examine possible differences in the outcome measures between the groups. Data from 123 participants were included and revealed no statistically significant group for objective sleep and physical activity parameters. The CS group, however, presented with worse self-reported sleep (quality sleep, insomnia severity, and dysfunctional beliefs about sleep), increased mental and physical fatigue, and higher psychological distress (anxiety and depressive symptoms), and reported lower PPTs. symptoms of CS may influence perceived sleep and affect functional health and well-being perception but do not seem to affect objective sleep and physical activity.