La Calidad del Sueño en los Profesionales Sanitarios de dos Áreas de Salud de Castilla-La Mancha
- Yolanda Díaz-Campo García-Carpintero 1
- Cristina Díaz-Campo García-Carpintero 2
- Carmen Puerma Castillo 3
- Mª Nieves Viedma Lloreda 4
- Alberto Aulet Ruiz 5
- Eloisa Lázaro Merino 6
- Olga Mª Fernández Rodríguez 7
- 1 Hospital General de Tomelloso (Ciudad Real)
- 2 EAP Madridejos (Gerencia de Atención Primaria de Alcázar de San Juan)
- 3 EAP Buenavista (Gerencia de atención Primaria de Toledo)
- 4 EAP Quintanar de la Orden (Gerencia de Atención Primaria de Alcázar de San Juan)
- 5 EAP Villafranca de los Caballeros (Gerencia de Atención Primaria de Alcázar de San Juan)
- 6 Gerencia de AP de Alcázar de San Juan.
- 7 Unidad Docente de MFyC de Toledo
ISSN: 2386-8201
Ano de publicación: 2008
Volume: 2
Número: 4
Páxinas: 156-161
Tipo: Artigo
Outras publicacións en: Revista Clínica de Medicina de Familia
Resumo
Objectives. To determine the characteristics of sleep patterns of primary health care professionals and their relation to continous medical attention and health care. Design. This is a multicenter, descriptive, cross-sectional study, consisting of a questionnaire completed by the participants. Setting. Toledo and Alcazar de San Juan health areas. Participants. General practitioners (GPs) and nurses. Main measurement. Sociodemographic, health care and characteristic sleep factors. Results. 281 professionals answered the questionnaire. Average age: 41.27 years (SD 8.76). 37.7% were men; 37.9% GPs; 72.2% were on duty. 31.7% reported that they have sleep disorders (CI 95% 26,65-38,46) irrespective of shift work, sex (31.6% men vs 31.2% women) or occupation (29.7% GPs vs 32.7% nurses). For 72.5% these sleep disorders infl uenced their daily activity and for 55.6% it infl uenced their behaviour. Of the professionals who were on duty, 18.8% took stimulants while doing shiftwork (there was no difference in sex or occupation) and 5.5% took sleeping pills, more GPs than nurses (10.7% vs 1.7%; χ2 7.66; p<0.01). A total of 47.7% said that they have made errors when they come off duty, more GPs (65.1% vs 34.8%;χ2 17.7, p< 0.001) and men (57.8% vs 39.4% ; χ2 6.63, p<0.05). A total of 29.6% had had an accident after a night shift. This was more frequent among nurses (21.2% vs 35%; χ2 4.57; p<0.05). 76.1% admitted having a worse behaviour towards patients after having been on a shift. Conclusions. The prevalence of sleep disorders is similar to those of the general population. Shiftwork does not seem to increase these disorders, although they could be associated with a poorer quality of medical care and an increase of risk factors.
Referencias bibliográficas
- Baldwin D, Daugherty S, Tsai R, Scotti M. A National Survey of resident`s self-reported work hours:thinking beyond speciality. Acad Med. 2003; 78:1154-1163.
- Bobes García J, González G-Portilla MP, Sáiz Martínez PA, Bousoño García M. Trastornos del sueño. En: Vázquez Barquero JL. Psiquiatría en Atención Primaria. Madrid: Aula Médica; 1998. p. 429-442.
- Choobineh A, Rajaeefard A, Neghab M. Problems related to shiftwork for health care workers at Shiraz University of Medical Sciences. East Mediterr Health J. 2006; 12(3-4):3406.
- Fernandez Rodriguez MJ, Bautista Castano I, Bello Lujan L, Fernandez Bethencourt L, Sanchez Villegas A, Serra Majen L. Nutritional evaluation of health shift workers from the Canary Islands. Nutr Hosp. 2004; 19(5):286-91.
- Manual diagnóstico y estadístico de los trastornos mentales. Texto revisado. Breviario. Criterios diagnósticos. Barcelona: Masson SA; 2002. p. 256.
- Martínez- Carpio PA, Corominas A. Introducción general a la cronobiología clínica y a la manipulación terapéutica de los ritmos biológicos. Med Clin (Barc). 2004; 123(6):230-235.
- Menéndez González M, Ryan Murua P, García Salavarri B. Estudio subjetivo de las guardias sobre la salud, calidad de vida y calidad asistencial de los médicos residentes de España. Arch Med. 2007; 1(3). Disponible en: http://www. sempsph.com/sempsph/attachments/036_guardiasobresalud1-1.pdf
- Molina Siguero A, García Pérez MA, Alonso González M, Cecilia Cermeño P. Prevalencia de desgaste profesional y psicomorbilidad en médicos de atención primaria de un área sanitaria de Madrid. Aten Primaria. 2003; 31(9):564-74.
- Santamaría J. Mecanismos y función del sueño: su importancia clínica. Med Clin (Barc). 2003; 120(19):750-755.
- Schwartz JR, Roth T. Shift Work sleep disorder: burden of illness and approaches to management. Drugs. 2006; 66(18):2357-70.
- Tamagawa R, Lobb B, Booth R. Tolerance of shift work. Appl Ergon. 2007; 38(5):635-42.