轮班模式与护士职业性超重或肥胖相关性的研究进展

摘要/Abstract

摘要： 本文基于风险管理和人口健康框架,综述了轮班制度影响护士职业性超重和肥胖的三大决定性因素：职业环境、生物遗传、社会行为,探讨了护士轮班模式与超重或肥胖之间的关系,为完善相关的理论研究,合理配置卫生人力资源,保障医疗卫生服务人员健康,提高医疗卫生服务质量以及推进建设健康中国提供参考。

关键词: 轮班护士, 风险管理和人口健康, 体质量指数, 超重, 肥胖

Abstract: Based on a risk management and population health framework,this study reviews the three major determinants of shift system affecting nurses' occupational overweight and obesity：occupational environment,biogenetics and social behavior,and explores the relationship between nurses' shift patterns and overweight or obesity to provide reference basis for improving related theoretical studies,rationalizing the allocation of health human resources,safeguarding the health of health care providers,improving the quality of health care services,and promoting the construction of a healthy China.

Key words: Shift nurses, Risk management and population health, Body mass index, Overweight, Obesity

中图分类号:

R181.3⁺1

牟一鑫, 陶月仙. 轮班模式与护士职业性超重或肥胖相关性的研究进展. [J]职业与健康, 2023, 39(15): 2148-2153.

MOU Yixin, TAO Yuexian. Progress of research on correlation between shift patterns and occupational overweight or obesity in nurses. [J]OCCUPATION AND HEALTH, 2023, 39(15): 2148-2153.

参考文献

[1] World Heaalth Organization.Obesity and overweight[DB/OL].(2021-06-09)[2022-08-02].https://www.who.int/zh/news-room/fact-sheets/detail/obesity-and-overweight.
[2] PEPLONSKA B,BUKOWSKA A,SOBALA W.Association of rotating night shift work with BMI and abdominal obesity among nurses and midwives[J].PLoS One,2015,10(7):e0133761.
[3] KNUTSSON A.Health disorders of shift workers[J].Occup Med(Lond),2003,13:103-108.
[4] ANTUNES L C,LEVANDOVSKI R,DANTAS G,et al.Obesity and shift work:Chronobiological aspects[J].Nutr Res Rev,2010,23(1):155-168.
[5] Nationall Research Counicl.Risk assessment in the federal government:Managing the process[M].Washington(DC):National Academies Press, 1983:1.
[6] Risk Management Frameork Project Team.Revised health canada decision-making framework for:Identifying,assessing,and managing health risks[R].Ottawa,Ontario,Canada,Health Protection Branch Transition and Health Canada,2000.
[7] EVANS R,STODDART G.Producing health,consuming health care[J].Soc Sci Med,1990,31(12):1347-1363
[8] EDWARDS N,MCDOWELL I.Proposal for a population health PhD program submitted to the ontario council of graduate studies[R].Ottawa,Canada University of Ottawa,Institute of Population Health,1998.
[9] KREWSKI D,HOGAN V,TURNER M C,et al.An integrated framework for risk management and population health[J].Hum Ecol Risk Assess,2007,13(6):1288-1312.
[10] BUCHVOLD H V,PALLESEN S,WAAGE S et al.Shift work schedule and night work load:Effects on body mass index a four-year longitudinal study[J].Scand J Work Environ Health,2018,44(3):251-257.
[11] GRIFFITHS P,DALL'ORA C,SIMON M,et al.Nurses' shift length and overtime working in 12 European countries:The association with perceived quality of care and patient safety[J].Med Care,2014,52(11):975-981.
[12] 陈晶晶,宋锦平.对护士APN排班方式满意度的调查[J].中华现代护理杂志,2012,18(9):1066-1068.
[13] STONE P W,DU Y,COWELL R,et al.Comparison of nurse,system and quality patient care outcomes in 8-hour and 12-hour shifts[J].Med Care,2006,44(12):1099-1106
[14] STIMPFEL A W,SLOANE D M,AIKEN L H.The longer the shifts for hospital nurses,the higher the levels of burnout and patient dissatisfaction[J].Health Aff (Millwood),2012,31(11):2501-2509.
[15] DALL'ORA C,GRIFFITHS P,BALL J,et al.Association of 12 h shifts and nurses' job satisfaction,burnout and intention to leave:Findings from a cross-sectional study of 12 European countries[J].BMJ Open,2015,5(9):e008331.
[16] SOBAL J.The international textbook of obesity[C].Weiley:Chichester,2001:305-322.
[17] ZHAO I,BOGOSSIAN F,SONG S,et al.The association between shift work and unhealthy weight:a cross-sectional analysis from the Nurses and Midwives' e-cohort Study[J].J Occup Environ Med,2011,53(2):153-158.
[18] KYLE R G,NEALL R A,ATHERTON I M.Prevalence of overweight and obesity among nurses in Scotland:A cross-sectional study using the Scottish Health Survey[J].Int J Nurs Stud,2016,53:126-133.
[19] WOYNAROWSKA-SOŁDAN M,PANCZYK M,et alIWANOW L..Associations between overweight and obesity and health enhancing behaviours among female nurses in Poland[J].Ann Agric Environ Med,2018,25(4):714-719.
[20] MILLER S K,ALPERT P T,CROSS C L.Overweight and obesity in nurses,advanced practice nurses,and nurse educators[J].J Am Acad Nurse Pract,2008,20(5):259-265.
[21] ZHAO I,BOGOSSIAN F,TURNER C.Does maintaining or changing shift types affect BMI? A longitudinal study[J].J Occup Environ Med,2012,54(5):525.
[22] KIM M J,SON K H,PARK H Y,et al.Association between shift work and obesity among female nurses:Korean Nurses' Survey[J].BMC Public Health,2013,13:1204.
[23] TADA Y,KAWANO Y,MAEDA I,et al.Association of body mass index with lifestyle and rotating shift work in Japanese female nurses[J].Obesity (Silver Spring),2014,22(12):2489-2493.
[24] FAN M,HONG J,CHEUNG P N,et al.Knowledge and attitudes towards obesity and bariatric surgery in chinese nurses[J].Obes Surg,2020,30(2):618-629.
[25] 董佩燕,胡绣华.妇产科医护人员的体重自我认识与对肥胖人群及其体重管理态度的关系[J].广西医学,2021,43(15):1903-1905.
[26] SEIDELL J C,HALBERSTADT J.The global burden of obesity and the challenges of prevention[J].Ann Nutr Metab,2015,66:7-12.
[27] ZHAO I,BOGOSSIAN F,TURNER C.A cross-sectional analysis of the association between night-only or rotating shift work and overweight/obesity among female nurses and midwives[J].J Occup Environ Med,2012,54(7):834-840.
[28] 张鸿敏,王婷,刘凯,等.医务工作者近5年夜班数量对其BMI的影响分析[J].中华现代护理杂志,2021,27(21):2843-2848.
[29] LEE G J,KIM K,KIM S Y,et al.Effects of shift work on abdominal obesity among 20-39-year-old female nurses:a 5-year retrospective longitudinal study[J].Ann Occup Environ Med,2016,28:69.
[30] KIM T W,JEONG J H,HONG S C.The impact of sleep and circadian disturbance on hormones and metabolism[J].Int J Endocrinol,2015, 2015:591729.
[31] QIAN J,SCHEER F A.Circadian system and glucose metabolism:Implications for Physiology and Disease[J].Trends Endocrinol Metab,2016,27(5):282-293.
[32] MCHILL A W,WRIGHT K P.Role of sleep and circadian disruption on energy expenditure and in metabolic predisposition to human obesity and metabolic disease[J].Obes Rev,2017,18:15-24.
[33] JAFARI R A,CHOOBINEH A,DANESHVAR S.Relationship between circadian rhythm amplitude and stability with sleep quality and sleepiness among shift nurses and health care workers[J].Int J Occup Saf Ergon,2015,21(3):312-317.
[34] 张欣,董婧琦,徐舒慧,等.轮班制对ICU女护士昼夜活动节律与疲倦的影响[J].中华护理杂志,2021,56(3):409-414.
[35] BOUDREAU P,DUMONT G A,BOIVIN D B.Circadian adaptation to night shift work influences sleep,performance,mood and the autonomic modulation of the heart[J].PLoS One,2013,8(7):e70813.
[36] National Sleep Foundation.2013 International bedroom poll:Summary of findings[OB/OL].(2016-01-18)[2022-08-02].https://sleepfoundation.org/sites/default/files/RPT495a.2013.
[37] 赵晓秋. 影响护士睡眠质量因素的调查及护理对策[J].护理研究,2009,23(2):315-317.
[38] 王丽萍,周双.临床护士睡眠质量及影响因素的研究进展[J].护理管理杂志,2011,11(10):706-707
[39] ZENG L N,YANG Y,WANG C,et al.Prevalence of poor sleep quality in nursing staff:A meta-analysis of observational studies[J].Behav Sleep Med,2020,18(6):746-759.
[40] 徐珊,余昆容.两种轮班制下护士睡眠质量现状调查[J].护理管理杂志,2012,12(10):727-728.
[41] ZHANG X,LEE S Y,LUO H,et al.A prediction model of sleep disturbances among female nurses by using the BP-ANN[J].J Nurs Manag,2019,27(6):1123-1130.
[42] COSTA G,ANELLI M M,CASTELLINI G,et al.Stress and sleep in nurses employed in “3×8” and “2×12” fast rotating shift schedules[J].Chronobiol Int,2014,31(10):1169-1178.
[43] CHAUDHURY S,SWALEHA M.Stress and burnout in nursing profession[J].J Nurs Health Care,2018,6(3):1-2.
[44] 李秋萍,陈曦,韩斌如,等.护士知觉压力与健康行为能力的相关性研究[J].职业与健康,2021,37(17):2349-2352.
[45] SUN-IM I M,EUU-A CHO.Relationship between emotional labor,job stress and eating attitudes among clinical nurses[J].J Korea Acad Indust Coop Soc,2014,15(7):4318-4328.
[46] NAHM E S,WARREN J,ZHU S,et al.Nurses' self-care behaviors related to weight and stress[J].Nurs Outlook,2012,60(5):e23-e31.
[47] FUJISHIRO K,LAWSON C C,HIBERT E L,et al.Job strain and changes in the body mass index among working women:A prospective study[J].Int J Obes(Lond),2015,39(9):1395-1400.
[48] LIN S H,LIAO W C,CHEN M Y,et al.The impact of shift work on nurses' job stress,sleep quality and self-perceived health status[J]. J Nurs Manag,2014,22(5):604-612.
[49] FARAHMAND H,POURHOSEIN R,ALSADAT S.A review and meta-analysis of the relationship between stress and obesity[J].Rooyesh-e-Ravanshenasi J,2019,7(12):163-182.
[50] HOKM A M,BAKHTI M,NAZEMI M F,et al.Investigating the relation of body mass index,depression and age in Norabad Delfan[J].J Ilam University,2014,22(1):130-138.
[51] KOSKI M,NAUKKARINEN H.The relationship between stress and severe obesity:A case control study[J].Biomedicine Hub,2017,2(1):113.
[52] GELIEBTER A,GLUCK M E,TANOWITZ M,et al.Work-shift period and weight change[J].Nutrition,2000,16(1):27-29.
[53] FRADKIN L,RAZ O,BOAZ M.Nurses who work rotating shifts consume more energy,macronutrients and calcium when they work the night shift versus day shift[J].Chronobiol Int,2019,36(2):288-295.
[54] SAMHAT Z,ATTIEH R,SACRE Y.Relationship between night shift work,eating habits and BMI among nurses in Lebanon[J].BMC Nurs,2020,19:25.
[55] TADA Y,KAWANO Y,MAEDA I,et al.Association of body mass index with lifestyle and rotating shift work in Japanese female nurses[J].Obesity(Silver Spring),2014,22(12):2489-2493.
[56] PEPLONSKA B,KALUZNY P,TRAFALSKA E.Rotating night shift work and nutrition of nurses and midwives[J].Chronobiol Int,2019, 36(7):945-954.
[57] CALVIN A D,CARTER R E,ADACHI T,et al.Effects of experimental sleep restriction on caloric intake and activity energy expenditure[J].Chest,2013,144(1):79-86.
[58] AKERSTEDT T.Shift work and disturbed sleep/wakefulness[J].Sleep Med Rev,1998,2(2):117-128.
[59] PRATHER A A,LEUNG C W,ADLER N E,et al.Short and sweet:Associations between self-reported sleep duration and sugar-sweetened beverage consumption among adults in the United States[J].Sleep Health,2016,2(4):272-276.
[60] PEPLONSKA B,BUKOWSKA A,SOBALA W.Rotating night shift work and physical activity of nurses and midwives in the cross-sectional study in Łód袁行行,Poland[J].Chronobiol Int,2014,31(10):1152-1159.
[61] CHIN D L,NAM S,LEE S J.Occupational factors associated with obesity and leisure-time physical activity among nurses:A cross sectional study[J].Int J Nurs Stud,2016:60-69.
[62] ZHAO I,TURNER C.The impact of shift work on people's daily health habits and adverse health outcomes[J].Aust J Adv Nurs,2008, 25(3):8-22.
[63] YOUNGSTEDT S D.Effects of exercise on sleep[J].Clin Sports Med,2005,24(2):355-365.
[64] KNUTSSON A.Health disorders of shift workers[J].Occup Med(Lond),2003,53(2):103-108.
[65] BRUM M C,FILHO F F,SCHNORR C C,et al.Shift work and its association with metabolic disorders[J].Diabetol Metab Syndr,2015,7:45.
[66] SCHEER F A,HILTON M F,MANTZOROS C S,et al.Adverse metabolic and cardiovascular consequences of circadian misalignment[J].Proc Natl Acad Sci USA,2009,106(11):4453-4458.
[67] SHEA S A,HILTON M F,ORLOVA C,et al.Independent circadian and sleep/wake regulation of adipokines and glucose in humans[J]. J Clin Endocrinol Metab,2005,90(5):2537-2544.
[68] ANTUNES L,LEVANDOVSKI R,DANTAS G,et al.Obesity and shift work:Chronobiological aspects[J].Nutr Res Rev,2010,23(1):155-168.
[69] BECCUTI G,PANNAIN S.Sleep and obesity[J].Curr Opin Clin Nutr Metab Care,2011,14(4):402-412.
[70] 李昀佳,汤淑桐,骆春柳.轮班工作对糖脂代谢影响的研究进展[J].中华肥胖与代谢病电子杂志,2019(2):5.
[71] QIN L Q,LI J,WANG Y,et al.The effects of nocturnal life on endocrine circadian patterns in healthy adults[J].Life Sci,2003,73(19):2467-2475.
[72] CIZZA G,REQUENA M,GALLI G,et al.Chronic sleep deprivation and seasonality:Implications for the obesity epidemic[J].J Endocrinol Invest,2011,34(10):793-800.
[73] MARKWALD R R,MELANSON E L,SMITH M R et al.Impact of insufficient sleep on total daily energy expenditure,food intake,and weight gain[J].Proc Natl Acad Sci USA,2013,110(14):5695-5700.