Scientific Online Resource System

Conference Proceedings

Sleep Disorders among Workers in an Environment with High Psychosocial Risk

Marina Samuneva-Zhelyabova, Ivaylo Zhelyabov

Abstract

Introduction: Numerous workplaces are related to exposure to high psychosocial risk. Typical example for such employees are the ambulance workers. High proportion of them report serious sleep disorders.

Aim: The aim of our research is to find the frequency of sleep disorders and psychosocial risk factors among ambulance workers and the relationship between them.

Materials and Methods: The study was conducted among 468 workers in 2 emergency healthcare centers. The male participants are 58.3% and 41.7% are female. The distribution by position is: nurses—35.8%, followed by ambulance drivers—26.1%, the doctors are 18.1%, the paramedics—14.2% and the orderlies—5.8%. A sociological method was used—a survey. The statistical methods included descriptive statistics and Chi-square test.

Results: The majority of the participants (70.5%) reported that psychosocial factors like shift work, night shifts, violence, stress, interpersonal conflicts have negative impact on their work. The analysis showed that 69.7% of men and 70.7% of women gave a positive answer to the question. The distribution by position was as follows:  78.8% of paramedics, followed by doctors—73.7%, nurses—71.7%, ambulance workers—67.8%, and orderlies—44.4%. The part of participants who had sleep disorders was 36.3%, from them 35.2% were men and 37.1%—women. The largest is the share of participants with sleep disorders at age over 55 years—41%, according to the distribution by position the majority were physicians—46.4%.

Conclusion: The work of the ambulance workers is stressful, overloaded, and the levels of psychosocial risk factors and sleep disorders among them are high, unhealthy and common. It is necessary to take urgent preventive measures in order to limit them.

Keywords

ambulance workers, psychosocial risk factors, sleep disorders, workers in high psychosocial risk

Full Text


References

Khaghanizadeh, M., Ebadi, A., and Rahmani, M. The study of relationship between job stress and quality of work life of nurses in military hospitals. Journal Mil Med (2008). 10 (3), 175-184;

Oliviera A. C., Neto F., Teixeira F., Maia A., Working in prehospital emergency contexts : Stress, coping and support from the perspective of ambulance personnel, International Journal of Workplace Health Management, Volume 12, Number 6, 2019, pp. 469-482(14), https://doi.org/10.1108/IJWHM-01-2019-0004;

Davison C., Cotrim T.P., Gonçalves S. (2019) Analysis of Socio-Demographic, Lifestyle and Psychosocial Risk Factors Among a Sample of Portuguese Emergency Medical Technicians. In: Cotrim T., Serranheira F., Sousa P., Hignett S., Albolino S., Tartaglia R. (eds) Health and Social Care Systems of the Future: Demographic Changes, Digital Age and Human Factors. HEPS 2019. Advances in Intelligent Systems and Computing, vol 1012. Springer, Cham. https://doi.org/10.1007/978-3-030-24067-7_8;

Ward CL, Lombard CJ, Gwebushe N. Critical incident exposure in South African emergency services personnel: prevalence and associated mental health issues. Emerg Med J. 2006;23:226–231. doi: 10.1136/emj.2005.025908;

Hruska B., Barduhn M. S., Dynamic psychosocial risk and protective factors associated with mental health in Emergency Medical Service (EMS) personnel, Journal of Affective Disorders, Volume 282, 2021, Pages 9-17, ISSN 0165-0327, https://doi.org/10.1016/j.jad.2020.12.130;

Bauder B: Safety fears rise with city’s use of overtime. Pittsburgh Tribune-Review. 2012, Pittsburgh, PA: The Tribune-Review Publishing Company, B1-B7;

Patterson PD, Weaver MD, Frank RC, Warner CW, Martin-Gill C, Guyette FX, et al. Association Between Poor Sleep, Fatigue, and Safety Outcomes in Emergency Medical Services Providers. Prehosp Emerg Care. 2012 Jan-Mar;16(1):86-97. (PubMed) (Crossref);

Boudreaux E, Jones GN, Mandry C, Brantley PJ. Patient Care and Daily Stress Among Emergency Medical Technicians. Prehosp Disaster Med. 1996 Jul-Sep;11(3):188-93; discussion 193-4. (PubMed) (Crossref);

Barger LK, Runyon MS, Renn ML, Moore CG, Weiss MP, Condle JP, et al. Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis. Prehosp Emerg Care. 2018 Feb 15;22(sup1):58-68. (PubMed) (Crossref);

Cappuccio FP, D’Elia L, Strazzullo P, Miller MA. Sleep Duration and All-Cause Mortality: A Systematic Review and Meta-Analysis of Prospective Studies. Sleep. 2010 May; 33(5):585-92. (PubMed) (Crossref);

Itani O, Jike M, Watanabe N, Kaneita Y. Short Sleep Duration and Health Outcomes: A Systematic Review, Meta-Analysis, and Meta-Regression. Sleep Med. 2017 Apr;32:246-56. (PubMed) (Crossref);

Fernandez-Mendoza, J.; Vgontzas, A.N. Insomnia and its impact on physical and mental health. Curr. Psychiatry Rep. 2013, 15, 418. (Google Scholar) (CrossRef) (PubMed);

Khan W. A. A., Conduit R., Kennedy G. A., et al, Sleep and Mental Health among Paramedics from Australia and Saudi Arabia: A Comparison Study, Clocks & Sleep 2020, 2(2), 246-257; https://doi.org/10.3390/clockssleep2020019;

Caruso CC. Negative Impacts of Shiftwork and Long Work Hours. Rehabil Nurs. 2014 Jan-Feb;39(1):16-25. (PubMed) (Crossref);

Pirrallo RG, Loomis CC, Levine R, Woodson BT. The Prevalence of Sleep Problems in Emergency Medical Technicians. Sleep Breath. 2012 Mar;16(1):149-62. (PubMed) (Crossref);

Patterson PD, Buysse DJ, Weaver MD, Callaway CW, Yealy DM. Recovery Between Work Shifts Among Emergency Medical Services Clinicians. Prehosp Emerg Care. 2015 Jul-Sep;19(3):365-75. (PubMed) (Crossref);

Khan W. A. A., Conduit R., Kennedy G. A., Jackson M. L., The relationship between shift-work, sleep, and mental health among paramedics in Australia, Sleep Health, Volume 6, Issue 3, 2020, Pages 330-337, ISSN 2352-7218, https://doi.org/10.1016/j.sleh.2019.12.002;

Risks to health and safety at work in the health sector, Guide to Prevention and Good Practices European Commission Directorate-General for Employment, Social Affairs and Inclusion Department B. ISBN 978-92-79-26822-9 doi:10.2767/77477 © European Union, 2013 /in Bulgarian/;

Akerstedt T, Fredlund P, Gillberg M, Jansson B. Work Load and Work Hours in Relation to Disturbed Sleep and Fatigue in a Large Representative Sample. J Psychosom Res. 2002 Jul;53(1):585-8. (PubMed) (Crossref);

Sofianopoulos S, Williams B, Archer F. Paramedics and the effects of shift work on sleep: a literature review. Emerg Med J. 2012;29:152-155;

18. Akerstedt T. Shift Work and Disturbed Sleep/Wakefulness. Occup Med (Lond). 2003 Mar;53(2):89-94. (PubMed) (Crossref);

Gulia K. K., Kumar V. M., Sleep disorders in the elderly: a growing challenge, Psychogeriatrics, The official journal of the Japanese psychogeriatric Society, Volume 18, Issue 3, May 2018, Pages 155-165, https://doi.org/10.1111/psyg.12319;

Moraes W, Piovezan R, Poyares D, Bittencourt LR, Santos‐Silva R, Tufik S. Effects of aging on sleep structure throughout adulthood: a population‐based study. Sleep Med 2014; 15: 401– 409;

Peppard PE, Young T, Barnet JH. Increased prevalence of sleep‐disordered breathing in adults. Am J Epidemiol 2013; 177: 1006– 1014;

Akbaraly TN, Jaussent I, Besset A et al. Sleep complaints and metabolic syndrome in an elderly population: the three‐city study. Am J Geriatr Psychiatry 2015; 23: 818– 828;

Strand LB, Carnethon M, Biggs ML et al. Sleep disturbances and glucose metabolism in older adults: the cardiovascular health study. Diabetes Care 2015; 38: 2050– 2058;

Silber MH. Autoimmune sleep disorders. Handb Clin Neurol 2016; 133: 317– 326.

Suzuki E, Yorifuji T, Ueshima K et al. Sleep duration, sleep quality and cardiovascular disease mortality among the elderly: a population‐based cohort study. Prev Med 2009; 49: 135– 141;

Sabanayagam C, Shankar A, Buchwald D, Goins TR. Insomnia symptoms and cardiovascular disease among older American Indians: the Native Elder Care Study. J Environ Public Health 2011; 2011: 964617.


Refbacks

Font Size