PDF(Pubmed)
Abstract：
The unique requirements of shift work, such as sleeping and working at variable times, mean that current sleep hygiene guidelines may be inappropriate for shift workers. Current guidelines may also contradict fatigue management advice (e.g. advising against daytime napping). The present study utilized a Delphi methodology to determine expert opinion regarding the applicability of current guidelines for shift workers, the appropriateness of the term \"sleep hygiene,\" and develop tailored guidelines for shift workers.
The research team reviewed current guidelines and existing evidence to draft tailored guidelines. Seventeen individual guidelines, covering sleep scheduling, napping, sleep environment, bedtime routine, substances, light exposure, diet, and exercise were drafted. Experts from sleep, shift work, and occupational health fields (n = 155) were invited to review the draft guidelines using a Delphi methodology. In each round, experts voted on individual guidelines, with 70% agreement considered consensus. Where consensus was not reached, written feedback from experts was discussed and incorporated into subsequent iterations.
Of the experts invited, 68 (44%) agreed to participate, with 55 (35%) completing the third (final) round. Most experts (84%) agreed that tailored guidelines were required for shift workers. Consensus was reached on all guidelines after three rounds. One additional guideline (sleep inertia) and an introductory statement were developed, resulting in a final set of 18 individual guidelines, termed \"healthy sleep practices for shift workers.\"
This is the first study to develop tailored sleep hygiene guidelines for shift workers. Future research should investigate the acceptability and effectiveness of these guidelines amongst shift workers.
The research team reviewed current guidelines and existing evidence to draft tailored guidelines. Seventeen individual guidelines, covering sleep scheduling, napping, sleep environment, bedtime routine, substances, light exposure, diet, and exercise were drafted. Experts from sleep, shift work, and occupational health fields (n = 155) were invited to review the draft guidelines using a Delphi methodology. In each round, experts voted on individual guidelines, with 70% agreement considered consensus. Where consensus was not reached, written feedback from experts was discussed and incorporated into subsequent iterations.
Of the experts invited, 68 (44%) agreed to participate, with 55 (35%) completing the third (final) round. Most experts (84%) agreed that tailored guidelines were required for shift workers. Consensus was reached on all guidelines after three rounds. One additional guideline (sleep inertia) and an introductory statement were developed, resulting in a final set of 18 individual guidelines, termed \"healthy sleep practices for shift workers.\"
This is the first study to develop tailored sleep hygiene guidelines for shift workers. Future research should investigate the acceptability and effectiveness of these guidelines amongst shift workers.
摘要：
目标：轮班工作的独特要求，比如在不同的时间睡觉和工作，意味着当前的睡眠卫生指南可能不适合轮班工人。当前的指南也可能与疲劳管理建议相矛盾（例如，建议不要白天小睡）。本研究利用德尔菲方法来确定有关当前指南对轮班工人的适用性的专家意见，“睡眠卫生”一词的适当性，并为轮班工人制定量身定制的指导方针。
方法：研究小组审查了当前指南和现有证据，以起草量身定制的指南。十七个个人准则，涵盖睡眠调度，午睡,睡眠环境,睡前常规,物质,曝光,饮食，并起草了练习。睡眠专家，轮班工作,邀请职业健康领域（n=155）使用Delphi方法审查指南草案。在每一轮中，专家对个别准则进行了投票，70%的协议被认为是共识。如果没有达成共识，讨论了专家的书面反馈，并将其纳入后续迭代中。
结果：在邀请的专家中，68（44％）同意参加，55（35％）完成了第三轮（决赛）。大多数专家（84％）认为需要为轮班工人量身定制的指南。经过三轮谈判，就所有准则达成了共识。制定了一个额外的指南（睡眠惯性）和介绍性声明，最终形成了18个单独的指导方针，被称为“轮班工人的健康睡眠实践”。
结论：这是第一项为轮班工人制定量身定制的睡眠卫生指南的研究。未来的研究应该调查这些指南在轮班工人中的可接受性和有效性。
方法：研究小组审查了当前指南和现有证据，以起草量身定制的指南。十七个个人准则，涵盖睡眠调度，午睡,睡眠环境,睡前常规,物质,曝光,饮食，并起草了练习。睡眠专家，轮班工作,邀请职业健康领域（n=155）使用Delphi方法审查指南草案。在每一轮中，专家对个别准则进行了投票，70%的协议被认为是共识。如果没有达成共识，讨论了专家的书面反馈，并将其纳入后续迭代中。
结果：在邀请的专家中，68（44％）同意参加，55（35％）完成了第三轮（决赛）。大多数专家（84％）认为需要为轮班工人量身定制的指南。经过三轮谈判，就所有准则达成了共识。制定了一个额外的指南（睡眠惯性）和介绍性声明，最终形成了18个单独的指导方针，被称为“轮班工人的健康睡眠实践”。
结论：这是第一项为轮班工人制定量身定制的睡眠卫生指南的研究。未来的研究应该调查这些指南在轮班工人中的可接受性和有效性。
