关键词: change patterns intern nurse network structures shift work sleep inertia

来  源:   DOI:10.2147/NSS.S467433   PDF(Pubmed)

Abstract:
UNASSIGNED: Although experimental psychopathology using PET, EEG, and fMRI is at the forefront of understanding the underlying mechanisms of sleep inertia, many questions concerning causality remain unanswerable due to ethical constraints and the use of small and heterogeneous samples in experimental methods. There is a pressing need for a novel perspective in a large and relatively homogeneous population to fully capture and elucidate longitudinal processes and dynamic causality that culminate in episodes of sleep inertia over time. Therefore, this study aimed to reveal the causal relationships between symptoms of sleep inertia across its distinct patterns.
UNASSIGNED: A total of 1636 intern nurses participated in the first survey (94.1% validity rate), then 1277 intern nurses were followed up (82.9% tracing rate). Symptoms of sleep inertia were self-reported using the Sleep Inertia Questionnaire. The cross-lagged panel network models were used to examine unique longitudinal relationships between symptoms of sleep inertia across distinct trajectories.
UNASSIGNED: Four distinct trajectories of sleep inertia were established. Additionally, we found differences in those symptoms with the highest influence on other symptoms at the subsequent point across the networks of four trajectories, particularly, \"Difficulty in concentrating\" in the persistent-high group and \"Feeling tense\" in the deteriorating groups.
UNASSIGNED: The current study highlights changes in sleep inertia based on the long-term course over time. Notably, symptoms of \"Difficulty in concentrating\" and \"Feeling tense\" are imperative to address these specific symptoms within subpopulations.
摘要:
尽管使用PET的实验精神病理学,脑电图,功能磁共振成像是理解睡眠惯性潜在机制的最前沿,由于道德约束和实验方法中使用小且异质的样本,许多关于因果关系的问题仍然无法回答。迫切需要在大量且相对均匀的人群中提供新颖的观点,以完全捕获和阐明纵向过程和动态因果关系,最终导致睡眠惯性随时间的发作。因此,这项研究旨在揭示睡眠惰性症状在其不同模式之间的因果关系。
共有1636名实习护士参加了第一次调查(有效性为94.1%),随后对1277名实习护士进行了随访(追踪率为82.9%)。使用睡眠惯性问卷自我报告睡眠惯性症状。交叉滞后面板网络模型用于检查跨不同轨迹的睡眠惯性症状之间的独特纵向关系。
建立了四种不同的睡眠惯性轨迹。此外,我们发现,在四个轨迹网络的后续点,这些症状对其他症状的影响最大,特别是,“难以集中”在持续高的组中,“感觉紧张”在恶化的组中。
当前的研究强调了睡眠惯性随时间的长期变化。值得注意的是,“难以集中注意力”和“感觉紧张”的症状对于解决亚群中的这些特定症状至关重要。
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