目的:本研究旨在评估,并整合非药物管理倒班工人睡眠障碍的相关证据,为改善倒班工人睡眠提供参考。
方法:根据“6S”金字塔证据模型,在基于证据的数据库中进行了全面搜索,包括BMJ-最佳实践,UpToDate,DynaMed,科克伦图书馆,和乔安娜·布里格斯研究所(JBI);临床实践指南网站,如准则国际网络;专业协会网站,如世界睡眠协会;和文献数据库,包括PubMed,Embase,CINAHL,中国国家知识基础设施(CNKI),万方数据库,和中国生物医学光盘(CBM)从成立到2022年11月30日。两名研究者按照评价标准对文献进行独立评价;进行了提取,分类,和综合证据;并评估其等级和推荐等级。
结果:共纳入18项研究,包括2个临床决策,2准则,3专家共识,和11项系统审查。总的来说,从6个方面总结了25条证据:睡眠评估,睡眠调度,睡眠卫生,光疗法,工作场所干预,和其他管理。
结论:本研究总结了非药物治疗轮班工人睡眠障碍的最佳证据。轮班工人应合理安排睡眠时间,养成良好的睡眠卫生。此外,工作组织应共同促进睡眠,以改善轮班工人的睡眠条件,促进他们的身心健康。
OBJECTIVE: This study aimed to evaluate, and integrate the relevant evidence on the non-pharmacological management of sleep disorders in shift workers to provide a reference for improving sleep of shift workers.
METHODS: According to the \"6S\" pyramid model of evidence, a comprehensive search was conducted in evidence-based databases, including BMJ-Best Practice, UpToDate, DynaMed, Cochrane Library, and Joanna Briggs Institute (JBI); clinical practice guideline websites, such as the Guidelines International Network; professional association websites, such as the World Sleep Society; and literature databases, including PubMed, Embase, CINAHL,
China National Knowledge Infrastructure (CNKI), Wanfang Database, and Chinese Biology Medicine disc (CBM) from inception to November 30, 2022. Two researchers independently evaluated the literature in accordance with the evaluation standards; conducted the extraction, classification, and synthesis of the evidence; and evaluated its grade and recommendation grade.
RESULTS: A total of 18 studies were included, including 2 clinical decisions, 2 guidelines, 3 expert consensuses, and 11 systematic reviews. In total, 25 pieces of evidence were summarized from 6 aspects: sleep assessment, sleep scheduling, sleep hygiene, light therapy, workplace intervention, and other managements.
CONCLUSIONS: This study summarized the best evidence for the non-pharmacological management of sleep disorders in shift workers. Shift workers should reasonably arrange their sleep time and develop good sleep hygiene. Additionally, work organizations should jointly promote sleep to improve the sleep conditions of shift workers and promote their physical and mental health.