Stress and sleep quality in doctors working on-call shifts are associated with functional gastrointestinal disorders

Abstract

AIMTo investigate the role of sleep quality and psychosocial problems as predictors of functional gastrointestinal disorders (FGIDs) in doctors that work 24 hour-on-call shifts.METHODSIn this cross-sectional observation study, using the Rome III Questionnaire and Pittsburgh Sleep Quality Index (PSQI), we analyzed 170 doctors with 24 hour-on-call shifts.RESULTSAmong the participants that had experienced a 24 hour-on-call shift within the last 6 mo, 48 (28.2%) had FGIDs. Overall prevalence of irritable bowel syndrome (IBS) and functional dyspepsia (FD) were 16.5% and 17.1%, respectively, with 5.3% exhibiting both. Sleep scores (PSQI) (8.79 ± 2.71 vs 7.30 ± 3.43, P = 0.008), the presence of serious psychosocial alarm (83.3% vs 56.6%, P = 0.004), and the proportion of doctors who experienced over two months of recent on-call work (81.2% vs 68.9%, P = 0.044) were significantly different between individuals with or without FGIDs. Multivariate analysis revealed that presenting serious psychosocial alarm was an independent risk factor for prevalence of FD (OR = 5.47, 95%CI: 1.06-28.15, P = 0.042) and poor sleep quality (PSQI ≥ 6) was a predictor of IBS (OR = 4.17, 95%CI: 1.92-19.02, P = 0.016).CONCLUSIONPhysicians should recognize the role of sleep impairment and psychological stress in the development of FGIDs and a comprehensive approach should be considered to manage patients with FGIDs.

Sleep, Health and Wellness at Work: A Scoping Review

“…Exposure to chronic stressors, including organizational, physical and psychological danger and lack of support, may adversely affect sleep quality in police officers [ 66 ]. In doctors on night duty the quality of sleep and psychosocial problems are significant predictors of the appearance of gastrointestinal disorders [ 67 ]. Hospice nurses at high risk for compassion fatigue report moderate-to-severe sleep disturbances that may be improved with cognitive-behavioral therapy [ 68 ].…”

Zwyczaje żywieniowe osób pracujących w systemie zmianowym a stan ich zdrowia

“…Problemami ze strony uk adu pokarmowego by y zaparcia, biegunka i wzd cia. Wyniki badania autorskiego potwierdzaj dane z 2017 roku (Lim, 2017). U 20% pracowników, którzy do wiadczyli 24-godzinnej zmiany w ci gu ostatnich 6 miesi cy, stwierdzono zaburzenia o dkowo-jelitowe.…”

Shift work and sleep: medical implications and management

“…64 The additional stress of on-call schedule scan cause physicians GIT problems due to disturbed sleep and psychological work stress. 65 Longer working hours, improper sleep, less physical activity, and shift work leads to lower back pain (LBP) among taxi drivers and other employees who spend significant amounts of their workday driving, such as truck drivers, letter carriers, or even police officers. 66 Shift workers have a cognitive decline and impaired work efficiency compared to non-shift workers.…”