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Sleep Disorders and Occupational Accident in Shift Work Nurses FREE TO VIEW

Sevginar Sonmez, MD; Ahmet Ursavas, MD; Esra Uzaslan, MD; Dane Ediger, MD; Mehmet Karadag, MD; Oktay Gozu, MD; Ercument Ege, MD
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Uludag University School of Medicine Department of Pulmonary Disease, Bursa, Turkey

Chest. 2014;146(4_MeetingAbstracts):947A. doi:10.1378/chest.1992342
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SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM

PURPOSE: Shift work is one of the most common reason of circadian rhythm sleep disorder and people with shift work have higher rates of absenteeism and accidents related to sleepiness. We aimed to investigate the prevalence of symptoms of sleep related breathing disorders in shiftwork nurses and to evaluate relationship between occupational accident and the symptoms.

METHODS: Data of 410 nurses was evaluated. A questionnaire was administered to get information on their socio-demographic data, presence of witnessed apnea during sleep, the prevalence of snoring, excessive daytime sleepiness and frequency of other symptoms and having any occupational accident.

RESULTS: The prevalence of habitual snoring, witnessed apnea, excessive daytime sleepiness was 5.4%, 22.4%, 47.1% respectively. Snoring (p=0.0001) and witnessed apnea (p=0.0001) prevalence was higher in overweight nurses. Mean values of the body mass index (p=0.0001), neck circumflex (p=0.03), co-morbid disease (p=0.0001) and the prevalence of witnessed apnea (p=0.0001) among the nurses with habitual snoring were statistically higher than the nurses without habitual snoring. 51 nurses (12.4%) had been involved in an occupational accident. The prevalence of snoring (p=0.008) and mean Epworth Sleepiness Score (ESS) were higher than the group without accidents. The ESS was higher than 10 points in 63 (15.4%) of the interviews. In this group occupational accident prevalence was 4.1 times higher than the group with less than 10 points ESS.

CONCLUSIONS: Nurses working in shifts frequently suffer sleep related disorders. There is a significant relationship work-related accidents and symptoms of sleep disturbance in shift work nurses.

CLINICAL IMPLICATIONS: In the presence of sleepiness, especially apnea, all symptoms of sleep disorders should be questioned and polysomnography should be evaluated in nurses working in shift.

DISCLOSURE: The following authors have nothing to disclose: Sevginar Sonmez, Ahmet Ursavas, Esra Uzaslan, Dane Ediger, Mehmet Karadag, Oktay Gozu, Ercument Ege

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