EFFECT OF SLEEP-DEPRIVED LIFESTYLE ON THE COGNITIVE FUNCTIONS OF SHIFT-WORKING NURSES.
Main Article Content
Keywords
.
Abstract
Objectives: The current study aimed to assess how sleep deprivation brought on by nurses working night shifts affected their overall health and quality of life .
Methods : In this study, 58 staff nurses were enlisted. They completed questionnaires like the ESS, PSQ, SSS, and BDI. The individuals' cognitive performance was assessed for alterations brought on by sleep deprivation using the Montreal Cognitive Assessment (MoCA), the stroop test, and the Vigilance test. Subjects were split into three groups: fewer than 4 hours/night, classified as severely sleep deprived (SD), within range of 4 to 6 hours per night, classed as mildly to moderately sleep deprived (MD), and those with more than 6 hours of sleep per night were classified as non-sleep deprived (NonD).
Results: Seventy-one percent of nurses who worked shifts reported having sleep problems. Compared to the MD and NonD groups, the SD group had a higher ESS. 67% of nurses had a lower MocA score at night (24.62) than they did during the day (27.92). 33% made more arithmetic mistakes during the course of the night. It was found that the stroop's color test, vigilance test, and memory test results were lower for nurses at night for 72%, 84%, and 67% of them, respectively. Therefore, among nurses who worked shifts, cognitive impairment was statistically significant.
Conclusion: These findings suggested that sleep deprivation among healthcare professionals may have detrimental consequences on their productivity, well-being, and ability to handle stress, which may affect the caliber of patient treatment.
References
2. Roth T. Prevalence, associated risks, and treatment patterns of insomnia. J Clin Psychiatry. 2005;66 Suppl 9:10–3. quiz 42-3.
3. Hossain JL, Shapiro CM. The prevalence, cost implications, and management of sleep disorders: an overview. Sleep Breath. 2002;6:85–102.
4. Yoo SS, Hu PT, Gujar N, Jolesz FA, Walker MP. A deficit in the ability to form new human memories without sleep. Nat Neurosci 2007;10:385–92..
5. Philibert I. Sleep loss and performance in residents and nonphysicians: a meta-analysis research Sleep 2005; 28:1392–402.
6. Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991;14:540–5.
7. Buysse DJ, Reynolds 3rd CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193–213.
8. Hoddes E, Zarcone V, Smythe H, Phillips R, Dement WC. Quantification of sleepiness: a new approach. Psychophysiology 1973;10:431–6.
9. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–71.
10. Nasreddine ZS, Phillips NA, Bӑdirian V. The montreal cognitive assessment, moca: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695–99. [PubMed] [Google Scholar]
11. Iljimae Apps. Confusing colours. Mobile Application Software. Version 2.2, 2014
https://play.google.com/store/apps/details?id=com.ndquangr.confusing colour&hl=en. Acessed on 2016/8/01
12. Vigilance Test. hsapps.com. Mobile Application Software. Version 1.0, 2013
https://play.google.com/store/apps/details?id=com.hsapps.vigilanztest&hl=enacessecedon 2016/8/01.
13. Wait Now. Reaction Time Test Mobile Application Software. Version 1.09, 2015.
https://play.google.com/store/search?q=Wait%20Now.%20Reaction%20Time%20Test&c=apps&hl=en. Accessed on 2016/8/01.
14. Veasey S, Rosen R, Barzansky B, Rosen I, Owens J. Sleep loss and fatigue in residency training. JAMA. 2002;288:1116–24. [PubMed] [Google Scholar]
15. Palhares VC, Corrente JE, Matsubara BB. Association between sleep quality and quality of life in nursing professionals working rotating shifts. Rev Saúde Pública. 2014;48(4):594–601. [PMC free article] [PubMed] [Google Scholar]
16. Pilcher, J. J. and Huffcutt, A. I. Effects of sleep deprivation on performance: a meta-analysis. Sleep, 1996, 19: 318–326.
17. Thomas M, Sing H, Belenky G, et al. Neural basis of alertness and cognitive performance impairments during sleepiness. I. Effects of 24 h of sleep deprivation on waking human regional brain activity. J Sleep Res 2000;9:335–52.
18. Vandewalle G, Archer SN, Wuillaume C, et al. Functional magnetic resonance imaging-assessed brain responses during an executive task depend on interaction of sleep homeostasis, circadian phase, and PER3 genotype. J Neurosci. 2009;29:7948–56.
19. 19. Stickgold R. Sleep-dependent memory consolidation. Nature 2005;437:1272–8. DOI 10.1038/nature04286.
20. Stickgold R, Walker MP. Sleep-dependent memory consolidation and reconsolidation. Sleep Med 2007;8:331–43. DOI 10.1016/j.sleep.2007.03.011
21. Shwetha B, Sudhakar H. Influence of shift work on cognitive performance in male [26] business process outsourcing employees. Indian Journal of Occupational and Environmental Medicine. 2012;16(3):114.
22. Lo JC, Ong JL, Leong RL, Gooley JJ, Chee MW. Cognitive performance, [27] sleepiness, and mood in partially sleep deprived adolescents: the need for sleep study. SLEEP. 2016;39(3): 687–98.
23. Raidy DJ, Scharff LF. Effects of sleep deprivation on auditory and visual memory [28] tasks. Perceptual And Motor Skills. 2005;101(2):451-67.
24. Gunzelmann G, Gross JB, Gluck KA, Dinges DF. Sleep deprivation and sustained [29] attention performance: Integrating mathematical and cognitive modeling. Cognitive Science. 2009;33(5):880-910.
25. Deboer T, Vansteensel MJ, Detari L, Meijer JH. Sleep states alter activity of suprachiasmatic nucleus neurons. Nat Neurosci. 2003;6:1086–90.
26. Wei HG, Riel E, Czeisler CA, Dijk DJ. Attenuated amplitude of circadian and sleep-dependent modulation of electroencephalographic sleep spindle characteristics in elderly human subjects. Neurosci Lett. 1999;260(1):29–32.
27. Lim J, Dinges DF. Sleep deprivation and vigilant attention. Annals of the New York Academy of Sciences. 2008;1129:305–22.
28. Doran SM, Van Dongen HP, Dinges DF Sustained attention performance during sleep deprivation: evidence of state instability. Archives Italiennes De Biologie. 2001;139(3):253-67.
29. Williamson AM, Feyer AM. Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication. Occupational and Environmental Medicine. 2000;57(10):649-55.
30. Teresa P, Tania G, Margarida GM. A survey of sleep deprivation patterns and their effects on cognitive functions of residents and interns in korea. Sleep Med 2011;12:390-96
31. Deeplaxmi K, Yaal E, Murali A, Iswarya S. Efffects of sleep deprivation on the cognitive performance of nurses working in shift. Journal of clinical and diagnostic research. 2017;11(8);1-4
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Santosh A. Deshmukh
Research Scholar, Faculty of Bhupal Noble’s University, Udaipur (Rajasthan)
S. S. Sisodiya
Professor , Faculty of Bhupal Noble’s University, Udaipur (Rajasthan)