교대 근무 적응을 위한 관리 전략 = Strategies for Adaptation to Shift Work

다국어 초록 (Multilingual Abstract)

More than 20% of the industrialized workforce includes shift workers. The misalignment between their work schedules and circadian clock-driven sleep-wake cycles can result in excessive sleepiness during work and disturbed sleep after work. Shift work is associated with various negative health consequences, and workers are at risk for shift work disorder. In this review, we focus on strategies to facilitate shift work adaptation, including medication, light therapy, scheduled sleep and naps, flexible shift schedules, sleep hygiene, and family and social support to promote sleep, wakefulness, and adaptation to the circadian clock. An integrated approach that combines multiple management strategies in contrast to a single approach, can enable more effective shift work adaptation.

참고문헌 (Reference)

1 최수정 ; 서수연 ; 주은연, "한국어판 교대근무자용 뮌헨 일주기유형 설문지를 통해 분석한교대근무 간호사의 수면-각성 양상과 일주기유형" 대한수면연구학회 14 (14): 23-35, 2017

2 정선혜 ; 서수연, "취침시간 지연행동군의 스마트폰 어플리케이션 사용 양상에 대한 예비연구" 대한수면연구학회 17 (17): 49-57, 2020

3 구대림 ; 김주한, "정상 수면의 생리" 한양대학교 의과대학 33 (33): 190-196, 2013

4 박원주, "야간근로와 건강, 관련 법규를 중심으로 고찰" 대한수면연구학회 18 (18): 1-11, 2021

5 최수정 ; 주은연 ; 김경숙, "순환교대근무 간호사의 일주기유형에 따른 근무조별 수면시간, 사회적 시차, 주관적 수면장애 비교" 한국기초간호학회 23 (23): 227-236, 2021

6 손동민 ; 함옥경, "병원간호사의 근무형태에 따른 일-생활 양립 갈등이이직의도에 미치는 영향" 한국직업건강간호학회 27 (27): 191-202, 2018

7 최수정 ; 하이경 ; 주은연, "교대근무간호사의 교대근무병 증상에 따른 수면, 지각된 건강 및 직무스트레스 비교" 대한수면연구학회 19 (19): 21-30, 2022

8 박영우 ; 신혜경 ; 이현심 ; 이혜영 ; 김은현 ; 박정숙 ; 오경환 ; 정미애 ; 문경희, "교대근무 간호사의 효율적인 근무형태 개발을 위한 실태조사" 병원간호사회 19 (19): 333-344, 2013

9 Piszczek MM, "What does schedule fit add to work–family research? The incremental effect of schedule fit on work–family conflict, schedule satisfaction, and turnover intentions" 94 : 866-889, 2021

10 Sargent C, "Timing of sleep in the break between two consecutive night-shifts : the effect of different strategies on daytime sleep and night-time neurobehavioural function" 14 : 231-242, 2022

11 Ganesan S, "The impact of shift work on sleep, alertness and performance in healthcare workers" 9 : 4635-, 2019

12 Purnell MT, "The impact of a nap opportunity during the night shift on the performance and alertness of 12-h shift workers" 11 : 219-227, 2002

13 van Maanen A, "The effects of light therapy on sleep problems : a systematic review and meta-analysis" 29 : 52-62, 2016

14 Huang LB, "The effectiveness of light/dark exposure to treat insomnia in female nurses undertaking shift work during the evening/night shift" 9 : 641-646, 2013

15 Kakooei H, "The effect of bright light on physiological circadian rhythms and subjective alertness of shift work nurses in Iran" 16 : 477-485, 2010

16 Juda M, "The Munich ChronoType Questionnaire for shift-workers(MCTQ(Shift))" 28 : 130-140, 2013

17 Stone JE, "Temporal dynamics of circadian phase shifting response to consecutive night shifts in healthcare workers : role of light-dark exposure" 596 : 2381-2395, 2018

18 Sallinen M, "Sleepwake rhythm in an irregular shift system" 12 : 103-112, 2003

19 Yong LC, "Sleep-related problems in the US working population : prevalence and association with shiftwork status" 74 : 93-104, 2017

20 Petrov ME, "Sleep strategies of night-shift nurses on days off : which ones are most adaptive?" 5 : 277-, 2014

21 Gumenyuk V, "Sleep loss, circadian mismatch, and abnormalities in reorienting of attention in night workers with shift work disorder" 37 : 545-556, 2014

22 Akerstedt T, "Sleep loss and fatigue in shift work and shift work disorder" 4 : 257-271, 2009

23 Flo E, "Shift work disorder in nurses--assessment, prevalence and related health problems" 7 : e33981-, 2012

24 Wright KP Jr, "Shift work and the assessment and management of shift work disorder(SWD)" 17 : 41-54, 2013

25 Wickwire EM, "Shift work and shift work sleep disorder : clinical and organizational perspectives" 151 : 1156-1172, 2017

26 Smith MR, "Shift work : health, performance and safety problems, traditional countermeasures, and innovative management strategies to reduce circadian misalignment" 4 : 111-132, 2012

27 American Academy of Sleep Medicine, "Shift work" American Academy of Sleep Medicine

28 Chinoy ED, "Scheduled evening sleep and enhanced lighting improve adaptation to night shift work in older adults" 73 : 869-876, 2016

29 Isherwood CM, "Scheduled afternoon-evening sleep leads to better night shift performance in older adults" 77 : 179-184, 2020

30 Touitou Y, "Promoting adjustment of the sleep-wake cycle by chronobiotics" 90 : 294-300, 2007

31 Pallesen S, "Prevalence of shift work disorder : a systematic review and meta-analysis" 12 : 638252-, 2021

32 Morgenthaler TI, "Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders" 30 : 1445-1459, 2007

33 Liira J, "Pharmacological interventions for sleepiness and sleep disturbances caused by shift work" 2014 : CD009776-, 2014

34 Hong J, "Personalized sleep-wake patterns aligned with circadian rhythm relieve daytime sleepiness" 24 : 103129-, 2021

35 Ejebu OZ, "Nurses’ experiences and preferences around shift patterns : a scoping review" 16 : e0256300-, 2021

36 Lewy AJ, "Melatonin shifts human circadian rhythms according to a phase-response curve" 9 : 380-392, 1992

37 Sharkey KM, "Melatonin phase shifts human circadian rhythms in a placebo-controlled simulated night-work study" 282 : R454-R463, 2002

38 Schweitzer PK, "Laboratory and field studies of naps and caffeine as practical countermeasures for sleep-wake problems associated with night work" 29 : 39-50, 2006

39 American Academy of Sleep Medicine, "International classification of sleep disorders–third edition(ICSD-3)" American Academy of Sleep Medicine 2014

40 Park JH, "Intention to leave among staff nurses in small-and medium-sized hospitals" 28 : 1856-1867, 2019

41 Booker LA, "Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. A systematic review" 41 : 220-233, 2018

42 Smith-Coggins R, "Improving alertness and performance in emergency department physicians and nurses : the use of planned naps" 48 : 596-604.E3, 2006

43 Garde AH, "How to schedule night shift work in order to reduce health and safety risks" 46 : 557-569, 2020

44 Eastman CI, "How to reduce circadian misalignment in rotating shift workers" 6 : 41-46, 2016

45 Kecklund G, "Health consequences of shift work and insufficient sleep" 355 : i5210-, 2016

46 Caldwell JA, "Fatigue and its management in the workplace" 96 : 272-289, 2019

47 Lammers-van der Holst HM, "Efficacy of intermittent exposure to bright light for treating maladaptation to night work on a counterclockwise shift work rotation" 47 : 356-366, 2021

48 Okechukwu CE, "Effectiveness of bright light exposure, modafinil and armodafinil for improving alertness during working time among nurses on the night shift : a systematic review" 15 : 336-346, 2022

49 Boivin DB, "Disturbance of the circadian system in shift work and its health impact" 37 : 3-28, 2022

50 Gumenyuk V, "Circadian phase, sleepiness, and light exposure assessment in night workers with and without shift work disorder" 29 : 928-936, 2012

51 Roenneberg T, "Chronotype and social jetlag : a(self-)critical review" 8 : 54-, 2019

52 Touitou Y, "Association between light at night, melatonin secretion, sleep deprivation, and the internal clock : health impacts and mechanisms of circadian disruption" 173 : 94-106, 2017

53 Roth T, "Appropriate therapeutic selection for patients with shift work disorder" 13 : 335-341, 2012

54 Scott LD, "An interventional approach for patient and nurse safety : a fatigue countermeasures feasibility study" 59 : 250-258, 2010

55 Vetter C, "Aligning work and circadian time in shift workers improves sleep and reduces circadian disruption" 25 : 907-911, 2015

56 Wyse CA, "Adverse metabolic and mental health outcomes associated with shiftwork in a populationbased study of 277, 168 workers in UK biobank" 49 : 411-420, 2017

57 Barnes RG, "Adaptation of the 6-sulphatoxymelatonin rhythm in shiftworkers on offshore oil installations during a 2-week 12-h night shift" 241 : 9-12, 1998

58 Borbély AA, "A two process model of sleep regulation" 1 : 195-204, 1982

59 Chan ZC, "A systematic literature review of nurse shortage and the intention to leave" 21 : 605-613, 2013

60 Ferguson SA, "12-h or 8-h shifts? It depends" 16 : 519-528, 2012