Akademik Veri Yönetim Sistemi
9th Eurasian Emergency Medicine Congress, Antalya, Türkiye, 9 - 12 Kasım 2023, (Özet Bildiri)
OBJECTIVE: The emergency department (ED) is a unit that provides 24-hour continuous service. Thisservice can only be provided if all units working in the ED work on a shift basis. Night shift work disruptscircadian rhythms and causes weakness, fatigue, and mood swings, as well as sleep disturbances. Thisstudy aimed to investigate the effect of shift work on the sleep patterns of all personnel working shifts inthe ED.MATERIAL and METHODS: This study is a prospective survey study. Physicians (general practitioners,residents, and specialists), nurses, secretaries, and security personnel working in training and researchhospitals and state hospitals in Ankara province who volunteered to participate in this survey study wereincluded. The Insomnia Severity Index (ISI), which was developed to determine the degree of insomniaof the participants, was used. It is a five-point Likert-type scale consisting of seven items. Each item isscored from 0 to 4, and the total score ranges from 0 to 28. A score of 0-7 indicates no clinicallysignificant insomnia, 8-14 subthreshold insomnia, 15-21 clinical insomnia (moderate severity), and 22-28 clinical insomnia (severe).RESULT: A total of 213 ED personnel, including 65 physicians, 82 nurses, and 66 secretaries/securitypersonnel, participated in the study. The results were divided into 3 groups (physicians, nurses, andsecretaries/security). The mean age of physicians was 33.8 years, 61% were male, 66% were married,33% smoked and 43% drank alcohol. The mean age of nurses was 31.3 years, 40% were male, 44%were married, 46% smoked, and 29% drank alcohol. In the secretary/security group, the mean age was33.8 years, 61% were male, 55% were married, 58% smoked, and 28% drank alcohol. While the ISIscore of the physicians was 12.5, it was found to be 16 for the nurses and 12 for the secretary/securitygroup, and it was understood that the nurses were affected at the level of clinical insomnia (p<0.005).The ISI score of the married personnel was 13, and that of the single personnel was 15. While marriedpersonnel were in the subthreshold insomnia group, single personnel were in the clinical insomnia group(p=0.010). The median ISI score of those working 6 or fewer night shifts per month was 11, 7-8 nightshifts per month was 14, and 9 or more night shifts per month was 15 (p=0.001). Accordingly, it wasobserved that the sleep levels of those working 6 or fewer night shifts per month were less affected andthis was statistically significant.CONCLUSION: Nurses were the group whose sleep levels were most affected among all ED workerswho worked night shifts in the ED. In addition, the sleep levels of singles and those who worked 9 ormore shifts per month were also significantly affected. The reasons why nurses are more affected shouldbe investigated and improvements made. Furthermore, the number of night shifts for all shift workersshould be reduced to the minimum possible to minimize the impact on their sleep patterns.