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Effects of Acute Sleep Deprivation Resulting from Night Shift Work on Young Doctors. | LitMetric

AI Article Synopsis

  • The study evaluated the impact of sleep deprivation on concentration and psychomotor performance in young physicians, comparing those who worked night shifts with those who did not.
  • Results showed that sleep-deprived physicians reported higher daytime sleepiness, slept less (average of 184.2 minutes vs. 397.7 minutes), and performed worse on concentration and reaction time tests.
  • The findings indicate that sleep deprivation can negatively affect attention and response times, which may compromise both patient care and the physicians' overall well-being.

Article Abstract

Introduction: To evaluate sleep deprivation and its effects on young physicians in relation to concentration capacity and psychomotor performance.

Material And Methods: Eighteen physicians aged 26 - 33 years were divided into 2 groups: non-sleep deprived group (with no night work) and sleep deprived group (minimum 12 hour of night work/week). We applied Pittsburgh Sleep Quality Index to screen the presence of sleep pathology and Epworth Sleepiness Scale to evaluate subjective daytime sleepiness; we used actigraphy and sleep diary to assess sleep hygiene and standard sleep-wake cycles. To demonstrate the effects of sleep deprivation, we applied Toulouse-Piéron's test (concentration test) and a battery of three reaction time tasks after the night duty.

Results: Sleep deprived group had higher daytime sleepiness on Epworth Sleepiness Scale (p < 0.05) and during week sleep deprivation was higher (p < 0.010). The mean duration of sleep during the period of night duty was 184.2 minutes to sleep deprived group and 397.7 minutes to non-sleep deprived group (p < 0.001). In the Toulouse-Piéron's test, the sleep deprived group had more omissions (p < 0.05) with a poorer result in concentration (p < 0.05). Psychomotor tests that evaluated response to simple stimuli revealed longer response latency (p < 0.05) and more errors (p < 0.05) in Sleep deprived group; in reaction to instruction test the sleep deprived group showed worse perfection index (p < 0.05); in the fine movements test there was no statistically significant difference between the groups.

Discussion: Acute sleep deprivation resulting from nocturnal work in medical professions is associated with a reduction in attention and concentration and delayed response to stimuli. This may compromise patient care as well as the physician's health and quality of life.

Conclusion: It is essential to study the effects of acute sleep deprivation on the cognitive abilities and performance of health professionals.

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Source
http://dx.doi.org/10.20344/amp.5777DOI Listing

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