Excessive sleepiness of Thai night shift workers in medical circumstances indexed by Epworth Sleepiness Scale

Background: Excessive sleepiness is a cardinal symptom of many sleep disorders including shift work sleep disorder. As shift work sleep disorder is one type of the circadian rhythms sleep–wake disorders (CRSDs), it composes of symptoms of insomnia or excessive sleepiness associated with a recurring work schedule that intersections with the usual sleep timetable. Aims and Objective: The objective was to study the sleep propensity (SPs) in Thai medical staffs who are working in the hospital in Thailand. Materials and Methods: Ten participants included night shift workers with excessive sleepiness. Each participant was assessed by standardized measures of excessive sleepiness (Epworth sleepiness scale [ESS] ≥ 11). Exclusions included clinical major medical problem, psychiatric, neurological problem, use of drugs other than alcohol, uncorrected serious vision issue, pregnancy and lactation, use of antibiotics and herbs during this study. The ESS item scores in this study are all assessments of different situational SPs. Results: The results showed that about 70% of the subjects answered slight chance of dozing, while 20% answered moderate chance of dozing for sitting and reading situation. Only 10% of the subjects would never doze. There were 60% of the subjects answered slight chance of dozing, while 10% answered moderate chance of dozing for as a passenger in a car for hour without a break of the ESS. There were 30% mentioned that they would never doze. Conclusion: The situations can be described in general terms but not completely, for they depend on the subject’s perception of them. Although these preliminary findings represent a relatively information, it may not reflect all the SPs in Thai medical staffs who are working in hospital. It need further research to be done in the larger extended way.

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Armodafinil versus Modafinil in Patients of Excessive Sleepiness Associated with Shift Work Sleep Disorder: A Randomized Double Blind Multicentric Clinical Trial

Neurology Research International ◽

10.1155/2011/514351 ◽

2011 ◽

Vol 2011 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

D. V. Tembe ◽

A. Dhavale ◽

H. Desai ◽

D. N. Mane ◽

S. K. Raut ◽

...

Keyword(s):

Clinical Trial ◽

Sleep Disorder ◽

Shift Work ◽

Global Assessment ◽

Night Shift ◽

Efficacy And Safety ◽

Double Blind ◽

Excessive Sleepiness ◽

Shift Work Sleep Disorder ◽

Parallel Group

Aim. To compare the efficacy and safety of armodafinil, the R-enantiomer of modafinil, with modafinil in patients of shift work sleep disorder (SWSD).Material and Methods. This was a 12-week, randomized, comparative, double-blind, multicentric, parallel-group study in 211 patients of SWSD, receiving armodafinil (150 mg) or modafinil (200 mg) one hour prior to the night shift.Outcome Measures. Efficacy was assessed by change in stanford sleepiness score (SSS) by at least 2 grades (responder) and global assessment for efficacy. Safety was assessed by incidence of adverse events, change in laboratory parameters, ECG, and global assessment of tolerability.Results. Both modafinil and armodafinil significantly improved sleepiness mean grades as compared to baseline (). Responder rates with armodafinil (72.12%) and modafinil (74.29%) were comparable (). Adverse event incidences were comparable.Conclusion. Armodafinil was found to be safe and effective in the treatment of SWSD in Indian patients. The study did not demonstrate any difference in efficacy and safety of armodafinil 150 mg and modafinil 200 mg.

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MP91-06 INCREASED RISK OF HYPOGONADAL SYMPTOMS IN SHIFT WORKERS WITH SHIFT WORK SLEEP DISORDER

The Journal of Urology ◽

10.1016/j.juro.2017.02.2846 ◽

2017 ◽

Vol 197 (4S) ◽

Cited By ~ 1

Author(s):

Will Kirby ◽

Adithya Balasubramanian ◽

Javier Santiago ◽

Mark Hockenberry ◽

David Skutt ◽

...

Keyword(s):

Sleep Disorder ◽

Shift Work ◽

Shift Workers ◽

Shift Work Sleep Disorder ◽

Increased Risk

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PD27-06 SHIFT WORK SLEEP DISORDER AND NIGHT SHIFT WORK SIGNIFICANTLY IMPAIR ERECTILE FUNCTION.

The Journal of Urology ◽

10.1016/j.juro.2018.02.1357 ◽

2018 ◽

Vol 199 (4S) ◽

Cited By ~ 2

Author(s):

Katherine M. Rodriguez ◽

Taylor P. Kohn ◽

Jaden R. Kohn ◽

E. Will Kirby ◽

Stephen M. Pickett ◽

...

Keyword(s):

Sleep Disorder ◽

Shift Work ◽

Erectile Function ◽

Night Shift ◽

Night Shift Work ◽

Shift Work Sleep Disorder

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Increased Risk of Hypogonadal Symptoms in Shift Workers With Shift Work Sleep Disorder

Urology ◽

10.1016/j.urology.2019.10.040 ◽

2020 ◽

Vol 138 ◽

pp. 52-59 ◽

Cited By ~ 1

Author(s):

Adithya Balasubramanian ◽

Taylor P. Kohn ◽

Javier E. Santiago ◽

John T. Sigalos ◽

E. Will Kirby ◽

...

Keyword(s):

Sleep Disorder ◽

Shift Work ◽

Shift Workers ◽

Shift Work Sleep Disorder ◽

Increased Risk

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Predictors of Shift Work Sleep Disorder Among Nurses During the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

Frontiers in Public Health ◽

10.3389/fpubh.2021.785518 ◽

2021 ◽

Vol 9 ◽

Author(s):

Yuxin Li ◽

Xiaoyan Lv ◽

Rong Li ◽

Yongchao Wang ◽

Xiangyun Guan ◽

...

Keyword(s):

Social Support ◽

Sleep Disorder ◽

Shift Work ◽

Night Shift ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Personnel Staffing ◽

Shift Work Sleep Disorder

Background: Nurses have a high incidence of shift work sleep disorder, which places their health and patient safety in danger. Thus, exploring the factors associated with shift work sleep disorder in nurses is of great significance in improving their sleep health, nursing personnel staffing, and scheduling during the COVID-19 pandemic.Objectives: The purpose of this study was to investigate the incidence of shift work sleep disorder during the COVID-19 pandemic and explore the factors associated with shift work sleep disorder in Chinese nurses.Methods: This was a multicenter cross-sectional study using an online survey. Stratified cluster sampling was used to include 4,275 nurses from 14 hospitals in Shandong, China from December 2020 to June 2021. Stepwise multivariate logistic regression analysis and random forest were used to identify the factors associated with shift work sleep disorder.Results: The prevalence of shift work sleep disorder in the sampled shift nurses was 48.5% during the COVID-19 pandemic. Physical fatigue, psychological stress, shift work more than 6 months per year, busyness during night shift, working more than 40 h per week, working more than four night shifts per month, sleeping more than 8 h before night shift, using sleep medication, irregular meals, and high-intensity physical activity were associated with increased odds of shift work sleep disorder. Good social support, good work-family balance, napping two or three times per week, resting more than one day after shifts, intervals of 8 days or more between shifts, and taking turns to rest during the night shift were associated with decreased odds of shift work sleep disorder.Conclusions: Shift work sleep disorder may be associated with scheduling strategies and personal behavior during the COVID-19 pandemic. To reduce the incidence of shift work sleep disorders in nurses, nursing managers should increase night shift staffing, extend rest days after shift, increase night shift spacing, and reduce overtime, and nurses need to seek more family and social support and control their sleep schedules and diet.

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