신경과 전공의 수면실태
Sleep Status of Residents in Neurology Department
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Background : For evaluating the work load for medical residents, it is important to search the work hour and sleep status. The purpose of this study was to find out the sleep status of residents in neurology department in Korea. Methods : We recruited neurological residents of 12 University hospitals. They completed questionnaires including their sleep and work hours, sleep habit, Stanford Sleepiness Scale (SSS), Epworth Sleepiness Scale (ESS), health problem and so on. Results : We excluded the residents who were diagnosed sleep disorder in history. One hundred three residents (male: 67, female 36) were analyzed. Average sleep duration on off duty days was 5.8 ± 0.9 hours, on duty days was 4.6 ± 1.3 hours and mean work hours was 14.6 ± 2.3 hours. Average SSS score was 2.6 ± 1.0 and ESS was 10.6 ± 5.1. Group analyzed by resident grade showed short sleep duration in first and second grade on duty days. ESS score was higher in first and second grade than other grades. Conclusions : Most neurological residents were suffered from sleep deprivation especially first and second grade on duty days. They also feel sleepiness drowsiness during a daytime.
Abstract
Background : For evaluating the work load for medical residents, it is important to search the work hour and sleep status. The purpose of this study was to find out the sleep status of residents in neurology department in Korea. Methods : We recruited neurological residents of 12 University hospitals. They completed questionnaires including their sleep and work hours, sleep habit, Stanford Sleepiness Scale (SSS), Epworth Sleepiness Scale (ESS), health problem and so on. Results : We excluded the residents who were diagnosed sleep disorder in history. One hundred three residents (male: 67, female 36) were analyzed. Average sleep duration on off duty days was 5.8 ± 0.9 hours, on duty days was 4.6 ± 1.3 hours and mean work hours was 14.6 ± 2.3 hours. Average SSS score was 2.6 ± 1.0 and ESS was 10.6 ± 5.1. Group analyzed by resident grade showed short sleep duration in first and second grade on duty days. ESS score was higher in first and second grade than other grades. Conclusions : Most neurological residents were suffered from sleep deprivation especially first and second grade on duty days. They also feel sleepiness drowsiness during a daytime.
참고문헌 (23)
- Connor J, "The role of driver sleepiness in car crashes: a systematic review of epidemiological studies", Accid Anal Prev, 33, pp.31~41 (2001)
- Hansotia P, "Sleep, sleep disorders and motor vehicle crashes", Wis Med J, 96, pp.42~47 (1997)
- Lockley SW, "Effects of health care provider work hours and sleep deprivation on safety and performance", Jt Comm J Qual Patient Saf, 33(11 Suppl), pp.7~18 (2007)
- Kim HJ, "Effects of sleep deprivation on attention and working memory in medical residents and interns", J Kor Sleep Soc, 3, pp.85~92 (2006)
- 선경훈, "응급의학과 의사의 야간근무가 수면과 건강에 미치는 영향", 대한응급의학회지, 20(1), pp.138~147 (2009), 대한응급의학회
- Hoddes E, "Quantification of sleepiness: a new approach", Psychophysiology, 10, pp.431~436 (1973)
- Johns MW, "A new method for measuring daytime sleepiness: the Epworth sleepiness scale", Sleep, 14, pp.540~545 (1991)
- Cho YW, "The reliability and validity of the Korean version of the Epworth sleepiness scale", Sleep Breath, 15, pp.377~384 (2011)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Ayas NT, "Extended work duration and the risk of self-reported percutaneous injuries in interns", JAMA, 296, pp.1055~1062 (2006)
- Browne BJ, "Influence of sleep deprivation on learning among surgical house staff and medical students", Surgery, 115, pp.604~610 (1994)
- Veasey S, "Sleep loss and fatigue in residency training: a reappraisal", JAMA, 288, pp.1116~1124 (2002)
- Weinger MB, "Sleep deprivation and clinical performance", JAMA, 287, pp.955~957 (2002)
- Arnedt JT, "Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion", JAMA, 294, pp.1025~1033 (2005)
- Kowalenko T, "Emergency medicine resident related auto accidents-Is sleep deprivation a risk factor?", Acad Emerg Med, 7, pp.1171~ (2000)
- Williamson AM, "Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication", Occup Environ Med, 57, pp.649~655 (2000)
- Fletcher KE, "Systematic review: effects of resident work hours on patient safety", Ann Intern Med, 141, pp.851~857 (2004)
- Landrigan CP, "Effect of reducing interns’work hours on serious medical errors in intensive care units", N Engl J Med, 351, pp.1838~1848 (2004)
- Lewis KE, "Sleep deprivation and junior doctors’performance and confidence", Postgrad Med J, 78, pp.85~87 (2002)
- Cappuccio FP, "Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients’ safety: assessor-blind pilot comparison", QJM, 102, pp.271~282 (2009)
- Cavallo A, "Sleep deprivation, residency training, and ACGME rules: practical guidelines", J Pediatr, 145, pp.717~718 (2004)
- Papp KK, "The effects of sleep loss and fatigue on resident-physicians: a multi-institutional, mixed-method study", Acad Med, 79, pp.394~406 (2004)
- Choi SW, "14년부터 전공의 주당 80시간·응급실 근무 12시간 제한", Doctor’s News, ~ (2013)