ASSOCIATION OF SLEEP DISORDERS WITH METABOLIC SYNDROME COMPONENTS IN GENERAL NURSES WORKING IN SHIFT
DOI:
https://doi.org/10.11603/mcch.2410-681X.2023.i2.13971Keywords:
metabolic syndrome, arterial hypertension, sleep disorders, nursesAbstract
Introduction. Prevention of the development of metabolic syndrome in nurses working in hospital in shifts is a real challenge for the modern healthcare system, because shift work and night work are significant negative risk factors for the health of workers.
The aim of the study – to analyze the frequency of sleep disorders and components of the metabolic syndrome and to establish probable associations between the studied parameters in nurses of therapeutic profile working in shifts.
Research Methods. The study involved 56 nurses who work in shifts in the inpatient therapeutic departments of Ternopil. For the clinical assessment of the expression of insomnia, we used a subjective sleep assessment questionnaire. Measurement of blood pressure was carried out according to the standard protocol according to the Korotkov method. The level of glucose in blood serum was determined using a standard set of reagents on an automatic biochemical analyzer COBAS INTEGRA ®400 (Roche Diagnostics, USA). The level of triacylglycerol and high-density lipoprotein cholesterol was determined using a standard set of reagents on an automatic biochemical analyzer Cobas 6000 (Roche Hitachi, Germany). Statistical data processing was carried out using standard software products for information processing Statistica 8.0.
Results and Discussion. It has been established that 35.7 % of therapeutic nurses working in shifts have sleep disorders. In particular, sleep initiation disorders were found in 44.6 % of respondents; sleep support disorder – in 19.6 % of respondents; disturbed awakening – in 35.7 % of respondents; daytime sleepiness – in 23.2 % of respondents. Comparing the frequency of detection of the components of the metabolic syndrome in therapeutic nurses with existing sleep disorders vs nurses with no sleep disorders, significant differences were revealed regarding two parameters – the level of blood pressure ≥130/85 mm Hg and fasting glucose, the frequency of detection of which prevailed in nurses with insomnia. Analyzing the correlations between the components of the metabolic syndrome and sleep disorders in nurses with identified insomnia, a significant high-strength direct correlation was established between the level of blood pressure ≥130/85 mm Hg and intrasomnic sleep disorders and daytime sleepiness.
Conclusions. A high frequency of detection of metabolic syndrome components, including blood pressure levels ≥130/85 mm Hg and fasting blood glucose level ≥5.6 mmol/l in therapeutic nurses with sleep disorders indicates the need to develop and implement a number of preventive measures for healthcare workers working in shifts to improve the quality of sleep and prevent cardiometabolic disorders, in particular arterial hypertension, diabetes mellitus and/or metabolic syndrome.
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