Negative representations of night-shift work and mental health of public hospital healthcare workers in the COVID-19 era (Aladdin survey)

BMC Health Services Research

Research

Patrizia Maria Carrieri¹  Vincent Di Beo¹  Fabienne Marcellin¹  José Maria Valderas²  Véronique Mahe³  Olivia Rousset Torrente⁴  Olivier Chassany⁴  Lorraine Cousin Cabrolier⁵  Martin Duracinsky⁶ 

[1] Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de La Santé & Traitement de L’Information Médicale, ISSPAM, Marseille, France;Department of Medicine, NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore;Service de Santé Au Travail, Hôpitaux Lariboisière-Fernand Widal, AP-HP, Nord, Paris, France;Unité de Recherche Clinique en Economie de La Santé (URC-ECO), AP-HP, Hôpital Hôtel-Dieu, 75004, Paris, France;Université Paris Cité, ECEVE UMR 1123, Inserm, Faculté de Médecine, Paris, France, 75010, Paris, France;Unité de Recherche Clinique en Economie de La Santé (URC-ECO), AP-HP, Hôpital Hôtel-Dieu, 75004, Paris, France;Université Paris Cité, ECEVE UMR 1123, Inserm, Faculté de Médecine, Paris, France, 75010, Paris, France;Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de La Santé & Traitement de L’Information Médicale, ISSPAM, Marseille, France;Unité de Recherche Clinique en Economie de La Santé (URC-ECO), AP-HP, Hôpital Hôtel-Dieu, 75004, Paris, France;Université Paris Cité, ECEVE UMR 1123, Inserm, Faculté de Médecine, Paris, France, 75010, Paris, France;Département de Médecine Interne Et d’immunologie Clinique, Hôpital Bicêtre, AP-HP, 94275, Kremlin Bicêtre, France;

关键词: Occupational health;    Shift work;    Health workers;    Mental health;   

DOI  :  10.1186/s12913-023-09101-7

 received in 2022-06-29, accepted in 2023-01-24,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundMany risk factors impact the health of hospital night workers, which can lead to physical and mental health disorders. During the recent period, night hospital workers have been particularly stressed. This study therefore aims to: (i) To document the prevalence of depression, anxiety, sleep disorders, and symptoms suggestive of post-traumatic stress disorder in night shift workers (NSHW) working in Parisian public hospitals after France’s first COVID-19 wave ended; (ii) To estimate the effect of negative representations and perceptions of night shift work on these mental health outcomes.MethodsAn observational cross-sectional online survey of NSHW (June to September 2020) in 39 public hospitals in Paris, France. Standard scales were used to measure mental health outcomes. Weighted multinomial logistic regression models supported the identification of predictors of depression (score > 10 on the Hospital Anxiety and Depression Scale, HADS, for depression), anxiety (score > 10 on the HADS for anxiety), severe insomnia (score > 21 on the Insomnia Severity Index, ISI) and symptoms suggestive of post-traumatic stress disorder (score > 36 on the Impact of Event Scale-Revised, IES-R).ResultsThe weighted prevalence rates [95% confidence interval] of depression, anxiety, severe insomnia, and symptoms of post-traumatic stress disorder were, respectively, 18.9% [16.5–21.2], 7.6% [6.0–9.1], 8.6% [6.9–10.2] and 11.7% [9.7–13.6]. After multiple adjustment, organizational changes in NSHW professional lives due to the COVID-19 pandemic (such as moving to another hospital department and modified schedules) and NSHW-perceived negative representations of night work were significantly associated with all studied mental health outcomes.ConclusionOur findings confirm the importance of monitoring mental health and sleep quality among NSHW in Parisian public hospitals, even more during health crises. Multilevel interventions aiming at reducing negative representations and improving work organization are urgently needed to improve overall health of this frontline healthcare providers group.

【 授权许可】

CC BY   
© The Author(s) 2023

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