Psihomotorās reakcijas izmaiņas un nogurums māsām intensīvās terapijas nodaļā pēc 24 stundu darba maiņas
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Date
2020
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Darba nosaukums: “Psihomotorās reakcijas izmaiņas un nogurums māsām intensīvās terapijas nodaļā pēc 24 stundu darba maiņas”.
Slimnīcā, īpaši intensīvās terapijas nodaļās, nepieciešams nodrošināt nepārtrauktu pacientu aprūpi un ārstēšanu, tāpēc tiek praktizēts darbs maiņās. Latvijā maiņa var ilgt pat 24 stundas. Šī ir viena no retajām valstīm, kur ir šāda prakse. Ir pierādīts, ka nogurums, kurš radies no miega trūkuma, negatīvi ietekmē cilvēku mentālās un fiziskās spējas. Izmaiņas, kas rodas miega trūkuma vai ilgstošas nomodas ietekmē, palielina risku pieļaut vairāk medicīniskas kļūdas, diagnostiskas kļūdas vai nepietiekami reaģēt veicot pacientu aprūpi. Palielinās risks iegūt ievainojumu ar asiem priekšmetiem, kā arī palielinās dažādu saslimšanu risks. Noguruma ietekme uz veselības aprūpes speciālistu darba spējām ir plaši pētīta, tomēr reti kurš pētījums apskata tieši 24 stundu ietekmi uz darbinieku spējām.
Darba mērķi ir izpētīt psihomotorās reakcijas izmaiņas māsām intensīvās terapijas nodaļā pēc 24 stundu darba maiņas un izpētīt noguruma rādītājus māsām intensīvās terapijas nodaļā pēc 24 stundu darba maiņas.
Pētījuma jautājumi:
• Kādas izmaiņas rodas psihomotorā reakcijā pēc 24 stundu darba maiņas māsām intensīvās terapijas nodaļā?
• Kādi ir noguruma rādītāji māsām pēc 24 stundu darba maiņas intensīvās terapijas nodaļā?
Tika izmantota kvantitatīvā pētījuma metode. Tika noteikti psihomotorās reakcijas rādītāji un noguruma rādītāji izmantojot datorizētu psihomotorās reakcijas programmu. Pētījuma dalībnieki bija 12 māsas, kuras strādā 24 stundu darba maiņas intensīvās terapijas nodaļā. Iegūtie rezultāti tika salīdzināti savā starpā.
Pētījumā tika noskaidrots, ka psihomotorās reakcijas rādītāji un nogurums pirms un pēc 24 stundu darba maiņas būtiski neatšķiras. Noguruma rādītāji būtiski neietekmē psihomotorās reakcijas rādītājus.
Pētījumu ir iespējams izmantot, lai veiktu atkārtotu pētījumu, kurā piedalītos vairāk pētījuma dalībnieku, tiktu apskatīti nogurumu un psihomotoro reakciju ietekmējošu vielu, piemēram, kofeīna lietošana un arī atpūtas režīms pirms darba maiņas sākuma.
Title of the work is “Psychomotor vigilance changes and fatigue in intensive care nurses after 24 hour work shift”. In hospitals, especially in intensive care units, it is necessery to provide continuous care and medical treatment for patients – because of this, shift work is needed. Latvia is one of the few countries in the world where such long work shifts as 24 hours exist. There is alot of evidance that proves the negative effect of lack of sleep on one’s mental and physical abilities. There is also evidance that more medical and diagnostic errors are made, and reaction is worse when taking care of a patient because of the lack of sleep. Also there is a higher chance to get an injury while working and higher risk for different kind of diseases. There are alot of studies that have studied effects of fatigue and lack of sleep on health care and other shift workers, but only some of those studies reasearch 24 hour work shift effect on shift workers. The main objective of this study is to evaluate psychomotor vigilance changes after 24 hour work shift in nurses who work at intensive care units, and evaluate fatigue after 24 hour shift in nurses who work at intensive care units. Questions of this study are: • What are the changes in psychomotor vigilance after 24 hour shift in nurses who work at intensive care units? • What are the fatigue measurments after 24 hours shift in nurses who work ar intensive care units? A quantitative method was used. Psychomotor vigilance and fatigue was measured using psychomotor vigilance task program on a computer. Data were collected from 12 nurses who work 24 hour shifts in intensive care units. Results from this study showed that psychomotor vigilance changes and fatigue measurments are not significantly different after 24 hour shift compared to before 24 hour shift. Fatigue does not significantly affect psychomotor vigilance task results. This study can be used to do an another study about psychomotor vigilance changes and fatigue after 24 hour shift in intensive care nurses, but it is recommended to have more participants. Also it is recommended to document substances that could possibly affect psychomotor vigilance and fatigue, for example, caffeine and also document sleep/rest schedule.
Title of the work is “Psychomotor vigilance changes and fatigue in intensive care nurses after 24 hour work shift”. In hospitals, especially in intensive care units, it is necessery to provide continuous care and medical treatment for patients – because of this, shift work is needed. Latvia is one of the few countries in the world where such long work shifts as 24 hours exist. There is alot of evidance that proves the negative effect of lack of sleep on one’s mental and physical abilities. There is also evidance that more medical and diagnostic errors are made, and reaction is worse when taking care of a patient because of the lack of sleep. Also there is a higher chance to get an injury while working and higher risk for different kind of diseases. There are alot of studies that have studied effects of fatigue and lack of sleep on health care and other shift workers, but only some of those studies reasearch 24 hour work shift effect on shift workers. The main objective of this study is to evaluate psychomotor vigilance changes after 24 hour work shift in nurses who work at intensive care units, and evaluate fatigue after 24 hour shift in nurses who work at intensive care units. Questions of this study are: • What are the changes in psychomotor vigilance after 24 hour shift in nurses who work at intensive care units? • What are the fatigue measurments after 24 hours shift in nurses who work ar intensive care units? A quantitative method was used. Psychomotor vigilance and fatigue was measured using psychomotor vigilance task program on a computer. Data were collected from 12 nurses who work 24 hour shifts in intensive care units. Results from this study showed that psychomotor vigilance changes and fatigue measurments are not significantly different after 24 hour shift compared to before 24 hour shift. Fatigue does not significantly affect psychomotor vigilance task results. This study can be used to do an another study about psychomotor vigilance changes and fatigue after 24 hour shift in intensive care nurses, but it is recommended to have more participants. Also it is recommended to document substances that could possibly affect psychomotor vigilance and fatigue, for example, caffeine and also document sleep/rest schedule.
Description
Māszinības (ar spec. Anestēzijas, intensīvās un neatliekamās aprūpes)
Nursing Studies
Veselības aprūpe
Health Care
Nursing Studies
Veselības aprūpe
Health Care
Keywords
psihomotorā reakcija; garas darba maiņas; nogurums; māsas; intensīvās terapijas nodaļa; psihomotorās reakcijas tests; garas darba stundas; 24 stundu darba maiņa, psychomotor vigilance; long work shift; fatigue; nurse; intensive care unit; psychomotor vigilance task; 24 hour work shift