Institut Català de la Salut
[Morales J, Yáñez A, Solana-Tramunt M] Facultat de Psicologia, Ciències de l’Educació i l’Esport, Universitat Ramon Llull, Barcelona, Spain. [Fernández-González L] Department of Personality and Psychological Assessment and Treatment, University of Deusto, Bilbao, Spain. [Montesinos-Magraner L, Marco-Ahulló A] Unitat de lesionats medul•lars, Vall d’Hebron Institut de Recerca, Barcelona, Spain.
Vall d'Hebron Barcelona Hospital Campus
2019-07-04T06:24:01Z
2019-07-04T06:24:01Z
2019-04-04
Medical residents; Stress; Sleep deprivation
Médicos residentes; Estrés; Privación del sueño
Metges residents; Estrès; Privació del son:ca_ES
The aim of this study was to evaluate the stress suffered by medical residents as the result of being on call for 24 hours, from a multidimensional approach. Two groups of medical residents selected according to their work shift, participated in the study: one group (n = 40) was sleep-deprived after having been actively on-call for 24 hours, and another contrast group (n = 18) had performed a normal work day and were not sleep-deprived. All participants completed pre-post measures during a 24 h cycle. These were administered on both occasions at 8 am. The measures included HRV, cortisol, cognitive performance and transitory mood. The effect of the group x phase interaction was significant for all variables analysed, indicating that doctors in the 24h on-call shift group showed significant deterioration in all physiological, performance and mood indicators in comparison with the participants in the group not on call. These results suggest the need to review medical on-call systems, in order to reduce the stress load, which has a direct effect on working conditions.
Article
Published version
English
Estrès - Efectes fisiològics; Son - Privació - Efectes fisiològics; Interns (Hospitals) - Estudi de casos; PHENOMENA AND PROCESSES::Physiological Phenomena::Stress, Physiological; DISEASES::Nervous System Diseases::Sleep Wake Disorders::Dyssomnias::Sleep Deprivation; Other subheadings::Other subheadings::Other subheadings::/blood; ANTHROPOLOGY, EDUCATION, SOCIOLOGY, AND SOCIAL PHENOMENA::Education::Education, Professional::Education, Graduate::Education, Medical, Graduate::Internship and Residency; PUBLICATION CHARACTERISTICS::Study Characteristics::Comparative Study; FENÓMENOS Y PROCESOS::fenómenos fisiológicos::estrés fisiológico; ENFERMEDADES::enfermedades del sistema nervioso::trastornos del sueño-vigilia::disomnias::privación del sueño; Otros calificadores::Otros calificadores::Otros calificadores::/sangre; ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES::educación::educación profesional::educación de graduados::educación de graduados en medicina::internado y residencia; CARACTERÍSTICAS DE PUBLICACIONES::características del estudio::estudio comparativo
Public Library of Science
PLoS ONE;14(4)
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214858
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
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