Introduction: Sleep disorders are common among shift workers and those who work under stressful and unpredictable conditions. Sleep quality and its promotion in paramedics are understudied. Objective: The study aimed to investigate the quality of sleep in emergency medical service workers, to compare certain relationships between variables (gender, age, length of experience), and to assess whether a cut-off score of 10 is appropriate for the discriminatory ability of the selected instrument in the Czech clinical setting. Design: A cross-sectional study. Methods: Data were obtained using the Pittsburgh Sleep Quality Index (PSQI). The sample comprised 191 paramedics. Data were analyzed using selected statistical methods. Results: The mean PSQI total score was 7.45 (SD 3.60). The lowest scoring component was sleep duration (1.45; SD 1.01). There was no relationship between sleep quality and gender. With respect to age, two components, sleep disturbances and daytime dysfunction, were found to be significant (p < 0.05). Regarding the length of experience, daytime dysfunction was identified as a significant component. The PSQI total parameter with a cut-off of 10 (PSQI total ≤10 good sleep; PSQI total >10 poor sleep) was confirmed to be suitable for discriminating the subjectively perceived sleep quality in paramedics. Conclusion: The study demonstrates that sleep quality is compromised in paramedics. Impaired sleep quality has the greatest impact on daytime dysfunction in paramedics. The PSQI, with a cut-off score of 10, is an appropriate instrument for assessing their sleep disturbances.
- MeSH
- kvalita spánku MeSH
- lidé MeSH
- poruchy cirkadiánního rytmu (spánek) * MeSH
- práce na směny MeSH
- průzkumy a dotazníky MeSH
- zdravotničtí záchranáři MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Česká republika MeSH
Obezita je jednou s častých příčin zvyšujících krevní tlak. Hypertenze u obézních pacientů je často obtížně léčitelná, sůl-senzitivní, provázejí ji častěji orgánové komplikace, zvýšená aktivita sympatiku a renin angiotenzinového systému, také hyperinzulinemie a hyperleptinemie. Fixní kombinace telmisartanu 80 mg a indapamidu 2,5 mg je jednou s možností účinné léčby hypertenze u obézních. Hlavní předností spojení těchto dvou léků je velmi spolehlivý efekt po dobu celých 24 hodin denně, jejich bezpečnost a dobrá tolerance. Další předností je absence negativního metabolického působení, vliv na snížení kolísání krevního tlaku, kardiovaskulární protektivita telmisartanu se současným příznivým ovlivněním inzulinové senzitivity.
Obesity is one of the main causes of arterial hypertension, especially „difficuLt-to-treat" hypertension. The initial therapy of hypertension with 2 antihypertensive agents in a single-pill combination is preferred in most hypertensive patients. The choice of the drugs should consider the cardiovascular protection, the absence of negative metabolic effects, safety, and efficacy in obese patients with impaired renin-angiotensin system, sympathomimetic hyperactivity and hyperinsulinemia a hyperleptinemia. The single-pill combination of telmisartan 80 mg and indapamide 2.5 mg presents suitable option for effective and very well tolerated treatment of hypertension. Telmisartan improves cardiometabolic profile in obese hypertensive patients by improving insulin sensitivity and indapamide is metabolically neutral diuretic. The main advantage of the combination of these two drugs in clinical practice is a very effective blood pressure reduction lasting more than 24 hours, and good tolerance.
- Klíčová slova
- Telmisartan-Indopamid,
- MeSH
- diuretika farmakologie terapeutické užití MeSH
- fixní kombinace léků * MeSH
- hypertenze * farmakoterapie MeSH
- lidé středního věku MeSH
- lidé MeSH
- obezita * komplikace MeSH
- práce na směny škodlivé účinky MeSH
- telmisartan farmakologie terapeutické užití MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- práce podpořená grantem MeSH
This study aimed to investigate the effects of shift work on sleep quality, cardiovascular function, and physical activity (PA) levels in Taiwanese police officers. Twenty-one male police officers aged 26.9 ± 4.1 years old located in Taipei voluntarily participated in this study. The participants completed the resting heart rate (HR) and hemodynamic variables (e.g. blood pressure, BP) before and after day-time (DTW) and night-time (NTW) shift work phases (5 working days and 2 resting days for each phase). Additionally, an actigraphy was administered to measure PA and sleep patterns in the last 3 working days. The average total sleep time and sleep efficiency were 278.5 ± 79. 6 min and 72.9 ± 10%, respectively, in the NTW phases, which were significantly lower than that in the DTW phases. A comparison of the PA characteristics between the two phases revealed that a lower proportion of moderate-vigorous PA (1.2 ± 0.8%) and a greater proportion of sedentary behaviour PA (74.8 ± 6.4%) was found in the NTW phases. The results of hemodynamic measures demonstrated that the police officers have significantly elevated systolic BP by 3.3% and diastolic BP by 3.9% after the NTW phases. Furthermore, the NTW phases exhibited a significantly higher percentage change ratio of systolic BP and diastolic BP compared to the DTW phases. Compared with the DTW phases, the NTW phase was significantly more likely to report higher decreasing parasympathetic-related HR variability with a range of -5.9% to -7.8%. In conclusion, night-time shift work resulted in negative physiological changes leading to adverse effects on the health and well-being of Taiwanese police officers.
- MeSH
- aktigrafie MeSH
- cirkadiánní rytmus * fyziologie MeSH
- cvičení fyziologie MeSH
- dospělí MeSH
- krevní tlak * fyziologie MeSH
- kvalita spánku MeSH
- lidé MeSH
- mladý dospělý MeSH
- policie * MeSH
- práce na směny MeSH
- spánek fyziologie MeSH
- srdeční frekvence * fyziologie MeSH
- vliv směnného provozu na zdraví * fyziologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Taiwan MeSH
- MeSH
- lékaři MeSH
- lidé MeSH
- personál nemocniční * zákonodárství a právo MeSH
- práce na směny zákonodárství a právo MeSH
- pracovní zátěž MeSH
- zákonodárství jako téma MeSH
- zaměstnanost * zákonodárství a právo MeSH
- zdravotničtí pracovníci MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- novinové články MeSH
- zprávy MeSH
