Investigation of The Effects of Shift Work And Work-Related Factors on Gastrointestinal Symptoms Among Healthcare Workers

Öz

The study aimed to examine the effects of work-related factors such as shift work, eating habits, work stress and sleep patterns on gastrointestinal symptoms in healthcare workers. This cross-sectional study was conducted with 387 healthcare workers at a city hospital between April 2024 and July 2024. In the study, a questionnaire form including sociodemographic data, chronic diseases, gastrointestinal disease history, shift work type and duration, eating habits, work stress, and sleep patterns, along with the Gastrointestinal Symptom Rating Scale, was used. A positive correlation was found between the total shift work duration of the participants and diarrhea syndrome (r=0.115, p=0.044), indigestion syndrome (r=0.122, p=0.034), constipation syndrome (r=0.124, p=0.031) and reflux syndrome (r=0.196, p=0.001). Indigestion and reflux syndrome scores were higher among current and former rotating shift workers than among fixed daytime workers. (p=0.044, p=0.001). Diarrhea syndrome score was higher among current rotating shift workers than among fixed daytime workers (p=0.004). Furthermore, 69.5% of participants reported an increase in the consumption of fast food and processed or packaged foods during shift work periods. These participants exhibited significantly higher scores for diarrhea, indigestion, and abdominal pain syndromes (p=0.022, p=0.017, p=0.018). Diarrhea, indigestion, abdominal pain, and reflux syndrome scores were higher among healthcare workers with irregular sleep (p=0.004, p=0.044, p=0.003 and p=0.049). Understanding the work-related factors that affect the gastrointestinal system can help develop strategies to protect and improve employee health.

Anahtar Kelimeler

• Shift work schedule
• rotating shift work
• work stress
• sleep disorders
• circadian rhythm
• gastrointestinal disorders

Destekleyen Kurum

None

Etik Beyan

Ethics committee approval (Date:01.09.2023/No:58) from Tekirdağ Dr. İsmail Fehmi Cumalıoğlu City Hospital Clinical Research Ethics Committee and research permission from Provincial Health Directorate were obtained for the study. Informed consent was obtained from all subjects involved in the study.

Sağlık Çalışanlarında Vardiyalı Çalışma ve İşle İlişkili Faktörlerin Gastrointestinal Semptomlar Üzerine Etkilerinin Araştırılması

Öz

Bu çalışmanın amacı sağlık çalışanlarında vardiyalı çalışma, beslenme alışkanlıkları, iş stresi ve uyku düzeni gibi işle ilişkili bazı faktörlerin gastrointestinal semptomlar üzerine etkilerini araştırmaktır. Kesitsel özellikte olan bu çalışma, Nisan 2024 ile Temmuz 2024 tarihleri arasında bir şehir hastanesindeki 387 sağlık çalışanı üzerinde gerçekleştirilmiştir. Çalışmada sosyodemografik veriler, kronik hastalıklar, gastrointestinal hastalık öyküsü, vardiyalı çalışma şekli ve süresi, beslenme alışkanlıkları, iş stresi, uyku düzenini içeren anket formu ve Gastrointestinal Semptom Derecelendirme Ölçeği kullanıldı. Katılımcıların toplam vardiyalı çalışma süreleri ile ishal sendromu (r=0.115, p=0.044), hazımsızlık sendromu (r=0.122, p=0.034), kabızlık sendromu (r=0.124, p=0.031) ve reflü sendromu (r=0.196, p=0.001) arasında pozitif korelasyon saptanmıştır. Hazımsızlık ve reflü sendromu, dönüşümlü vardiyalı çalışanlarda ve daha önce dönüşümlü vardiyalı çalışma öyküsü olanlarda, sabit gündüz çalışanlara göre daha yüksekti (p=0.044, p=0.001). İshal sendromu, dönüşümlü vardiyalı çalışanlarda sabit gündüz çalışanlara göre daha yüksekti (p=0.004). Ayrıca, katılımcıların %69,5’i vardiyalı çalışma dönemlerinde fast food, işlenmiş ve paketlenmiş gıda tüketiminde artış bildirmiştir. Bu katılımcılarda ishal, hazımsızlık ve karın ağrısı sendromu skorları daha yüksek saptanmıştır (p=0.022, p=0.017, p=0.018). Düzensiz uyuyan sağlık çalışanlarında ishal, hazımsızlık, karın ağrısı ve reflü sendromları daha yüksek saptanmıştır (p=0.004, p=0.044, p=0.003 ve p=0.049).Gastrointestinal sistemi etkileyen iş ile ilişkili faktörlerin iyi tanınması, çalışan sağlığını koruma ve iyileştirme stratejilerinin geliştirilmesine katkıda bulunacaktır.

Anahtar Kelimeler

• Vardiyalı çalışma programı
• dönüşümlü vardiyalı çalışma
• iş stresi
• uyku bozuklukları
• sirkadiyen ritim
• gastrointestinal bozukluklar

Kaynakça

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