The effect of cumulative night shift duties on insomnia, fatigue, and mental health in intensive care unit
Jaber S. Alqahtani,
Abayomi Arowosegbe,
Tope Oyelade,
Abdulelah M. Aldhahir,
Saeed M. Alghamdi,
Abdullah A. Alqarni,
Rayan A. Siraj,
Meshal Alenezi,
Leen Y. Alnaam,
Ibrahim A. AlDraiwiesh,
Abdullah S. Alqahtani,
Turki A. Algarzae,
Saad M. AlRabeeah,
Abdallah Y. Naser,
Hassan Alwafi,
Ahmed M. Hjazi,
Turki M. Alanazi,
Ahmed M. Al Rajeh,
Eidan M. Alzahrani
Affiliations
Jaber S. Alqahtani
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia
Abayomi Arowosegbe
School of Arts & Creative Technologies, University of Bolton, United Kingdom; Information School, University of Sheffield, Sheffield, S10 2SJ, United Kingdom
Tope Oyelade
Division of Medicine, University College London, London, NW3 2PF, United Kingdom
Abdulelah M. Aldhahir
Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan, 45142, Saudi Arabia
Saeed M. Alghamdi
Respiratory Care Program, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, 24382, Saudi Arabia
Abdullah A. Alqarni
Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, 21589, Saudi Arabia
Rayan A. Siraj
Respiratory Therapy Department, King Faisal University, Al-Ahsa, 31982, Saudi Arabia
Meshal Alenezi
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia
Leen Y. Alnaam
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia
Ibrahim A. AlDraiwiesh
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia
Abdullah S. Alqahtani
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia
Turki A. Algarzae
Respiratory Care Department, King Fahad Military Medical Complex, Dammam, Saudi Arabia
Saad M. AlRabeeah
Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia
Abdallah Y. Naser
Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, 11622, Jordan
Hassan Alwafi
Faculty of Medicine, Umm Al Qura University, 21514, Mecca, Saudi Arabia
Ahmed M. Hjazi
Department of Medical Laboratory Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
Turki M. Alanazi
Respiratory Therapy Department, King Saud Bin Abdulaziz University for Health Sciences, Alahsa, Saudi Arabia; King Abdullah International Medical Research Center, Al Ahsa, Saudi Arabia
Ahmed M. Al Rajeh
Respiratory Therapy Department, King Faisal University, Al-Ahsa, 31982, Saudi Arabia
Eidan M. Alzahrani
Department of Physical Therapy, Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia; Corresponding author. Prince Sultan Military College of Health Sciences, Dammam, 34313, Saudi Arabia.
Background: Night shift duties are crucial in the ICU to ensure care continuity, where critically ill patients require round-the-clock care. However, cumulative night shift duties may disturb circadian rhythm, insomnia, fatigue, and depression, and require further elucidation. Objectives: This study aims to examine the negative consequences of various night shift patterns on insomnia, fatigue, and mental health of ICU Workers. Methods: A cross-sectional study examined how cumulative night shift duty affects insomnia, fatigue, and mental health in critical care providers (CCPs). Results: A total of 1006 participants completed this study between June 2022 and March 2023, including 54.5 % males. About 35 % were between 20 and 30 years of age, and Respiratory Therapists accounted for approximately 46.5 % of the entire sample. Most of our respondents (476; 47 %) reported working night shifts, with a monthly range of 8–15 nights. The prevalence rates for moderate to severe clinical insomnia, fatigue, and moderate to severe depression were 42 %, 48 %, and 32 %, respectively. CCPs working 8–15 nights had a 2-fold risk of clinical insomnia than those working fewer than eight nights with (AOR) and 95 % (CI) of 2.12 and 1.41–3.20, while those working ≥16 nights per month had a greater incidence of clinical insomnia compared to those working <8 nights per month, AOR (CI): 3.09 (1.90–5.03). Only those working ≥16-night shifts per month had a substantially higher fatigue risk compared to those working < 8-night shifts per month, with an AOR (CI) of 1.92 (1.19–3.08). Working 8–15-night shifts per month increases depression risks by 34 % compared to the <8-night shifts group, AOR (CI): 1.34 (0.87–2.08). Those working ≥16-night shifts per month showed a higher depression risk than those working <8-night shifts, AOR (CI): 2.53 (1.53–4.19). Conclusion: A cumulative night shift above eight nights per month is linked with an increased risk of insomnia, fatigue, and depression. The risk of these conditions was significantly directly proportional to the number of night shifts performed per month.
