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Optimisation du sommeil pour les gardes de nuit

Un article très intéressant apparu ce premier mars 2018 dans la revue BMJ (British Medical Journal). L’intitulé incite à faire plus qu’une lecture diagonale ! Optimisation du sommeil pour les gardes de nuit!!!!

De prime abord ce qu’il faut savoir c’est que :

Le travail de nuit perturbe le rythme circadien , entraine une dette de sommeil et compromet la performance et la santé.

• L’adaptation circadienne complète au travail de nuit n’est pas possible à court terme.

• Les travailleurs de nuit doivent être conscients des performances réduites dans le travail et sur le risque du  retour après la garde de nuit.

• La vigilance,la fonction cognitive, la coordination psychomotrice et l’humeur atteignent leur point le plus bas entre 3 et 5 heures du matin.

 Une revue systématique et récente de la question  retrouve que les gardes de nuit exposent à un risque accru de perte de sommeil, d’accidents du travail,obésité et prise de poids, diabète de type 2, maladie coronarienne, cancers du sein, de la prostate et colorectaux.Dans une enquête de 2017 de 2231 anesthésistes stagiaires au Royaume-Uni, plus de 70% ont signalé que la fatigue affecte leur bien-être physique et psychologique.Cinquante-sept pour cent ont décrit un accident ou un retour difficile à la maison après une garde de nuit.

Ci-dessous sont résumées toutes les recommandations sur l’Optimisation du sommeil pour les gardes de nuit le lien de l’article ainsi que la bibliographie.Bonne lecture!


Optimising sleep for night shifts

BMJ 2018360 doi: https://doi.org/10.1136/bmj.j5637 (Published 01 March 2018) Cite this as: BMJ2018;360:j5637

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Protocole de prise en charge d’une douleur relevant d’antalgiques de paliers 1 ou 2 avec EVA<60 ou EN<6

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