TY - JOUR PY - 2008// TI - Influence of rescue service personnel's shift work on psycho-physical parameters JO - Psychotherapie, Psychosomatik, medizinische Psychologie A1 - Schmid, Klaus A1 - Riehm, Yvonne A1 - Rossbach, Bernd A1 - Letzel, Stephan A1 - Drexler, Hans A1 - Mück-Weymann, Michael SP - 416 EP - 422 VL - 58 IS - 11 N2 - BACKGROUND: The aim of the investigation was to receive information about the interaction between psycho-physical parameters as a function of the strain by shift work for rescue service personnel. MATERIAL AND METHODS: We examined 26 persons, who are active in the rescue service. The investigations always took place in the morning between 7.00 and 8.00 o'clock, either after 3 days off (n = 26), after 3 night shifts (n = 14) or in the morning of the third day shift (n = 14). The investigations included measurements of blood pressure, heart rate variability, and salivary cortisol. Additionally, standardized questionnaires (WHO-5, EBF 72/3) were used. RESULTS: A significant rise of the quotient LF/HF--as indicator for a sympathetic dominance--could be proven by means of a simple three minute arithmetic task at every investigation (after 3 days off from 0.81 to 2.30; p < 0.001). By means of the EBF a clear impairment could be demonstrated after 3 night shifts. Fatigue and somatic complaints were the main outcomes. In our study a more impaired well-being was associated with a more pronounced decrease of salivary cortisol (r = 0.538; p < 0.05) as well as lower blood pressure values (r = 0.547; p < 0.05), and a lower LF/HF quotient (r = 0.836; p < 0.01), indicating lower sympathetic and/or increased vagale activation, after three night shifts. CONCLUSIONS: After three night shifts a lower sympathetic activation seems to negatively affect the well-being. Due to the provable specific strain night- and shift-workers should be a priority target group for prevention and workplace health promotion.
Language: de
LA - de SN - 0937-2032 UR - http://dx.doi.org/10.1055/s-2007-986291 ID - ref1 ER -