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Yıl:2017; Cilt: 4; Sayı: 1>> Özet
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Türk Uyku Tıbbı Dergisi; 2017;4(1):30-34
Vardiyalı Çalışma ve Vardiyalı Çalışma Sonucu Gelişen Uyku Bozuklukları: Tanısı, Bulguları ve Tedavisi
DK Gök, MT Peköz, K Aslan
Çukurova Üniversitesi, Adana
Günümüzde dünya ekonomisinin endüstri üzerinde hızla ilerlemesi, yeni teknolojilerin kullanımı ve ekonomik rekabet ortamı sebebi ile 24 saat kesintisiz iş üretiminin gerekliliği artmış ve bu da vardiya sistemi ile çalışma zorunluluğunu doğurmuştur. Bugün çalışmakta olan nüfusun yaklaşık olarak %20’si standart çalışma saatlerinin dışında kalan zaman dilimlerinde vardiya ya da nöbet usulü çalışmaktadır. Vardiya sistemi, iş ve üretim hayatına sayısız olumlu etki kazandırırken bir yandan da çalışanların hem yaşam kalitesini olumsuz etkilemekte, hem de pek çok komorbid sağlık ve uyku problemini de beraberinde getirmektedir. Vardiyalı çalışma uyku bozukluğu, sirkadiyen ritim uyku bozuklukları alt grubunda incelenmektedir. İki majör semptomu olup, gündüz aşırı uykululuk ve insomnidir. Vardiyalı çalışma uyku bozukluğunun tedavisinde amaç mevcut semptomu düzeltirken yaşam kalitesini ve iş verimliliğini artırmak, dikkati ve uyanıklığı artırarak kazaları en aza indirmek olmalıdır. Yazımızda vardiyalı çalışma ve ilişkili uyku bozuklarının klinik bulguları, tanı kriterleri, sistemik sonuçları, tedavi yöntemlerinin gözden geçirilmesi amaçlanmıştır.
Shift Work and Shift Work Sleep Disorders: Definition, Symptoms and Treatment
Today, due to the rapid progress of the global industrial economy, the use of new technologies and the economic competition environment, the necessity of 24 hour interrupted job production has increased and this has caused the obligation to work with the shift system. Approximately 20% of the population is working on shifts and turns apart from the standard working hours. While the shift system has many positive effects on work and manufacture life, it also has negative effects on the life quality of employees and it brings many comorbid health and sleep problems. Shift work sleep disorder is categorized as a subgroup of circadian rhythm sleep disorders family. The primary symptoms of shift work sleep disorder are insomnia and excessive daytime sleepiness. The goal of shift work sleep disorder treatment is to improve the quality of life and work efficiency while improving the current symptoms related to sleep disturbances, and to minimize accidents by increasing attention and alertness. The goal of this review is to determine the clinical findings, diagnostic criteria, systemic outcomes, and treatment methods of shift work sleep disorder and the associated sleep disorders.

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