Summary
This paper reported the results of investigation on shiftwork and heat stress in an intensive care unit. The aim of this study was to analyse the physiological strain of nurses during the three shifts (Morning, Afternoon, Night) in relation to the specific microclimatic conditions and job activities. 8 professional nurses (6 female and 2 male), aged between 21 and 38 years (mean 29. 8±5.6 years), having from 3 to 18 years service, were monitored throughout a complete working cycle of 4 days. They worked on a three shift system at fast rotation. Their working environment was an independent unit for intensive care and expert surgical treatment which was entirely air conditioned. The observation indexes included: twenty-five blood parameters, ten urine parameters, net cardiac cost and relation cardiac cost, etc. The results of the investigation have not envidenced serious alterations of the psycho-physical conditions of the nurses, but do pointed out some problems pertaining both to the environmental and physiological conditions.
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References
Detry R, Bourret J. L’interet des studes de postes en milieu hospitalier. Arch Mal Prof. 1963; 2: 892
Alix J, Chevrolle J, Billion M,et al. Le conditions de travail et d’habitat du personel hospitalier. Arch Mal Prof, 1966; 27: 361
Lipperts S. Travel nursing unit. Human Factors, 1971; 13: 269
Fordham M, Appenteng K, Goldsmith R. The cost of work of medical nursing. Ergonomics, 1978; 21: 331
Sharma V M, Pichan G, Panwar M R. Differential effects of hot-humid and hot-dry environments on mental functions. Int Arch Occup Environ Health, 1983; 52: 315
Marotte H, Timbal J. Circadian rhythm of thermoregulating responses in man exposed to thermal stimuli. Chronobiologia, 1982; 9: 375
Wojtczak-Jaroszowa J. Circadian variations in human performance and work efficiency. Acta Physiol Pol, 1979; 30: 5/6, Suppl. 19: 201
Folkard S, Monk T H. “ Hours of work. Temporal Factors in Work-Scheduling”. John Wiley and Sons Ltd., Chichester, 1985
Attia M, Abdallah Y, Gindeel H I. Combined effects of shiftwork and heat stress. In: Costa G, Cesana G, Kogi K, Wedderburn A, eds. “ Shiftwork: Health, Sleep and Performance. Proceedings of the IX International Symposium on Night and Shift Work, Verona, Italy 1989”. Peter Lang, 1989: 427
Schacke G. Superimposition of exposures to noxae in the glass-processing industry. Arbeitismed Sozialmed Praventivmed, 1989; 24/ 11: 254
Rutenfranz J, Bolt H M, Ottmann Wel al. Combined effects of shiftwork and environmental hazards (heat, noise, toxic agents). Arh Hig Rada Toksikol, 1989; 40/3: 257
Lablanche-Combier B, Ley F. Utilisation de l’enregistrement electrocardiographique continu dans l’evaluation de la charge de travail des chantiers miniers chaud. Arch Mal Prof, 1984; 5: 323
Chamoux A, Borel AM, Catilina P. Pour la standardisation d’une frequence cardiaque de repos. Arach Mal Prof, 1985; 46: 241
Astrand PO, Rodahl K. Textbook of work physiology. McGraw-Hill, New York. 1970; p669
ASHEAE. Handbook and Product Directory: Applications. New York, 1978
Vaichere E, Estryn-Behar M, Kapitaniek Bet al. Etude de la penibilite du travail de refection des lits dans les services hospitaliers. Arch Mal Prof, 1989; 39: 25
Beiding HS, Hatch TF. Index for evaluating heat stress in terms of resulting physiological strains. Heat Piping Air Cond, 1985; 27: 129
Gallagher T F, Yoshida K, Rolfwarg Het al. ACTH and Cortisol secretory paterns in man. J Clin Endocrinol, 1973; 36: 1058
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Li-wang, L., Costa, G., Schallenberg, G. et al. Shiftwork and heat stress in an intensive care unit. J. Huazhong Univ. Sci. Technol. Med. Sci. 14, 98–104 (1994). https://doi.org/10.1007/BF02886784
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DOI: https://doi.org/10.1007/BF02886784