Self-perceived Quality of Sleep in Korean Emergency Physicians

Kim, Han Byeol; Park, Kyung Hye; Kim, Inbyung; Yang, Hyukjun; Lee, Kijung; Im, Taeho; Han, Seungbaik; Kang, Kuhyun; Kang, Youngjun; Kim, Jooyeong; Kim, Chul; Park, Yooseok; Park, Juok; Park, Junbeom; Park, Junseok; Park, Hyunkyung; Son, Jaedon; Oh, Sehyun; Oh, Youngmin; Lee, Dongwook; Lee, Hyungmin; Jung, Siyoung; Jeong, Jinwoo; Cho, Kwanghyun; Cho, Yeongsun; Cho, Hanjin; Choi, Daihai; , (2015 KEPS Committee)

J Korean Soc Emerg Med > Volume 27(5 Suppl.); 2016 > Article

Original Article

Journal of The Korean Society of Emergency Medicine 2016;27(5 Suppl.): 67-75.

응급의학과 전문의들의 수면의 질 분석

김한별²³, 박경혜²³, 김인병¹, 양혁준², 이기중³, 임태호⁴, 한승백⁵, 강구현⁶, 강영준⁷, 김주영⁸, 김철⁹, 박유석¹⁰, 박주옥¹¹, 박준범¹², 박준석¹³, 박현경¹⁴, 손재돈¹⁵, 오세현¹⁶, 오영민¹⁷, 이동욱¹⁸, 이형민⁵, 정시영¹, 정진우¹⁹, 조광현²⁰, 조영순²¹, 조한진⁸, 최대해²², 2015 응급의학과 전문의 총조사 위원회

¹명지병원 응급의학과
²가천대학교 길병원 응급의학과
³포항세명기독병원
⁴한양대학교병원 응급의학과
⁵인하대학교병원 응급의학과
⁶한림대학교 강남성심병원 응급의학과
⁷제주대학교병원 응급의학과
⁸고려대학교 안산병원 응급의학과
⁹아산충무병원 응급의학과
¹⁰연세대학교 세브란스병원 응급의학과
¹¹한림대학교 동탄성심병원 응급의학과
¹²순천향대학교병원 응급의학과
¹³인제대학교 일산백병원 응급의학과
¹⁴강동경희대병원 응급의학과
¹⁵국군수도병원
¹⁶강릉아산병원 응급의학과
¹⁷의정부성모병원 응급의학과
¹⁸순천향대학교 천안병원 응급의학과
¹⁹동아대학교병원 응급의학과
²⁰을지병원 응급의학과
²¹순천향대학교 부천병원 응급의학과
²²동국대학교경주병원 응급의학과
²³인제대학교 해운대백병원 응급의학과

Self-perceived Quality of Sleep in Korean Emergency Physicians

Han Byeol Kim²³, Kyung Hye Park²³, Inbyung Kim¹, Hyukjun Yang², Kijung Lee³, Taeho Im⁴, Seungbaik Han⁵, Kuhyun Kang⁶, Youngjun Kang⁷, Jooyeong Kim⁸, Chul Kim⁹, Yooseok Park¹⁰, Juok Park¹¹, Junbeom Park¹², Junseok Park¹³, Hyunkyung Park¹⁴, Jaedon Son¹⁵, Sehyun Oh¹⁶, Youngmin Oh¹⁷, Dongwook Lee¹⁸, Hyungmin Lee⁵, Siyoung Jung¹, Jinwoo Jeong¹⁹, Kwanghyun Cho²⁰, Yeongsun Cho²¹, Hanjin Cho⁸, Daihai Choi²², (2015 KEPS Committee)

¹Department of Emergency Medicine, Myongji Hospital, Korea
²Department of Emergency Medicine, Gachon University Gil Hospital, Korea
³Pohang Semyong Gidok Hospital, Korea
⁴Department of Emergency Medicine, Hanyang University Hospital, Korea
⁵Department of Emergency Medicine, Inha University Hospital, Korea
⁶Department of Emergency Medicine, Hallim University Kangnam Sacred Heart Hospital, Korea
⁷Department of Emergency Medicine, Jeju University Hospital, Korea
⁸Department of Emergency Medicine, Korea University Ansan Hospital, Korea
⁹Department of Emergency Medicine, Asan Chungmu Hospital, Korea
¹⁰Department of Emergency Medicine, Yonsei University Severance Hospital, Korea
¹¹Department of Emergency Medicine, Hallim University Dongtan Sacred Heart Hospital, Korea
¹²Department of Emergency Medicine, Soon Chon Hyang University Hospital Seoul, Korea
¹³Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Korea
¹⁴Department of Emergency Medicine, Kyung Hee University Hospital at Gangdong, Korea
¹⁵The Armed Forces Medical Command, Korea
¹⁶Department of Emergency Medicine, GangNeung Asan Hospital, Korea
¹⁷Department of Emergency Medicine, Catholic University Uijeongbu St. Mary’s Hospital, Korea
¹⁸Department of Emergency Medicine, Soon Chon Hyang University Hospital Cheonan, Korea
¹⁹Department of Emergency Medicine, Dong-A University Hospital, Korea
²⁰Department of Emergency Medicine, Nowon Eulji Medical Center, Eulji University, Korea
²¹Department of Emergency Medicine, Soon Chon Hyang University Hospital Bucheon, Korea
²²Department of Emergency Medicine, Dongguk University Gyeongju Hospital, Korea
²³Department of Emergency Medicine, Inje University Haeundae Paik Hospital, Korea

Correspondence

Kyung Hye Park ,Tel: 051) 797-0172, Fax: 051) 797-0034, Email: erdoc74@gmail.com,

Received: August 3, 2016; Revised: August 4, 2016 Accepted: September 12, 2016. Published online: October 30, 2016.

ABSTRACT

Purpose:
Emergency physicians cannot help doing night shift, and consequentially their circadian rhythms are broken and sleep quality decrease. We investigate sleep quality and the factors related with it, and make a suggestion for improvement of sleep quality.
Method:
A nationwide survey was conducted with a representative sample of 406 emergency medicine specialist doing medical practice in emergency department in 2015.
Results:
The mean time of all duties was 14, and night duties were 7 per four weeks. Over half respondents thought they have some sleep problem in recent two weeks and are worried about sleep. The most common symptoms they have after night shift were fatigue and tiredness, and the next one is impaired memory, concentration, and judgement. Average Epworth Sleepiness Scale (ESS) was 7.54 (min 0, max 24), and 19 respondents had serious sleepiness during day time and may need medical advice. There was no difference of sleep quality according to sex, and whether having uninterrupted nap during night shift. However, the respondents having regular schedule pattern had better sleep quality and less day time sleepiness. Higher ESS was correlated with less satisfaction on shift schedule, intenser duty work, physically and mentally unhealthiness.
Conclusion:
Over half respondents answered they have sleep-related problems, and complaint various symptoms after night shift. Emergency physicians having regular shift schedule had better sleep quality and less symptoms after night shift. This requires additional analysis for the practically possible pattern of shift schedule.

Key words: Emergency Medicine, Republic of Korea, Survey and questionnaires, Sleep, Circadian Rhythm