20.500.12556/ReVIS-13957 UČINKI NOČNIH IZMEN NA ZDRAVJE ZDRAVSTVENIH DELAVCEV EFFECTS OF NIGHT SHIFTS ON THE HEALTH OF HEALTHCARE WORKERS Teoretična izhodišča: V zdravstvu ima izmensko delo pomembno vlogo, saj večina zdravstvenih služb zagotavlja 24-urno oskrbo. Izmene se razlikujejo po številu in dolžini izmen, skupno pa jim je, da delno ali v celoti prekrivajo čas nočnega spanja. Zdravstveni delavci so posledično primorani opravljati nočne izmene, ki predstavljajo pomemben dejavnik tveganja za njihovo fizično in psihično zdravje. Namen naše raziskave je zato raziskati učinke dolgotrajnega dela v nočnih izmenah na fizično in psihično zdravje zdravstvenih delavcev. Metodologija: Raziskava je temeljila na kvalitativnem pristopu in deskriptivni metodi dela. Podatke smo zbrali s polstrukturiranimi intervjuji, izvedenimi novembra 2025, z namenskim vzorcem osmih zdravstvenih delavcev s petimi ali več leti delovnih izkušenj, ki redno opravljajo svoje delo v nočni izmeni. Vprašanja, oblikovana na podlagi strokovne literature, so zajemala učinke nočnih izmen na zdravje in možnosti za izboljšanje organizacije nočnih izmen. Teoretični del temelji na pregledu virov iz podatkovnih baz, kot so COBISS, PubMed in SpringerLink. Rezultati: V raziskavo je bilo vključenih osem zdravstvenih delavcev, ki imajo najmanj pet let delovnih izkušenj in redno delajo nočne izmene. Intervjuvanci poročajo, da imajo največkrat težave s spanjem in utrujenostjo podnevi. Pogosto navajajo tudi glavobole in razdražljivost. Zdravstveni delavci poročajo o povečanem stresu in zmanjšani zbranosti pri delu. Nočne izmene vplivajo tudi na krajši čas, preživet z družino in prijatelji. Intervjuvanci poudarjajo pomembnost redne telesne aktivnosti, pogostega preživljanja časa v naravi, počitka in druženja s prijatelji kot ustrezne načine spopadanja z negativnimi učinki nočnih izmen. Razprava: Ugotavljamo, da so najpogostejše zdravstvene težave, ki se pojavijo pri delavcih, ki delajo v nočnih izmenah, motnje spanja, debelost in stres. Delo v nočnih izmenah ima prav tako vpliv na psihično zdravje delavcev, saj jih zaradi narave dela večina poroča o stresu. Nočne izmene med drugim vplivajo na socialno življenje delavcev. Delavci manj časa preživijo s svojo družino, nekateri se ne morejo udeležiti določenih dogodkov ali pa morajo spremeniti načrte glede na svoje izmensko delo. Nočne izmene imajo negativen učinek na spanje zdravstvenih delavcev. Pogoste so motnje spanja, nespečnost, prebujanje ponoči in utrujenost podnevi. Veliko delavcev se z učinki nočnih izmen sooča na nezdrav način, kot je kajenje, prenajedanje in uživanje velikih količin kave. Pomembno je, da se z učinki nočnih izmen na zdravje soočamo na zdrav način, kot je na primer sprehod, načrtovan počitek pred in po delu ter ukvarjanje s hobiji. Theoretical starting points: Shift work plays an important role in healthcare, as most healthcare services provide 24-hour care. Shifts vary in the number and length of shifts, but they all overlap partially or completely during nighttime sleep. As a result healthcare workers are forced to work night shifts, which represent a significant risk factor for their physical and mental health. The purpose of our research is therefore to investigate the effects of long-term night shift work on the physical and mental health of healthcare workers. Methodology: The research was based on a qualitative approach and a descriptive research method. Data were collected through semi-structured interviews conducted in November 2025 with a purposive sample of eight healthcare professionals, each with at least five years of experience, who regularly work night shifts. The questions, developed based on relevant professional literature, covered effects of night shifts on health of workers and the possibilities for improving night shifts. The theoretical part was based on a review of scientific and professional literature available through databases such as Cobiss, PubMed and SpringerLink. Results: The study included eight healthcare workers with at least 5 years of work experience who regularly work night shifts. Interviewees report that they most often have problems with sleep and fatigue during the day. They also often mention headaches and irritability. Healthcare workers report increased stress and reduced concentration at work. Night shifts also affect less time spent with family and friends. Interviewees emphasize the importance of regular physical activity, spending a lot of time in nature, rest and socializing with friends as appropriate ways to cope with the negative effects of night shifts. Discussion: We find that the most common health problems that occur in workers who work night shifts are sleep disorders, obesity and stress. Working night shifts also has an impact on the mental health of workers, as most of them report experiencing stress due to the nature of the work. Night shifts, among other things, affect the social life of workers. Workers spend less time with their families, some cannot attend certain events or have to change plans depending on their shift work. Night shifts have a negative effect on the sleep of healthcare workers. Sleep disorders, insomnia, waking up during the night and fatigue during the day are common. Many workers cope with the effects of night shifts in unhealthy ways, such as smoking, overeating and drinking large amounts of coffee. It is important to deal with the health effects of night shifts in a healthy way, such as taking a walk, planning rest before and after work and engaging in hobbies. nočne izmene izmensko delo učinki nočnih izmen na zdravje cirkadiani ritem. night shifts shift work effects of night shifts on health circadian rhytm. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-02 19:48:20 2026-06-02 19:48:21 2026-06-03 03:27:30 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 24959 4289$$sara_turk_ucinki_nocnih_izmen_na_zdravje_zdravstvenih_delavcev.pdf 4289$$sara_turk_ucinki_nocnih_izmen_na_zdravje_zdravstvenih_delavcev.pdf 1 6975404DCDD0EEB1CC775B32FF8631B3 fb3a25baacc5908bd8bab39ff1adc69678bca0eba60447f9ad1e59874ea85dd6 3ef33fe5-5eab-11f1-8e51-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=16923 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0