Association between shift work, salivary cortisol levels, stress and fatigue in nurses: integrative review
Asociación entre turnos de trabajo, niveles de cortisol salivar, estrés y fatiga en enfermeros: revisión integrativa
Associação entre turnos de trabalho, níveis de cortisol salivar, estresse e fadiga em enfermeiros: revisão integrativa
Dnieber Chagas de Assis; Deisy Vivian de Resende; Maria Helena Palucci Marziale
Abstract
Keywords
Resumen
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Resumo
Objetivo: Identificar evidências científicas sobre a associação entre o trabalho em turnos e alterações do ritmo circadiano do cortisol, índices de estresse e fadiga em trabalhadores de enfermagem.
Método: Foram identificados 1.046 artigos publicados entre 2006 e 2016 nas bases Medline, LILACS, WOS, Scopus e SciElo, dos quais três atenderam aos critérios de inclusão.
Resultado: Os estudos apresentaram baixo rigor metodológico e resultados inconclusivos em virtude da diversidade metodológica e baixo número amostral. Dessa forma, com base na literatura existente, não foi possível determinar a existência de associação significativa entre esquemas de trabalho em turnos, trabalho de enfermagem e alterações do ritmo circadiano do cortisol, índices de estresse e fadiga.
Conclusão: As estratégias necessárias para a obtenção de resultados confiáveis e passíveis de comparação incluem a adoção de métodos padronizados de seleção dos participantes, coleta e análise das amostras e utilização de instrumentos psicométricos validados.
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References
1 Chrousos GP, Kino T. Glucocorticoid action networks and complex psychiatric and/or somatic disorders. Stress [Internet]. 2007 Jun; [cited 2016 Dec 4]; 10(2):213-9. Available from:
2 Hellhammer DH, Wüst S, Kudielka BM. Salivary cortisol as a biomarker in stress research. Psychoneuroendocrinology [Internet]. 2009 Feb; [cited 2016 Nov 23]; 34(2):163-71. Available from:
3 Nicolaides NC, Charmandari E, Kino T, Chrousos GP. Stress-Related and Circadian Secretion and Target Tissue Actions of Glucocorticoids: Impact on Health. Front Endocrinol [Internet]. 2017 Apr; [cited 2017 Jun 28]; 8:1-11. Available from:
4 Kudielka BM, Buchtal J, Uhde A, Wüst S. Circadian cortisol profiles and psychological self-reports in shift workers with and without recent change in the shift rotation system. Biol Psychol [Internet]. 2007 Jan; [cited 2016 Dec 22]; 74(1):92-103. Available from:
5 Inder WJ, Dimeski G, Russell A. Measurement of salivary cortisol in 2012 - laboratory techniques and clinical indications. Clin Endocrinol (Oxf) [Internet]. 2012 Nov; [cited 2016 Oct 12]; 77(5):645-51. Available from:
6 Powell DJH, Liossi C, Moss-Morris R, Schlotz W. Unstimulated cortisol secretory activity in everyday life and its relationship with fatigue and chronic fatigue syndrome: A systematic review and subset meta-analysis. Psychoneuroendocrinology [Internet]. 2013 Nov; [cited 2016 Nov 29]; 38(11):2405-22. Available from:
7 Campos JF, David HMSL. Analysis of salivary cortisol as stress biomarker in nursing workers. Rev Enferm UERJ [Internet]. 2014 Jul/Aug; [cited 2016 Dec 3]; 22(4):447-53. Available from:
8 Bozovic D, Racic M, Ivkovic N.Salivary Cortisol Levels as a Biological Marker of Stress Reaction. Med Arch [Internet]. 2013 Jan; [cited 2016 Oct 22]; 67(5):374-7. Available from:
9 Steptoe A, Hamer M, Lin J, Blackburn EH, Erusalimsky JD. The Longitudinal Relationship Between Cortisol Responses to Mental Stress and Leukocyte Telomere Attrition. J Clin Endocrinol Metab [Internet]. 2017 Mar; [cited 2017 Jun 27]; 102(3):962-9. Available from:
10 Wolkow A, Ferguson S, Aisbett B, Main L. Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel. Int J Occup Med Environ Health [Internet]. 2015; [cited 2017 Jun 26]; 28(2):183-208. Available from:
11 Garcez A, Weiderpass E, Canuto R, Lecke SB, Spritzer PM, Pattussi MP, et al. Salivary Cortisol, Perceived Stress, and Metabolic Syndrome: A Matched Case-Control Study in Female Shift Workers. Horm Metab Res [Internet]. 2017; [cited 2017 Jun 22]; 49(7):510-9. Available from:
12 Thorn L, Evans P, Cannon A, Hucklebridge F, Clow A. Seasonal differences in the diurnal pattern of cortisol secretion in healthy participants and those with self-assessed seasonal affective disorder. Psychoneuroendocrinology [Internet]. 2011 Jul; [cited 2016 Oct 12]; 36(6):816-23. Available from:
13 Maina G, Palmas A, Bovenzi M, Filon FL.Salivary cortisol and psychosocial hazards at work. Am J Ind Med [Internet]. 2009 Mar; [cited 2016 Nov 22]; 52(3):251-60. Available from:
14 Kim KJ, Chung JW, Park S, Shin JT. Psychophysiological stress response during competition between elite and non-elite Korean Junior Golfers. Int J Sports Med [Internet]. 2009; [cited 2016 Oct 12]; 30(7):503-8. Available from:
15 Moustaka E, Maria M, Constantinidis TC. Measuring occupational stress and HRA axis dysregulation among healthy workers by salivary cortisol levels. J Adv Med Med Res [Internet]. 2015 Jan; [cited 2016 Nov 3]; 6(11):1040-51. Available from:
16 Grossi G, Perski A, Osika W, Savic I. Stress-related exhaustion disorder--clinical manifestation of burnout? A review of assessment methods, sleep impairments, cognitive disturbances, and neuro-biological and physiological changes in clinical burnout. Scand J Psychol [Internet]. 2015 Dec; [cited 2017 Jun 23]; 56(6):626-36. Available from:
17 ter Wolbeek M, van Doornen LJP, Coffeng LE, Kavelaars A, Heijnen CJ. Cortisol and severe fatigue: A longitudinal study in adolescent girls. Psychoneuroendocrinology [Internet]. 2007 Feb; [cited 2016 Nov 21]; 32(2):171-82. Available from:
18 Kumari M, Badrick E, Ferrie J, Perski A, Marmot M, Chandola T.Self-reported sleep duration and sleep disturbance are independently associated with cortisol secretion in the Whitehall II study. J Clin Endocrinol Metab [Internet]. 2009 Dec; [cited 2016 Nov 22]; 94(12):4801-9. Available from:
19 Anjum B, Verma NS, Tiwari S, Singh R, Mahdi AA, Singh RB, et al.Association of salivary cortisol with chronomics of 24 hours ambulatory blood pressure/heart rate among night shift workers. Biosci Trends [Internet]. 2011 Aug; [cited 2016 Dec 14]; 5(4):182-8. Available from:
20 Vasconcelos S, Marqueze E, Gonçalves L, Lemos L, Araújo L, Fischer FM, et al.Morbidity among nursing personnel and its association with working conditions and work organization. Work [Internet]. 2012; [cited 2016 Dec 14]; 41(Suppl 1):3732-7. Available from:
21 Niu SF, Chung MH, Chu H, Tsai JC, Lin CC, Liao YM, et al. Differences in cortisol profiles and circadian adjustment time between nurses working night shifts and regular day shifts: A prospective longitudinal study. Int J Nurs Stud [Internet]. 2015 Jul; [cited 2016 Dec 13]; 52(7):1193-201. Available from:
22 Bracci M, Ciarapica V, Copertaro A, Barbaresi M, Manzella N, Tomasetti M, et al. Peripheral skin temperature and circadian biological clock in shift nurses after a day off. Int J Mol Sci [Internet]. 2016 May; [cited 2016 Dec 12]; 17(5):623. Available from:
23 Ganong LH.Integrative reviews of nursing research. Res Nurs Health [Internet]. 1987 Feb; [cited 2017 Dec 18]; 10(1):1-11. Available from:
24 Batista DCS, Pimenta CAM. Semelhanças e diferenças da dor nas síndromes torácicas. Rev Gaúch Enferm [Internet]. 2008 Jun; [cited 2016 Dec 4]; 29(2):301-7. Available from:
25 Marziale MHP. Instrumento para coleta de dados para revisão integrativa da literatura. Redenso Internacional. Ribeirão Preto, Brasil. 2015. Available from:
26 Melnyk BM, Fineout-Overholt E. Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincot Williams & Wilkins; 2005. p. 3-24.
27 Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med [Internet]. 2009 Jul; [cited 2016 Aug 3]; 6(7):e1000100. Available from:
28 Baba M, Ohkura M, Koga K, Nishiuchi K, Herrera CLR, Matsuse R, et al.Analysis of salivary cortisol levels to determine the association between depression level and differences in circadian rhythms of shift-working nurses.J Occup Health [Internet]. 2015 Mar; [cited 2016 Aug 4]; 57(3):237-44. Available from:
29 Violanti JM, Fekedulegn D, Andrew ME, Hartley TA, Charles LE, Miller DB, et al. The impact of perceived intensity and frequency of police work occupational stressors on the cortisol awakening response (CAR): Findings from the BCOPS study. Psychoneuroendocrinology [Internet]. 2017 Jan; [cited 2017 Jun 25]; 75(1):124-31. Available from:
30 Gustafsson PE, Gustafsson PA, Ivarsson T, Nelson N. Diurnal cortisol levels and cortisol response in youths with obsessive e compulsive disorder. Neuropsychobiology [Internet]. 2008 Jun; [cited 2016 Dec 2]; 57(1-2):14-21. Available from:
31 Chida Y, Steptoe A. Cortisol awakening response and psychosocial factors: a systematic review and meta-analysis. Biol Psychol [Internet]. 2009 Mar; [cited 2016 Dec 1]; 80(3):265-78. Available from:
32 Oosterholt BG, Maes JHR, Van der Linden D, Verbraak MJPM, Kompier MAJ.Burnout and cortisol: evidence for a lower cortisol awakening response in both clinical and non-clinical burnout. J Psychosom Res [Internet]. 2015 May; [cited 2016 Dec 01]; 78(5):445-51. Available from:
33 Kudielka BM, Gierens A, Hellhammer DH, Wüst S, Schlotz W. Salivary cortisol in ambulatory assessment--some dos, some don'ts, and some open questions. Psychosom Med [Internet]. 2012 May; [cited 2016 Dec 2]; 74(4):418-31. Available from:
34 Kudielka BM, Hellhammer DH, Wüst S. Why do we respond so differently? Reviewing determinants of human salivary cortisol responses to challenge. Psychoneuroendocrinology [Internet]. 2009 Jan; [cited 2016 Dec 2]; 34(1):2-18. Available from:
35 Saxbe DE, Repetti RL, Nishina A.Marital satisfaction, recovery from work, and diurnal cortisol among men and women. Health Psychology [Internet]. 2008 Jan; [cited 2016 Dec 22]; 27(1):15-25. Available from:
36 Thayer JF, Verkuil B, Brosschot JF, Kampschroer K, West A, Sterling C, et al. Effects of the Physical Work Environment on Physiological Measures of Stress. Eur J Cardiovasc Prev Rehabil [Internet]. 2010 Aug; [cited 2017 Jun 29]; 17(4):431-9. Available from:
37 Lundberg U. Methods and applications of stress research. Technol Health Care [Internet]. 1995 Mar; [cited 2017 Dec 18]; 3(1):3-9. Available from:
38 Stawski RS, Cichy KE, Piazza JR, Almeida DM. Associations among daily stressors and salivary cortisol: findings from the National Study of Daily Experiences. Psychoneuroendocrinology [Internet]. 2013 Nov; [cited 2017 Jun 29]; 38(11):2654-65. Available from:
39 Kirschbaum C, Hellhammer DH. Salivary cortisol in psychobiological research: an overview. Neuropsychobiology [Internet]. 1989; [cited 2016 Nov 22]; 22(3):150-69. Available from:
40 Cozma S, Dima-Cozma LC, Ghiciuc CM, Pasquali V, Saponaro A, Patacchioli FR. Salivary cortisol and α-amylase: subclinical indicators of stress as cardiometabolic risk. Braz J Med Biol Res [Internet]. 2017 Feb [cited 2017 Jun 27]; 50(2):e5577. Available from
41 Gumenyuk V, Roth T, Drake CL. Circadian phase, sleepiness, and light exposure assessment in night workers with and without shift work disorder. Chronobiol Int [Internet]. 2012 Aug [cited 2017 Jun 25]; 29(7):928-36. Available from:
42 Kudielka BM, Broderick JE, Kirschbaum C. Compliance with saliva sampling protocols: electronic monitoring reveals invalid cortisol daytime profiles in noncompliant subjects. Psychosom Med [Internet]. 2003 Mar/Apr; [cited 2016 Nov 12]; 65(2):313-9. Available from:
43 Adam EK, Kumari M. Assessing salivary cortisol in large-scale, epidemiological research. Psychoneuroendocrinology [Internet]. 2009 Nov; [cited 2016 Dec 2]; 34(10):1423-36. Available from:
Submitted date:
05/08/2017
Accepted date:
11/18/2017
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