Changing the sleepwake cycle changes the physiology and reflecting personal habits in the
physical, biological or psychological level. The nursing staff is one of the categories of
workers who suffer from sleep deprivation in their routine work. Such a change in nurses may
result in an occupational performance unsatisfactory and dangerous work, and harm not only
the physical, social, mental and occupational these workers. the construction of evaluation
instruments that can be the basis for the understanding of occupational imbalances arising
from sleep deprivation, in order to build methods, techniques, future intervention instruments
to assist in the pursuit of occupational balance of the subjects and attended subjects is
essential. Thus, the objective of this research was to create and validate partially a protocol to
assess the impact of the change in sleep wake cycle in occupations in health and wellness. For
this we used a quantitative study, exploratory, where he built up an Occupational Therapy
Assessment instrument About Sleep (ATOSS) which underwent a pilot study of nine people
of different educational levels and six occupational therapists. Through the pilot study results,
we carried out the necessary changes and the instrument was applied to the nursing staff of
the Hospital Abelardo Santos. Qualitative analysis was performed using the data obtained
from the systematization of data in Microsoft Office Excel program. As for the validation of
ATOSS Protocol was evaluated the correlation between the areas of ATOSS questionnaire
and quality of sleep, by the ShapiroWilk test, ANOVA, KruskalWallis, was previously fixed
the significance level alpha = 0.05 for hypothesis rejection nullity. The study design was
carried out in the SAM software and statistical tests were performed at BioEstat. Statistically
the instrument did not have his complete partial validation, because it had flaws, but could be
traced the main occupations affected by the change of the sleepwake cycle how to prepare
the most affected activities were items participation in education, leisure and care the power
and the participation the most marked items were participation in education, leisure, religious
custom and use of transport means. In relation to the welfare and health the most frequent
value was assigned note 8 in relation to health symptoms that had more records were fatigue,
irritability, emotional instability, difficulty concentrating, loss in memory and mood changes.
However, in a qualitative analysis of the study, it was possible to identify the most affected
occupations, both in preparation and in participation and health, it was confirmed what other
studies have brought in their results, that changes in sleepwake cycle and the double journey
of work, can harm the health condition of these workers may be the cause or consequence of
an occupational imbalance. Before this study, it was possible to understand how occupational
therapy can significantly contribute to health and quality of life of workers to consider sleep
as an occupation that may be a facilitator or barrier to other occupations.
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