中国科学院心理健康重点实验室知识库

目的 调查北京市3所部队三甲医院聘用护士睡眠质量状况及其影响因素,为提高聘用护士睡眠质量提供参考依据.方法 于2014年1月至2017年1月,采用问卷调查法,应用匹兹堡睡眠质量指数(PSQI)量表和一般情况调查表,调查部队医院253名聘用护士的睡眠质量状况,与正常成人常模进行比较,分析其影响因素.结果 253名聘用护士的PSQI总分为7.76±3.53,聘用护士PSQI总分及各因子得分均高于正常成人常模,差异有统计学意义(P＜0.05);54.94％的聘用护士睡眠质量差,且聘用护士在日间功能障碍(1.39±0.83)、入睡时间(1.67±0.94)、睡眠质量(1.33±0.88)、睡眠时间(1.23±0.78)得分较高.单因素方差分析结果显示,聘用护士睡眠质量在护龄、学历、职称、有无子女、夜班次数和科室差异均有统计学意义(P＜0.05);多因素logistic回归分析结果显示,中专学历、急诊及ICU科室是部队医院聘用护士睡眠质量的危险因素(OR =4.292、2.582),门诊及辅助科、无子女、无夜班是部队医院聘用护士睡眠质量的保护因素(OR=0.312、0.318、0.332).结论 部队医院聘用护士的睡眠质量差于正常成人,且学历、科室、有无子女、夜班次数对聘用护士的睡眠有明显影响.

Objective To investigate the sleep quality of the employed nurses in three grade A tertiary military hospitals in Beijing, China and its influential factors and to provide a reference for improving the sleep quality of employed nurses. Methods From January 2014 to January 2017, a questionnaire survey was carried out to investigate the sleep quality of 253 employed nurses in three grade A tertiary military hospitals in Beijing, China using the Pittsburgh Sleep Quality Index （PSQI） and a general status questionnaire. The results were compared with the adult norms to analyze the influential factors for sleep quality of the employed nurses. Results The global PSQI score of the 253 employed nurses was 7.76 ±3.53. Their global PSQI score and PSQI component scores were significantly higher than the adults norms （P〈0.05）. And 54.94% of the employed nurses had poor sleep quality; they had high scores of daytime dysfunction （1.39±0.83）, sleep latency （1.67±0.94）, sleep quality （1.33±0.88）, and sleep time （1.23±0.78）. The one-way analysis of variance showed that the sleep quality of the employed nurses was associated with nursing age, educational background, professional title, whether to have children, frequency of night shifts, and department （P〈0.05）. The multivariate logistic regression analysis showed that the risk factors for sleep quality of the employed nurses were technical secondary school education （OR =4.292） and emergency department and intensive care unit （OR=2.582） ; the protective factors for sleep quality of the employed nurses were outpatient department and assistant department （OR=0.312）, no children （OR=0.318）, and no night shift （OR= 0.332 ）. Conclusion The employed nurses in military hospitals have poorer sleep quality than the normal adults. The influential factors for sleep quality of employed nurses are educational background, department, whether to have children, and frequency of night shifts.

军队心理卫生科研课题(BWS14J021)