铁路职工睡眠质量与心理健康状况及相关因素分析  

Sleep quality, mental health status and its related factors in railroad workers： a cross-sectionalstudy

作　　者：董玉军[1] 刘连启[2] 吴琼[1] 吕传爱[3] 窦怀洲[4] 任显峰 党同梅[1] 李伟[5] 刘长征 

机构地区：[1]济宁市荣复军人医院,兖州272101 [2]山东省精神卫生中心 [3]山东省肿瘤防治研究院 [4]山东中医药大学第二附属医院 [5]兖州市人民医院 [6]兖州市铁路医院

出　　处：《中国行为医学科学》2008年第5期444-446,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的探讨铁路职工的睡眠质量与心身健康状况及其相关因素。方法采用分层整群随机抽样的方法，抽取302名济南铁路分局铁路职工。对所抽样本进行匹兹堡睡眠质量指数（PSQI）、睡眠行为与睡眠质量评定量表（SBQS）、抑郁自评量表（SDS）、焦虑自评量表（SAS）、症状自评量表（SCL．90）、生活事件量表（LES）、简易应对方式问卷、艾森克个性问卷（EPQ）、社会支持评定量表测评及一般项目调查表的调查。结果铁路职工中睡眠质量低下的总发生率为21．9％，男性为23．2％，女性为14．6％，性别间差异无显著性（χ^2=1．77，P=0．18）。睡眠质量与焦虑、抑郁、工种（机车司机）、家庭经济状况等多种因素密切相关（P〈0．05或P〈0．01）。症状自评量表与常模相比具有较高的躯体化、焦虑、敌对、恐怖、偏执和精神病性因子分，以及较多的阳性项目数（P〈0．05或P〈0．01）。铁路职工的心理健康与睡眠、情绪稳定性、负性生活事件、个性倾向、应对方式及工作满意度等因素密切相关（P〈0．05或P〈0．01）。结论铁路职工睡眠及心理健康状况受多种因素的影响。Objective To investigate the sleep quality, mental health status and correlates among railroad workers. Methods A cross-sectional epidemiological study was conducted among a representative sample of rail- road workers who worked within the precinct of Jinan Railroad Branch Bureau. Pittsburgh Sleep Quality Index （PSQI） , Sleep Behavior and Quality Scale （SBQS） , Zung＇s Self-Rating Depression Scale （ SDS ） , Zung＇s Self-Rating Anxiety Scale （SAS） ,Symptom Checklist - 90 （SCL-90） ,Life Event Scale （LES） ,Simple Coping Style Questionnaire, Eysenck Personality Questionnaire （ EPQ）, Social Support Rating Scale （SSRS） and self-designed demographic questionnaires were employed in the study. Results The prevalence of poorer sleep quality was 21.9%, and there was no significant differences between males and females （23.2% vs 14.6%, P=0.18）. Sleep quality was significantly correlated with anxiety, depression, being locomotive driver, family economic status, etc（ P 〈 0.05 -0.01 ）. Railroad workers had higher SCL-90 factor scores in somatization dimension ,anxiety dimension, hostility dimension, phobic dimension, paranoid dimension and psychoticism dimension, as well as more positive items than the norms（ P〈 0.05 -0.01 ）. The mental health status was significantly correlated with sleep quality, mood stability,negative life events,personality,coping style,and job satisfaction （ P〈0.05 -0.01 ）. Conclusion The sleep quality and mental health status of railroad workers were associated with multiple factors.

关 键 词：铁路职工 睡眠行为 睡眠质量 心理健康 

分 类 号：B849[哲学宗教—应用心理学]