铁路职工失眠相关因素及干预对策  

Insomnia,Correlates and Interventions in Railroad Workers

作　　者：董玉军[1] 吴琼[1] 张衍军[1] 党同梅[1] 刘连启[2] 

机构地区：[1]济宁市荣复军人医院,山东兖州272101 [2]山东省精神卫生中心

出　　处：《中国民康医学》2008年第17期1996-1998,共3页Medical Journal of Chinese People’s Health

摘　　要：目的：探讨铁路职工失眠症状的相关因素及干预对策。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）及一般项目调查表的调查。结果：铁路职工中失眠症状及失眠障碍的现患率分别为27．2％、20．9％，Logistic多元逐步回归分析显示40岁以上年龄组、为司机、经常饮浓茶，SDS、SAS以及过去1个月中值过夜班的被调查者具有较高的罹患失眠症状的危险性，其中SAS总分高于常模标准分以及过去1个月中值1～2周夜班者为独立存在的罹患失眠症状的危险因素。结论：铁路职工失眠症状受多种因素的影响，主管部门应重视职工的睡眠问题，探讨合理的倒班体系，给予必要的心理治疗，改善职工的失眠症状。Objective：To investigate the insomnia and its correlates, as well as possible inventions among railroad workers. Methods ： A cross - sectional epidemiological study was conducted among a representative sample of 302 railroad workers who worked within the precinct of Jinan Railroad Branch Bureau. Sleep Behavior and Quality Scale （SBQS）, Zung＇s Self- Rating Depression Scale （SDS）, Zung＇s Self- Rating Anxiety Scale （SAS）, and self- designed demographic questionnaires were employed. Results： The prevalence of insomnia symptoms and insomnia disorders was 27.2% and 20.9% , respectively. The logistic multiple regression analysis revealed that the age of over 40, being a train driver, frequently strong tea drinking, higher SDS score, higher SAS score and night work shift during the past month were the predictors of insomnia symptoms, and a higher SAS score that above the norm and worked 1 -2 weeks during the past month were two independent risk factors. Conclusions： The insomnia symptoms were associated with multi- ple factors; the corresponding authorities should pay more attention to these sleep problems in railroad workers, should explore more reasonable working shifts, and should provide adequate interventions to those with insomnia symptoms.

关 键 词：铁路职工 失眠症状 相关因素 干预对策 

分 类 号：R749.71[医药卫生—神经病学与精神病学]