四川省社区护士工作压力与睡眠质量的相关性分析  

Correlation between work stress and sleep quality in community nurses in Sichuan Province

作　　者：傅淑琼[1] 刘雪莲[1] 方荣华[1] FU Shu-qiong;LIU Xue-lian;FANG Rong-hua(West China Hospital Sichuan University,Chengdu 610041, China)

机构地区：[1]四川大学华西医院,四川成都610041

出　　处：《华南预防医学》2018年第6期523-527,共5页South China Journal of Preventive Medicine

摘　　要：目的调查社区护士工作压力及其睡眠质量情况,为制定有效的干预措施提供依据。方法采取分层随机抽样方法对四川省21个社区卫生服务中心的护士进行问卷调查,调查内容包括基本情况、医务人员工作压力评定量表和匹兹堡睡眠质量指数量表,采用秩相关分析法对压力和睡眠关系进行分析,采用单、多因素分析方法对睡眠障碍的影响因素进行分析。结果共收集有效问卷175份,调查对象均为女性,年龄18～54岁。社区护士工作压力总分为(58.73±9.00)分,睡眠质量总分为7分,睡眠障碍者70例,睡眠障碍发生率为40.00%。工作压力得分与睡眠质量总分秩相关分析结果显示,压力得分与睡眠质量总分呈正相关(Rs=0.223),压力越大,睡眠质量越差。多因素logistic回归分析结果显示,有固定合同的护士睡眠障碍的可能性是无固定合同者的3.038倍(OR=3.038)。压力得分越高,睡眠障碍的可能性越大(OR=1.020)。结论四川省社区护士睡眠障碍发生率较高,其工作压力越大,睡眠质量越差。Objective To investigate the work stress and sleep quality in community nurses,so as to provide evidence for effective interventions. Methods A stratified random sampling method was adopted to select nurses working in 21 community health service centers in Sichuan Province to conduct aquestionnaire survey. The survey contents included basic information,the Work Stress Rating Scale for Medical Staff and the Pittsburgh Sleep Quality Index(PSQI). The rank correlation analysis was used toanalysis the relationship of stress and sleep.Data were analyzed using univariate and multivariate logistic regressions. Results A total of 175 valid questionnaires were collected and all the respondents were fe-males aged 18-54 years. The total scores of work stress of community nurses were(58.73 ± 9.00),the score of sleep quality was 7,and the incidence of sleep disorder was 40.00%(70/175). Spear-man’s rank correlation analysis showed that the scores of work stress were positively correlated with the scores of sleep quality(Rs=0.223). The higher the stress,the worse the sleep quality. Multivariate logis-tic regression analysis showed that nurses with fixed term labor contracts were 3.038 times more likely to have sleep disorders than those without the fixed term labor contracts(OR=3.038). The higher the totalscores of the stress,the greater the likelihood of sleep disorders(OR=1.020). Conclusions The incidence of sleep disorders among community nurses in Sichuan Province was relatively high. The greater thework stress,the worse the quality of sleep.

关 键 词：护士 心理压力 睡眠障碍 因素分析 统计学 

分 类 号：R192.6[医药卫生—卫生事业管理]