某部2013年度新兵睡眠质量与心理应激的关系  

RELATIONSHIP BETWEEN SLEEP QUALITY AND MENTAL STRESS IN SOME RECRUITS IN 2013

作　　者：于泱[1] 郝丽[1] 李权超[1] 胡艳[1] 申立[1] 李文华[1] 

机构地区：[1]广州军区疾病预防控制中心,广州510507

出　　处：《解放军预防医学杂志》2014年第3期222-224,共3页Journal of Preventive Medicine of Chinese People's Liberation Army

基　　金：全军医学科学技术研究"十二五"课题(No.CWS11C022);军队心理卫生应用性科研课题(No.12XLZ322)

摘　　要：目的探讨某部2013年度新兵睡眠质量与心理应激的关系及睡眠质量影响因素,为完善新兵心理服务工作方案提供依据。方法采用匹兹堡睡眠质量指数量表(PSQI)、军人心理应激自评量表(PSET)和自编相关因素调查表,对2671名男性新兵进行心理测评。结果受测新兵睡眠障碍发生率为11.8%,PSQI各项因子检出率居高的前3位依次是日间功能障碍(24.7%)、入睡时间(23.6%)和主观睡眠质量(19.8%)。受测新兵PSET测评T分为50.03±10.04,其中283人PSET测评T分≥70,占总数的10.6%。2356名睡眠质量好的新兵中心理应激异常发生率为1.9%,315名睡眠质量差的新兵中心理应激异常发生率为75.9%,组间比较差异有显著性(P<0.01)。与新兵睡眠质量总分呈显著相关的因素有心理应激评分、气候适应、饮食适应、管理适应、想家和训练伤痛(P<0.01),其中与心理应激评分的相关系数较高(r=0.477)。结论心理应激是新兵睡眠质量下降的主要诱因,提高新兵心理承受力和适应能力是新兵心理服务工作的重点。Objective To study the relationship between sleep quality and mental stress in some recruits in 2013,and to explore the related factors of sleep quality,so as to provide the basis for improving the psychological service scheme for the recruits. Methods A total of 2671 male recruits were tested by the Pittsburgh Sleep Quality Index（ PSQI）,Psychological Stress Self-evaluation Test（ PSET）,and a self-made related factor questionnaire. Results The incidence of sleep disorder in the recruits was 11. 8%; the top three incidences of PSQI factors were daytime dysfunction（ 24. 7%）,time to sleep（ 23. 6%） and subjective sleep quality（ 19. 8%）. The T score of PSET in the recruits was 50. 03 ± 10. 04; and 283（ 10. 6%） recruits had greater mental stress（ T≥70）. Among 2356 recruits of higher sleep quality,44（ 1. 9%） reruits had greater mental stress; and 315 recruits of lower sleep quality,239（ 75. 9%） recruits had greater mental stress; there was significant difference between the two groups（ P 〈 0. 01）. The factors related to sleep quality were： the scores of mental stress,climate adaptation,diet adaptation,administration,homesick and training injury pain; and the coefficient of sleep quality with the scores of mental stress was 0. 477（ P 〈 0. 01）. Conclusion Mental stress is one of the main factors related to sleep disorder in the recruits; the emphases of mental health service for the recruits should be placed on improving the psychological endurance and adaptation ability.

关 键 词：新兵 睡眠质量 心理应激 

分 类 号：R351.1[医药卫生—基础医学]