某部腰背疼痛官兵的睡眠质量及其影响因素  

ANALYSIS OF THE SLEEP QUALITY OF SOME OFFICERS AND SOLDIERS WITH LOW BACK PAIN

作　　者：陈海燕[1] 雷美英[1] 赵立琼[1] 周宏奎[1] 李红政[1] 

机构地区：[1]解放军第三〇三医院全军心理卫生指导中心,南宁530021

出　　处：《解放军预防医学杂志》2015年第3期265-267,共3页Journal of Preventive Medicine of Chinese People's Liberation Army

基　　金：军队心理卫生应用性科研课题计划(No.12XLZ204);全军医学科学技术"十二五"计划课题(No.CWS11J278);广州军区心理预防科研专项(No.XLYF20130610);广西自然科学基金(No.桂0991289)

摘　　要：目的探讨腰背疼痛官兵的睡眠质量及其影响因素,为制定改善部队官兵睡眠质量的措施提供参考依据。方法采用流调中心用抑郁量表(CES-D)、贝克焦虑量表(BAI)、症状自评量表(SCL-90)和匹兹堡睡眠质量指数(PSQI)对某部72例腰背疼痛男性官兵(疼痛组)和104例健康男性官兵(对照组)进行测评。结果疼痛组CES-D、BAI、SCL-90和PSQI得分分别为11.44±9.09、32.39±8.84、0.51±0.48和5.97±3.31,显著高于对照组(5.05±8.14、27.67±8.31、0.19±0.42和2.83±5.23,P<0.01);疼痛组睡眠质量差检出率为25.0%,与对照组(20.2%)相比,差异无统计学意义(P>0.05);在控制了躯体化症状后,SCL-90中的强迫、抑郁和精神病性因子与睡眠质量呈显著正相关(r=0.32、0.24、0.24,P<0.05,P<0.01),BAI与睡眠质量呈显著负相关(r=-0.27,P<0.05)。结论某部腰背疼痛官兵的睡眠质量较差,在治疗官兵躯体化症状的同时加强官兵的心理健康教育,有助于改善其睡眠质量。Objective To investigate the sleep quality of some officers and soldiers with low back pain and its related factors,so as to provide the evidence for formulating measures about improving their sleep quality. Methods A to- tal of 72 officers and soldiers with low back pain （pain group） and 104 healthy officers and soldiers （control group） were assessed with the Center for Epidemiologic Studies Depression Scale （CES-D）, Beck Anxiety Inventory （BALI）,Symptom Checklist 90 （SCL-90）,and Pittsburgh Sleep Quality Index （PSQI）. Results The scores of CES-D ,BAI,SCL-90, and PSQI in pain group （11.44±9.09,32.39±8.84,0.51±0.48 ,and 5.97±3.31 respectively） were higher than control group （5.05±8.14,27.67±8.31,0. 19±0.42, and 2. 83±5.23 respectively） （ P〈0.01 ）. There was no difference in the rate of poor sleep quality between pain （25.0%） and control （20.2%） group （P〉0.05）. Obsessive-compulsive,depression and psyehotieism of SCL-90 were positively correlated with sleep quality after controlling somatization （r = 0.32,0.24, and O. 24 respectively,P〈0. 05, P〈0.01 ）, but BAI was negtively correlated with sleep quality （r =-0. 27, P〈0.05 ）. Conclusion The sleep quality of some officers and soldiers with low back pain was poor. To ameliorate their somati- zation and to enhance the mental health education would be conducive to improving their sleep quality.

关 键 词：官兵 腰背疼痛 睡眠质量 心理健康 躯体化 

分 类 号：R338.63[医药卫生—人体生理学]