机构地区:[1]军事科学院军事医学研究院环境医学与作业医学研究所,天津300050 [2]96605部队531医院防疫所,吉林通化134001 [3]北京军区北戴河疗养院,河北秦皇岛066100
出 处:《西南军医》2018年第5期501-505,共5页Journal of Military Surgeon in Southwest China
基 金:军事医学创新工程资助项目(No.17CXZ006)
摘 要:目的对火箭军某部官兵的睡眠及心理状况进行调查,为采取干预措施提供科学依据。方法采用整群随机抽样,运用匹兹堡睡眠质量指数(PSQI)和症状自评量表(SCL-90)对火箭军某部165名官兵进行调查,分析其睡眠质量、心理健康以及二者的关系。结果 (1)在PSQI各成分频数分布中,日间功能障碍、入睡时间和主观睡眠质量得分≥2分者所占百分比分别为26.1%、24.8%和17.0%。(2)睡眠较差者占12%,睡眠正常者占88%。(3)与成人常模比较,主观睡眠质量、入睡时间、睡眠效率和日间功能障碍分值高(P <0.05),睡眠时间、应用睡眠药物分值低(P<0.001,P<0.05)。(4)与中国军人常模比较,SCL-90总分及各因子分均明显低(P <0.001)。(5)在SCL-90测试中,强迫(9.1%)、总分(7.3%)、人际关系敏感(6.1%)、抑郁(5.5%)的因子分呈现阳性人数较多。(6)已婚官兵的睡眠效率、日间功能障碍、PSQI总分、强迫症状、人际关系敏感、抑郁、敌对、其它指标相应的Z值较高(P<0.05)。(7) SCL-90总分及各因子与PSQI总分、主观睡眠质量、入睡时间、睡眠障碍、日间功能障碍呈显著正相关(P<0.01),SCL-90总分及部分因子与睡眠时间、睡眠效率、应用催眠药物呈正相关(P<0.01,P<0.05)(1)。结论火箭军官兵在一定程度上存在睡眠质量问题和心理问题,且睡眠和心理健康状况之间存在重要联系。应给予已婚官兵更多的关注。Objective To investigate the sleep and psychological status of officers and soldiers in rocket force so as to provide scientific basis for intervention measures. Methods 165 officers and soldiers were selected from a unit of rocket force by cluster random sampling and Pittsburgh sleep quality index( PSQI) and Symptom checklist-90( SCL-90) were applied in investigating the sleep quality,mental health and the relationship between the 2.Results In the distribution of PSQI components, the percentage of the subjects with scores ≥ 2 of daytime dysfunction,the time of falling asleep and the subjective quality of sleep was 26.1%,24.8% and 17.0% respectively and the subjects with poorer sleep accounted for 12% and those with normal sleep accounted for 88%; their scores of sleep quality,hypnagogic time,sleep efficiency and daytime dysfunction were higher than those of adult norm( P〈0.05) while their scores of sleep time and sleep medicine application were lower than those of adult orm( P〈0.001,P〈0.05); the total score and each factor score of SCL-90 were lower than those of Chinese military norm( P〈0.001);more subjects had positive performance in compulsion( 9.1%),total score( 7.3%),interpersonal sensitivity( 6.1%)and depression( 5.5%); the Z values of sleep efficiency,daytime dysfunction,PSQI total score,obsessive compulsive symptoms,interpersonal sensitivity,depression,hostility and other indicators were higher in married subjects( P〈0.05); the total score and each factor score in SCL-90 were positively correlated to the total score of PSQI,the score of subjective sleep qualitty,the time of falling asleep,sleep disorder and daytime dysfunction( P〈0.01),and the total score of SCL-90 and scores of some factors were positvely correlated to sleep time,sleep efficiency and sleep medicine application( P〈0.01,P〈0.05). Conclusions There exist certain problems in sleep quality and mental health in officers and soldiers in rocket force and sleep quality is closely c
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