急诊科护士创伤后应激障碍的发生情况及睡眠质量的问卷调查  

Questionnaire investigation on occurrence post-traumatic stress disorder and sleep quality of nurses in emergency department

作　　者：包正红 林晨[1] 陈闯[1] Bao Zhenghong;Lin Chen;Chen Chuang(Department of Emergency,Zhejiang Hospital,Hangzhou 310013,Zhejiang,China)

机构地区：[1]浙江医院急诊科,浙江杭州310013

出　　处：《中国中西医结合急救杂志》2019年第1期105-108,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：浙江省医药卫生科技计划项目(2019KY258).

摘　　要：目的探讨急诊科不同性别护士创伤后应激障碍(PTSD)发生情况及与睡眠质量的关系.方法选择2017年10月至2018年2月浙江省8所三级综合医院248名急诊科护士作为调查对象,男性62名,女性186名.采用问卷调查方法,分析不同性别护士睡眠质量和PTSD的差异;采用PTSD检查量表和匹兹堡睡眠质量指数量表(PSQI)评价不同性别护士的PTSD和睡眠质量情况;采用Pearson相关分析法分析PTSD、PSQI总分及各维度得分的相关性;采用多重线性回归分析法考察性别对PTSD、PSQI评分的调节作用.结果调查显示,急诊科护士睡眠障碍阳性检出率为46.77%(116/248),PTSD阳性检出率为43.95%(109/249).男护士PTSD总分及再体验症状、回避症状、高警觉症状各维度得分和PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物各维度得分均明显低于女护士〔PTSD总分(分):33.94±9.36比38.05±5.69,再体验症状(分):9.43±2.62比10.46±2.39,回避症状(分):14.85±4.43比16.54±3.69,高警觉症状(分):9.66±2.35比11.04±2.49;PSQI总分(分):7.39±1.42比8.32±3.52,睡眠质量(分):0.91±0.42比1.08±0.49,入睡时间(分):1.65±0.72比1.89±0.85,睡眠时间(分):1.82±0.77比1.69±0.69,睡眠效率(分):0.85±0.44比1.07±0.45,睡眠障碍(分):1.08±0.29比1.33±0.56,催眠药物(分):0.23±0.08比0.46±0.12,均P<0.05〕.Pearson相关性分析显示,女护士再体验症状与睡眠时间、睡眠效率两个维度无明显相关性(均P<0.05),与PSQI其他维度之间均呈明显正相关性(均P<0.05),且相关系数为0.22~0.64;在男护士方面,再体验症状与催眠药物以及高警觉症状与睡眠障碍、时间功能之间无相关性(均P>0.05),与PSQI其他维度之间均呈明显正相关性(均P<0.05),且相关系数为0.11~0.43.多重线性回归分析显示,再体验症状、回避症状和高警觉症状可正向预测PSQI评分(β=0.840、0.970、0.500,P=0.026、0.012、0.000);性别可调节再体验症状�Objective To investigate the relationship between post-traumatic stress disorder(PTSD)and sleep quality among emergency nurses,as well as the regulatory effects of gender on this relationship.Methods Two him eked and forty eight nurses in departments emergency of 8 tertiary general hospitals in Zhejiang province from October 2017 to February 2018 were enrolled as the respondents including 62 males and 186 females.The differences in sleep quality and PTSD among nurses of different genders were analyzed by questionnaires;the PTSD checklist and Pittsburgh sleep quality index(PSQI)were used to evaluate PTSD and sleep quality situations of different gender nurses;the correlations of PTSD.PSQI total score and each dimension score were analyzed hy Pearson correlation analysis;and the regulatory role of gender on PTSD and PSQI score were analyzed hy multiple linear regression method.Results The survey showed that the positive rate of sleep disorder was 46.77%(116/248)and the positive rate of PTSD was 43.95%(109/249)in emergency nurses.The total scores of PTSD and each score of following dimensions:re-experienee symptoms,avoidanee symptoms,high alert symptoms,and the total scores of PSQI and each score of dimensions of sleep quality,sleep entering time,sleep time,sleep efficiency,sleep disorders and using hypnotics of male nurses were significantly lower than those of the female nurses(total scores of PTSD:33.94±9.36 vs.38.05±5.69,re-experience symptoms:9.43±2.62 vs.10.40±2.39,avoidance symptoms:14.85±4.43 vs.16.54±3.69.high alertness symptoms:9.66±2.35 vs.11.04±2.49;total scores of PSQI:7.39±1.42 vs.8.32±3.52,sleep quality:0.91±0.42 vs.1.08±0.49,sleep time:1.82±0.77 vs.1.69±0.69,sleep efficiency:0.85±0.44 vs.1.07±0.45,sleep disorders:1.08±0.29 vs.1.33±0.56.hypnotics:0.23±0.08 vs.0.46±0.12,all P<0.05).Pearson correlation analysis showed that re-experience symptoms of female nurses had no significant correlations with sleep time and sleep efficiency(all P>0.05),but had significant positive correlations

关 键 词：性别 急诊科护士 创伤后应激障碍 睡眠质量 

分 类 号：R163[医药卫生—公共卫生与预防医学]