医护官兵首次执行长远航任务4个月时睡眠状况调查分析  

Sleep status of medical officers and soldiers during the first long-distance navigation after 4 months

作　　者：刘益群[1] 倪喆鑫 孙帅[1] 陆小英[2] LIU Yi-qun;NI Zhe-xin;SUN Shuai;LU Xiao-ying(Department of Traditional Chinese Medicine(Gynecology),Changhai Hospital,Naval Medical University(Second Military Medical University),Shanghai 200433,China;Department of Nursing,Changhai Hospital,Naval Medical University(Second Military Medical University),Shanghai 200433,China)

机构地区：[1]海军军医大学(第二军医大学)长海医院中医妇科,上海200433 [2]海军军医大学(第二军医大学)长海医院护理处,上海200433

出　　处：《第二军医大学学报》2020年第11期1267-1271,共5页Academic Journal of Second Military Medical University

基　　金：海军军医大学(第二军医大学)长海医院海军军事医学专项(2018018)。

摘　　要：目的调查首次执行长远航任务的医护官兵睡眠状况及影响因素。方法应用整群抽样方法,采用自制问卷和匹兹堡睡眠质量指数(PSQI)量表对91名首次执行长远航任务的医护官兵进行调查。结果共收回有效问卷91份,回收有效率为100%。长远航期间医护官兵失眠率为63.74%(58/91),较出任务前(43.96%,40/91)明显上升(P<0.01)。执行任务4个月时医护官兵 PSQI总分为(7.59±5.35) 分,PSQI总分>7分者有39例(42.86%)。医护官兵失眠症状以入睡困难为主,占89.66%(52/58);受到调时因素影响的人数最多(41人,70.69%),其次是环境改变(33人,56.90%)。Logistic回归分析显示床铺位置是医护官兵失眠的主要影响因素(P<0.05)。医护官兵主要采取增加运动量的方法缓解失眠,仅1人通过接受心理辅导缓解失眠。结论长远航会对医护官兵睡眠状况造成严重影响,首次执行长远航任务的医护官兵睡眠情况存在较大问题,受到调时及环境改变的影响时失眠发生率较高,且缺少合理的防范及治疗措施。Objective To investigate the sleep status and its influencing factors of medical officers and soldiers on their first long-distance navigation.Methods With cluster sampling method,91 medical officers and soldiers were investigated with self-made general information questionnaire and Pittsburgh sleep quality index(PSQI).Results A total of 91 valid questionnaires were collected,with an effective rate of 100%.During the long-distance navigation,the insomnia rate of medical officers and soldiers was 63.74%(58/91),which was significantly higher than that before the navigation(43.96%,40/91)(P<0.01).The PSQI score was 7.59±5.35 at the end of 4 months,and 39 cases(42.86%)had PSQIscore>7.The most common symptom of insomnia was"difficulty in falling asleep"(89.66%,52/58);and the most cases(70.69%,41/58)were affected by timing adjustment,followed by environmental changes(56.90%,33/58).Logistic regression analysis showed that bed position was the main influencing factor of insomnia(P<0.05).The medical officers and soldiers alleviated insomnia mainly by increasing exercise,only one of them alleviated insomnia through psychological counseling.Conclusion Long-distance navigation has a serious impact on the sleep status of medical officers and soldiers.Sleep problems in medical officers and soldiers on their first long-distance navigation tasks are serious.The incidence of insomnia is high due to the influence of timing adjustment and environmental changes,and there is a lack of reasonable prevention and treatment measures.

关 键 词：长远航 医护官兵 失眠 调查 

分 类 号：R338.63[医药卫生—人体生理学]