新型冠状病毒肺炎时期湖北一线医务人员睡眠质量及影响因素分析  

Analysis of sleep quality and influencing factors on sleep quality among frontline medical staff in Hubei during COVID-19 epidemic

作　　者：徐静 李博志 祁婧 黄金莎[3] 杨渊[4] 张振涛[5] 幺冬爱[6] 刘群会 贾敏 龚道恺[8] 倪小红[9] 张齐梅 尚芙蓉[11] 熊念 朱春丽 王涛[3] 张熙[2] Xu Jing;Li Bozhi;Qi Jing(Medical School of Chinese PLA,Beijing 100853,China)

机构地区：[1]解放军医学院,北京100853 [2]国家老年疾病临床医学研究中心解放军总医院第二医学中心神经内科 [3]华中科技大学同济医学院附属协和医院神经科 [4]华中科技大学同济医学院附属同济医院神经科 [5]武汉大学人民医院神经科 [6]武汉大学中南医院神经科 [7]恩施土家族苗族自治州中心医院神经科 [8]荆州市中心医院神经科 [9]黄冈市中心医院神经科 [10]宜昌市中心医院神经科 [11]襄阳市中心医院神经科 [12]武汉市红十字会医院神经科

出　　处：《中华保健医学杂志》2021年第2期117-119,共3页Chinese Journal of Health Care and Medicine

基　　金：军队十二五重大课题(AWS14J011);全军后勤科研重大专项资助项目(AWS16J028)。

摘　　要：目的了解新型冠状病毒肺炎疫情期间湖北地区一线医务人员睡眠状况,并寻找导致其睡眠障碍的影响因素及相应干预对策。方法选取2020年2月12日~3月3日10家湖北地区新型冠状病毒肺炎定点医院的医务人员,使用包含基本信息、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)量表等内容的网络问卷调查。回收问卷,根据PSQI量表成绩划分为睡眠障碍组和正常组,对两组结果进行比较,并通过logistic回归分析筛选出睡眠障碍的影响因素。结果回收有效问卷1028份,有效回收率为89.7%。一线医务人员睡眠障碍检出率达73.9%。logistic回归分析显示护士(OR=1.66,95%CI 1.11~2.50)、女性(OR=1.83,95%CI 1.19~2.82)、倒班(OR=1.84,95%CI 1.26~2.70)、所处疫情时期是医务人员睡眠障碍发生的影响因素(P<0.05)。结论在突发公共卫生事件中,应采取针对性的措施保障医务人员睡眠质量。Objective This study aimed to assess sleep states of frontline medical workers in Hubei during COVID-19 epidemic,and to explore the potential influencing factors.Methods An online questionnaire which included Pittsburgh Sleep Quality Index(PSQI)and basic information etc.was contributed to medical workers in multiple COVID-19 designated hospitals.Data were divided into sleep disorder group(PSQI>7)and normal group(PSQI≤7)according to PSQI score.Differences were compared between two groups.And logistic regression was conducted to screen influencing factors.Results A total of 1028 valid questionnaires were collected.The prevalence of sleep disorders was 73.9%,which was beyond the normal period(39.2%).Logistic regression analysis showed that nurse(OR=1.66,95%CI:1.11-2.50),women(OR=1.83,95%CI:1.19-2.82),shift work(OR=1.84,95%CI:1.26-2.70),the epidemic period have significant effects on the occurrence of sleep disorders(P<0.05).Conclusion During the COVID-19 epidemic,nurse,women,shift work,the epidemic period are the risk factors for sleep disorders in medical staff(P<0.05).Therefore,targeted measures should be taken to ensure the sleep quality of medical staff in similar health emergencies in the future.

关 键 词：新型冠状病毒肺炎 医务人员 睡眠障碍 影响因素 

分 类 号：R749[医药卫生—神经病学与精神病学]