抗疫值班期间深圳公立医院一线医护人员睡眠状况调查  

Investigation on Sleep Status of First-line Medical Staff in Shenzhen Public Hospital During Anti Epidemic Duty

作　　者：姚新平 闫序存 曾胜姐 霍岩 程艳[4] YAO Xinping;YAN Xucun;ZENG Shengjie;HUO Yan;CHENG Yan(Department of Sleep Medicine,Kangning Hospital,Shenzhen City,Shenzhen 518000,China;Fujian Quanzhou Equipment Manufacturing Research Institute,Quanzhou 362200,China;No.1 Department of tuberculosis,Shenzhen Third People's Hospital,Shenzhen 518000,China;Nursing Department of Shenzhen Kangning hospital,Shenzhen 518000,China)

机构地区：[1]深圳市康宁医院睡眠医学科,深圳518000 [2]福建省泉州装备制造研究所,泉州362200 [3]深圳市第三人民医院肺结核一科,深圳518000 [4]深圳市康宁医院护理部,深圳518000

出　　处：《世界睡眠医学杂志》2021年第2期354-356,共3页World Journal of Sleep Medicine

摘　　要：目的:探索新型冠状病毒肺炎流行期间在岗高危医护人员和非临床接触医护人员的睡眠状况、影响睡眠的因素。方法:选取2020年2月15日至2020年3月3日深圳市5家公立医院工作的临床一线医护人员163名作为研究对象,采用福特应激失眠反应测试(FIRST)、失眠严重指数量表(ISI)和事件冲击量表修订版(IES-R)进行比较研究和相关性分析,探讨2组的睡眠状况差异及其相关影响因素。结果:临床接触者组的FIRST总分、疫情后ISI总分和IES-R总分均显著高于非临床接触者,后者分别为;2组以上3个指标之间均呈正相关关系(r>0.3),且IES-R中的高唤醒症状与侵袭症状关联性较大(r=0.839);回归分析显示性别和每日接收疫情信息时长是影响医护人员睡眠状况的主要因素。结论:疫情下高危临床接触者睡眠状况差,医疗机构有必要加强对临床一线医护人员的感控相关知识培训及心理疏导,降低压力负荷,改善医护人员睡眠状况。Objective:To explore COVID-19 during sleep period and influence factors of sleep on high-risk medical staff and non clinical medical staff.Methods:Selected 163 clinical first-line medical staff working in 5 public hospitals in shenzhen from february 15,2020 to march 3,2020 as the subjects.ford stress insomnia response test(FIRST),insomnia severity index scale(ISI)and event impact scale revised edition(IES-R)were used for comparative study and correlation analysis to explore sleep status differences and related influencing factors in the two groups.Results:The first total score,ISI total score and IES-R total score of the clinical contact group were significantly higher than those of the non clinical contact group,the latter were respectively;there was a positive correlation between the above three indicators in the two groups(r>0.3),and the high wake-up symptoms in IES-R were highly correlated with the aggressive symptoms(r=0.839);regression analysis showed that gender and the time of receiving the epidemic information daily were the factors affecting the medical staff The main factors of sleep status.Conclusion:The sleep status of high-risk clinical contacts is poor under the epidemic situation.It is necessary for medical institutions to strengthen the training of sensory control related knowledge and psychological guidance for clinical front-line medical staff,reduce the pressure load,and improve the sleep status of medical staff.

关 键 词：新型冠状病毒肺炎 睡眠 应激 

分 类 号：R395.4[哲学宗教—心理学] R512.99[医药卫生—医学心理学]