社会支持在压力与睡眠质量的中介作用  

The mediating role of social support in stress and sleep quality

作　　者：王琪 牟艳丽 丘日阳[2] WANG Qi;MOU Yan-li;QIU Ri-yang(School of Psychology,Shenzhen University,Guangdong Province,Shenzhen 518000,China;Department Accurate Diagnosis and Treatment,Shenzhen Kangning Hospital,Guangdong Province,Shenzhen 518000,China;Department Physiatry,Shenzhen Hospital of Guangzhou University of Chinese Medicine,Guangdong Province,Shenzhen 518000,China)

机构地区：[1]深圳大学心理学院,广东深圳518000 [2]深圳市康宁医院精准诊疗科,广东深圳518000 [3]广州中医药大学深圳医院康复科,广东深圳518000

出　　处：《中国当代医药》2021年第25期208-211,共4页China Modern Medicine

摘　　要：目的探讨社会支持在压力与睡眠质量关系中的中介作用。有助于通过中介途径促进医护人员的睡眠质量。方法在深圳市康宁医院两个院区的护理人员中完成问卷收集,共纳入179名参与者,使用问卷了解护理人员的社会支持程度、心理健康水平和睡眠质量。结果本研究调查的179名护理人员中,38名(21%)报告压力应激症状;57名(32%)报告了抑郁症状;6名(34%)报告焦虑症状。皮尔逊相关分析结果显示,主观支持与客观支持、支持利用度、睡眠质量呈正相关(P<0.01);主观支持与压力应激、焦虑、抑郁呈负相关(P<0.01);客观支持与支持利用度呈正相关(P<0.01)。回归分析结果显示,压力应激、焦虑、抑郁对睡眠质量起到负向预测作用,压力应激对睡眠质量有影响(P<0.05)。中介分析发现,社会支持利用度在压力应激与睡眠质量的关系中起部分中介效应,Bootstrap 95%CI=(-0.058,-0.001),结果不包括0,中介模型成立。结论压力应激与睡眠质量密切相关,其中社会支持尤其是对社会支持的利用度对睡眠质量起着中介作用。Objective To explore the mediating role of social support in the relationship between stress and sleep quality to promote the sleep quality of medical staff through intermediary channels.Methods Questionnaires were collected from nursing staff in two branches of Shenzhen Kangning Hospital.A total of 179 participants were enrolled.The questionnaire was designed to understand the nursing staff′s level of social support,mental health and sleep quality.Results Among the 179 nursing staff surveyed in this study,38(21%)reported stress symptoms,57(32%)reported depression symptoms,61(34%)reported the anxiety symptoms.Pearson correlation analysis showed that subjective support was positively associated with objective support,support utilization,and sleep quality(P<0.01);subjective support was negatively associated with stress stress,anxiety,depression(P<0.01);objective support was positively associated with support utilization(P<0.01).Regression analysis results showed that stress,anxiety,and depression is a negative predictor of sleep quality.In the mediation analysis,the utilization of social support played partial mediation effect in the relationship between stress and sleep quality.The Bootstrap test displayed 95%confidence interval[-0.578,-0.012]without 0,and the mediation model was successfully established.Conclusion Stress is closely related to sleep quality.Among them,social support,especially the utilization of social support,plays a mediating role in sleep quality.

关 键 词：社会支持 睡眠 压力 应激 中介模型 

分 类 号：R740[医药卫生—神经病学与精神病学]