突发公共卫生事件护理人员睡眠质量和心理健康状况的调查研究  

Investigation on sleep quality and mental health of nurses in public health emergencies

作　　者：燕朋波 韩殿丽 宋文静[3] 王莹[3] 赵学群[3] 曹颖[4] 丁桂梅[5] 贯筱琳[6] 李亚宁[7] 沈悦好[7] 单昆 许程飞 苑沛然 李赛 朴雪莲 Yan Pengbo;Han Dianli;Song Wenjing;Wang Ying;Zhao Xuequn;Cao Ying;Ding Guimei;Guan Xiaolin;Li Yaning;Shen Yuehao;Shan Kun;Xu Chengfei;Yuan Peiran;Li Sai;Piao Xuelian(Department of Nursing,Tianjin Beichen Hospital,Tianjin 300400,China;School of Nursing,Dalian University,Dalian 116044,China;department of Critical Medicine,Tianjin First Central Hospital,Tianjin 300192,China;Department of ICU,Tianjin Fourth Central Hospital,Tianjin 300140,China;Department of Internal ICU,Tianjin Hospital,Tianjin 300211,China;Department of Respiratory,Tianjin Third Central Hospital,Tianjin 300170,China;Department of Respiratory,General Hospital of Tianjin Medical University,Tianjin 300052,China;Department of Critical Medicine,Jinghai District Hospital of Tianjin,Tianjin 301600,China;Department of ICU,Tianjin Third Central Hospital,Tianjin 300170,China;Department of Orthopedic Massage,Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital,Tianjin 300120,China)

机构地区：[1]天津市北辰医院护理部,300400 [2]大连大学护理学院,116044 [3]天津市第一中心医院重症医学科,300192 [4]天津市第四中心医院ICU,300140 [5]天津市天津医院内科ICU,300211 [6]天津市第三中心医院呼吸科,300170 [7]天津医科大学总医院呼吸科,300052 [8]天津市静海区医院重症医学科,301600 [9]天津市第三中心医院ICU,300170 [10]天津市中医药研究院附属医院骨伤推拿科,300120

出　　处：《中国实用护理杂志》2021年第27期2111-2116,共6页Chinese Journal of Practical Nursing

摘　　要：目的了解突发公共卫生事件中护理人员睡眠质量和心理健康状况,分析两者之间的相关关系。方法2020年2月22—23日选取天津市北辰医院、天津市第一中心医院、天津市第四中心医院128名护理人员,采用研究者自行设计的一般资料调查问卷、匹兹堡睡眠质量指数(PSQI)、症状自评量表(SCL-90)对参加突发公共卫生事件的128名一线护理人员进行调查。结果70.3%(90/128)的护理人员睡眠质量较差,PSQI总分为(9.71±4.01)分,与国内常模(3.87±1.32)分比较,差异有统计学意义(t值为16.479,P<0.001);SCL-90总分为(1.59±0.52)分,与国内常模(1.44±0.43)分比较,差异有统计学意义(t值为4.505,P<0.01);单因素方差分析显示,护理人员的年龄对睡眠质量影响显著,差异有统计学意义(F值为4.092,P<0.05);Pearson相关分析显示,PSQI得分与SCL-90总均分(r值为0.434)及躯体化(r值为0.408)、强迫(r值为0.370)、人际关系敏感(r值为0.324)、抑郁(r值为0.444)、焦虑(r值为0.409)、敌对(r值为0.336)、恐怖(r值为0.331)、偏执(r值为0.292)、精神病性(r值为0.356)各维度均呈正相关(P<0.01)。结论突发公共卫生事件中护理人员睡眠质量与心理健康状况较差,且睡眠质量与心理健康状况具有相关性。Objective To understand the sleep quality and mental health status of nurses in public health emergencies,and analyze the correlation between them.Methods A total of 128 first-line nursing staff participating in public health emergencies on February 22-23,2020 in Tianjin Beichen Hospital,Tianjin First Central Hospital,Tianjin Fourth Central Hospital were investigated by the general data questionnaire,Pittsburgh Sleep Quality Index(PSQI),and Symptom Checklist 90(SCL-90).Results 70.3%(90/128)of nursing staff had poor sleep quality,and the total score of PSQI was(9.71±4.01)points,which was statistically significant compared with the domestic norm(t value was 16.479,P<0.01).The total score of SCL-90 was 1.59±0.52,which was statistically significant compared with the domestic norm ratio(t value was 4.505,P<0.01).One-way ANOVA showed that the nursing staff's age had a significant impact on sleep quality,and the difference was statistically significant(F value was 4.092,P<0.05).Pearson correlation analysis showed that the Pittsburgh sleep quality scale index scores and symptom self-assessment scale and somatization,force,sensitive interpersonal relationship,depression,anxiety,hostile,terrorist,paranoia,and psychosis were positively correlated(r values were 0.292-0.444,P<0.01).Conclusions The sleep quality and mental health status of nurses in public health emergencies are poor,and the sleep quality is correlated with mental health status.

关 键 词：公共卫生 护理人员 睡眠质量 心理健康 

分 类 号：R192.6[医药卫生—卫生事业管理]