四川省5所三级甲等医院重症科医务人员警报疲劳、应对方式与睡眠质量的相关分析  

A study on correlation between alarm fatigue,coping styles and sleep quality of medical staff in intensive care unit of five grade-A tertiary hospitals in Sichuan Province

作　　者：罗艳芳[1] 鲁桂英[1] 张红英[1] 李琼华[1] LUO Yan-fang;LU Gui-ying;ZHANG Hong-ying;LI Qiong-hua(Department of Critical Medicine.Affiliated Hospital of North Sichuan Medical College,None hong Sichuan,637000,China)

机构地区：[1]川北医学院附属医院重症医学科,四川南充637000

出　　处：《职业与健康》2022年第9期1237-1242,共6页Occupation and Health

基　　金：四川省科技厅软科学项目(20RKX0061)。

摘　　要：目的了解四川省三级甲等医院重症科医务人员警报疲劳、应对方式与睡眠质量现状及其相关性。方法2020年10—12月,运用方便抽样法选取四川省5所三级甲等医院重症科353名医务人员为调查对象,采用警报疲劳量表、应对方式量表和睡眠质量量表对353名医护人员进行调查,并对数据进行分析。结果353名医务人员匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)量表得分为(8.50±3.34)分,积极应对得分为(19.61±5.29)分,消极应对得分为(8.78±4.51)分,警报疲劳得分为(23.12±4.22)分。相关分析显示,PSQI总分及各维度与积极应对得分均呈负相关(均P<0.05)、与消极应对得分均呈正相关(均P<0.05);PSQI总分及各维度与警报疲劳总分均呈正相关(均P<0.05)。婚育状况、运动状况、积极应对、消极应对及警报疲劳是重症科医务人员睡眠质量的主要影响因素,可解释总变异的69.0%。结论四川省5所三级甲等医院重症科医务人员睡眠质量不佳,警报疲劳和应对方式与睡眠质量显著相关,管理者应关注医务人员警报疲劳情况与应对方式,改善医务人员睡眠质量,促进其身心健康。Objective To understand the current status and correlation of alarm fatigue,coping styles and sleep quality of medical staff in the intensive care unit of grade-A tertiary hospitals in Sichuan Province.Methods From October to December 2020,the convenience sampling method was adopted to select 353 medical workers from the intensive care unit of five grade-A tertiary hospitals in Sichuan Province as the research objects.The alarm fatigue scale,the coping style scale,and the sleep quality scale were used to survey 353 medical workers,and the data were analyzed.Results The score of the Pittsburgh sleep quality index(PSQI)in 353 medical workers was(8.50±3.34)points,the score of positive coping was(19.61±5.29)points,the score of negative coping was(8.78±4.51)points,and the score of alarm fatigue was(23.12±4.22)points.Correlation analysis showed that the total PSQI score and the scores of its dimensions were negatively correlated with the positive coping(all P<0.05),and positively correlated with the negative coping(all P<0.05),and the total PSQI score and the scores of its dimensions were positively correlated with the total alarm fatigue score(all P<0.05).The marital status,exercise status,positive coping,negative coping and alarm fatigue were the main influencing factors of sleep quality in medical workers of the intensive care unit,which could explain 69.0%of the total variation.Conclusion The sleep quality of medical staff in the intensive care unit of five grade-A tertiary hospitals in Sichuan Province is not good,alarm fatigue and coping styles are significantly related to sleep quality,and the managers should pay attention to alarm fatigue and coping styles in medical staff,improve the sleep quality of medical staff,and promote their physical and mental health.

关 键 词：医务人员 睡眠质量 警报疲劳 应对方式 相关分析 

分 类 号：R181.31[医药卫生—流行病学]