北京市精神科医师失眠状况及相关因素调查  

A survey of insomnia and related factors among psychiatrists in Beijing Municipality

作　　者：何佳 董平[1] 张杨[1] 娄思佳 吴菲 李娜 马运东 孙洪强[1] 陆林[1] HE Jia;DONG Ping;ZHANG Yang;LOU Si-jia;WU Fei;LI Na;MA Yun-dong;SUN Hong-qiang;LU Lin(Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100191,China)

机构地区：[1]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100191

出　　处：《中国药物依赖性杂志》2022年第3期202-206,共5页Chinese Journal of Drug Dependence

基　　金：国家自然科学基金(82101557)。

摘　　要：目的 了解北京市精神科医师失眠状况及相关因素。方法 2022年1月6日至30日通过网络调查表开展横断面调查,采用失眠严重程度指数量表(ISI)筛查失眠症状,采用中文版知觉压力量表(CPSS)评估知觉压力水平。采用χ;检验或Fisher精确检验进行单因素比较,采用Logistic回归分析进行多因素分析。结果 北京市精神科医师失眠症状检出率为23.6%,健康危险性压力(HRS)检出率为28.5%;工作年限(P<0.001)、医疗机构等级(P=0.039)、知觉压力(P<0.001)为失眠症状的独立相关因素,工作年限20年以上(OR=3.36,95%CI:1.82~6.20),知觉压力较高(OR=5.73,95%CI:3.69~8.88),更容易出现失眠症状。结论 北京市精神科医师近四分之一存在失眠症状,超过四分之一知觉压力较高,工作年限长、知觉压力较高者易出现失眠症状。Objective To learn about the insomnia status and related factors of psychiatrists in Beijing. Methods From January 6 to January 30, 2022, the cross-sectional study was conducted by means of the online questionnaire, the insomnia severity index(ISI) was used to screen insomnia symptoms, and the Chinese version of Perceived Stress Scale(CPSS) was adopted to evaluate the level of perceived stress. χ^(2) test or Fisher′s exact test was used for univariate comparison, and Logistic regression analysis was applied for multivariate analysis. Results The detection rate of insomnia symptoms among psychiatrists in Beijing was 23.6%, the detection rate of health risk stress(HRS) was 28.5%, working years(P<0.001), medical institution level(P=0.039) and perceived stress(P<0.001) were the independent related factors of insomnia symptoms. Those psychiatrists who have worked for more than 20 years(OR=3.36, 95%CI:1.82-6.20) and have higher perceived pressure(OR=5.73, 95%CI:3.69-8.88) are more likely to suffer from insomnia. Conclusion Nearly a quarter of psychiatrists in Beijing have insomnia symptoms, more than a quarter have higher perceived pressure, and those with longer working life and higher perceived pressure tend to suffer from insomnia.

关 键 词：精神科医师 失眠症状 相关因素 检出率 现况调查 

分 类 号：R749[医药卫生—神经病学与精神病学]