三级甲等医院医务人员社会支持、应对方式对睡眠质量的影响  

Impact of social support and coping styles on sleep quality of medical staff in grade-A tertiary hospital

作　　者：于欢 李小燕[1] 文方[1] 黎红梅 YU Huan;LI Xiao-yan;WEN Fang;LI Hong-mei(Operating Room,Mianyang Central Hospital,Mianyang Sichuan,621000,China)

机构地区：[1]绵阳市中心医院手术室,四川绵阳621000

出　　处：《职业与健康》2022年第13期1812-1816,共5页Occupation and Health

摘　　要：目的 了解三级甲等医院医务人员睡眠质量、应对方式与社会支持现状及其相关性,分析社会支持在应对方式与睡眠质量中的中介作用。方法 运用方便抽样法于2021年3—5月选取四川省10所三级甲等医院医务人员作为研究对象,采用匹兹堡睡眠质量指数(pittsburgh sleep quality index scale,PSQI)量表、简易应对方式量表和社会支持评定量表对1 764名医务人员进行调查,采用描述分析、单因素分析、相关分析进行相关影响因素分析,采用AMOS 24.0软件进行结构方程分析。结果 1 764名护士PSQI总分为(8.97±4.02)分,积极应对得分为(14.52±3.95)分,消极应对得分为(12.31±2.78)分;社会支持总分为(36.12±6.34)分。相关性分析显示,PSQI总分及各维度得分与积极应对总分均呈负相关(r=-0.30~-0.57,均P<0.01),与消极应对均呈正相关(r=0.28~0.63,均P<0.01),与社会支持各维度得分及总分均呈负相关(r=-0.29~-0.59,均P<0.01)。社会支持在医务人员应对方式与睡眠质量中起部分中介作用,中介效应为0.144,占总效应的29.88%。结论 三级甲等医院医务人员睡眠质量不佳,有待改善,社会支持在应对方式与睡眠质量中起部分中介作用,提升社会支持和积极应对水平有利于改善其睡眠质量。Objective To understand the sleep quality,coping styles and social support status of medical staff in hospitals in Sichuan Province and their correlation,analyze the mediating role of social support in coping styles and sleep quality. Methods From March to May 2021,the convenient sampling method was adopted to select the medical workers from 10 grade-A tertiary hospitals as research subjects,and 1 764 medical workers were surveyed using Pittsburgh sleep quality index scale(PSQI),simple coping style scale,and social support rating scale. The descriptive analysis,univariate analysis,and correlation analysis were used to analyze the related influencing factors,AMOS 24.0 software was used for the structural equation analysis. Results The PSQI total score of 1 764 nurses was(8.97±4.02)points,the positive coping score was(14.52±3.95)points,the negative coping score was(12.31±2.78)points,and the social support total score was(36.12±6.34)points. The correlation analysis showed that the total score of PSQI and the scores of each dimension were negatively correlated with the total score of positive coping(r=-0.30--0.57,all P<0.01),negatively correlated with the total score of negative coping(r=0.28-0.63,all P<0.01),and negatively correlated with the total score of social support and the scores of each dimension(r=-0.29--0.59,all P<0.01). The social support played a part of the mediating role in the coping styles and sleep quality of medical workers,and the mediating benefit was 0.144,accounting for 29.88% of the total effect. Conclusion The sleep quality of medical workers in grade-A tertiary hospital is not good and needs to be improved,social support plays a part of the mediating role in coping style and sleep quality,and improving the level of social support and positive coping is conducive to improving their sleep quality.

关 键 词：医生 护士 睡眠质量 应对方式 社会支持 中介效应 

分 类 号：R181.3[医药卫生—流行病学]