高原驻训卫勤人员情境觉察与心理弹性及睡眠质量的相关性研究  

The Relevant Study on Relationship of Situation Awareness with Resilience and Sleep Quality in Plateau Encamping Operators

作　　者：廖欣 杨婷 张如月 马利红 郁可 Liao Xin;Yang Ting;Zhang Ruyue;Ma Lihong;Yu Ke(Department of General Practice The General Hospital of Western Theater Command,610083)

机构地区：[1]西部战区总医院全科医学科,610083

出　　处：《高原医学杂志》2022年第4期1-5,共5页Journal of High Altitude Medicine

摘　　要：目的:调查高原驻训卫勤人员情境自我觉察状况,并探讨其与心理弹性水平、睡眠质量的关系:方法:采用情境自我觉察量表(situational solf-awareness scale,SSAS)、心理弹性问卷(connor-davidson resilience scale,CD-RISC)、匹兹堡睡眠问卷(pittsburgh sleep questionn aire,PSQI)对123名在海拔4 300 m地区驻训3个月的卫勤官兵进行现场问卷调查。结果:(1)情境自我觉察瞬时环境维度得分:重伤手术组为(16.32±3.51)分,分类收容组为(14.39±2.82)分,后勤保障组为(13.72±3.88)分,重伤手术组显著高于分类收容组和后勤保障组,差异有统计学意义(P <0.05)。心理弹性乐观性维度得分:重伤手术组为(11.73±2.96)分,分类收容组得分为(10.73±2.73)分,后勤保障组得分为(9.87±2.53)分,组间比较,差异有统计学意义(P<0.05),且重伤手术组显著高于后勤保障组(P<0.05);(2)分类收容组匹兹堡睡眠问卷得分与情景自我觉察量表各维度得分存在中度负相关(r=-0.375、r=-0.316、r=-0.381,P<0.05),手术重伤组匹兹堡睡眠问卷得分与心理弹性量表总得分及坚韧性、力量性维度得分之间存在中度正相关(r=0.476、r=0.491、r=0.474,P<0.05):结论:高原驻训卫勤人员情境自我觉察状况与其心理弹性水平、睡眠质量密切相关,应给予重视并制定相应干预措施以保证其作业质量。Objective:This study is aimed to explore the relationship between situational self-awareness and psychological resilience and sleep quality of personnel stationed in plateau training.Methods:The Situational Self-Awareness Scale(SSAS),the Connor-Davidson(CD-RISC),and the Pittsburgh Sleep Questionnaire(PSQI)were used to investigate and study 123 officers and soldiers who were stationed at an altitude of 4300m for 3months.Results:(1)For the SSAS transient environment sub-dimension score,the scores were 16.32±3.51 for the serious injury surgery group,14.39±2.82 for the classified shelter group,and 13.72±3.88 for the logistics group,with significant differences between the groups,and the serious injury surgery group was significantly higher than the classified shelter and logistics groups(P 0.05).For the CD-RISC optimism sub-dimension score,the score was 11.73±2.96 for the serious injury surgery group,10.73±2.73 for the classified admission group,and 9.87±2.53 for the logistic security,with significant differences between the groups(P 0.05),and the serious injury surgery group was significantly higher than the logistic security group(P 0.05);(2)There was a moderate negative correlation between PSIQ scores and scores on the dimensions of SSAS in the classified admission group(r=-0.375,t=-0.316,r=-0.381,P 0.01)and between PSIQ and total scores of CD-RISC and scores on the dimensions of resilience and strength in the surgically severely injured group(r=0.476,r=0.491,r=0.474,P 0.05).Conclusion:The situational self-awareness of health service personnel stationed at the plateau is closely related to their mental flexibility and sleep quality,and attention should be paid and corresponding intervention measures should be formulated to ensure their work quality.

关 键 词：高原 卫勤人员 情境自我察觉 心理弹性 睡眠 

分 类 号：R339.5[医药卫生—人体生理学] R821[医药卫生—基础医学]