倒班护士的睡眠担忧现状及影响因素研究  

Sleep-related worry and its influencing factors among shift nurses

作　　者：孙芬芬 王丽萍 梁博娜 孙希玲[5] 张瑜 Sun Fenfen;Wang Liping;Liang Bona;Sun Xiling;Zhang Yu(School of Nursing,Yangzhou University,Yangzhou 225009,China)

机构地区：[1]扬州大学护理学院,江苏扬州225009 [2]枣庄职业学院兰陵书院 [3]枣庄市立医院 [4]山东大学齐鲁医院德州医院 [5]枣庄市台儿庄区人民医院

出　　处：《护理学杂志》2024年第7期9-13,共5页Journal of Nursing Science

摘　　要：目的调查倒班护士的睡眠担忧现状,并分析其影响因素,为制定针对性的干预措施提供参考。方法采用一般资料问卷、睡眠担忧量表、阿森斯失眠量表、自我调节疲劳量表和反刍思维量表对368名倒班护士进行调查。结果倒班护士睡眠担忧总分为40.00(33.00,44.75)分,担忧睡眠后果和不能控制睡眠2个维度评分分别为24.00(21.00,28.00)分、16.00(12.00,17.75)分。回归分析结果显示,健康状况、失眠、自我调节疲劳和反刍思维是倒班护士睡眠担忧的主要影响因素(均P<0.05)。结论倒班护士的睡眠担忧程度较严重,可以通过改善其失眠症状、降低自我调节疲劳程度和反刍思维水平来减轻倒班护士的睡眠担忧水平。Objective To investigate the current status of sleep-related worry among shift nurses,and analyze its influencing factors,so as to provide a reference for developing targeted intervention.Methods A total of 368 shift nurses were investigated by utilizing a general information questionnaire,the Anxiety and Preoccupation about Sleep Questionnaire(APSQ),the Athens Insomnia Scale(AIS),the Self-regulatory Fatigue Scale(SRF-S),and the Rumination Response Scale(RRS).Results The total APSQ score of the shift nurses was 40.00(33.00,44.75),and the two subscale scores of worry about the consequences of poor sleep quality and worry about uncontrollable sleep were 24.00(21.00,28.00)and 16.00(12.00,17.75),respectively.Regression analysis showed that,health condition,the AIS score,the SRF-S score,and the RRS score were the main factors influencing shift nurses′sleep-related worry(all P<0.05).Conclusion The sleep-related worry among shift nurses is serious,which can be reduced by alleviating their insomnia symptoms and decreasing their levels of self-regulatory fatigue and rumination.

关 键 词：护士 倒班 睡眠担忧 失眠 睡眠障碍 自我调节疲劳 反刍思维 失眠认知模型 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]