心理韧性训练对飞行人员睡眠质量调节的主客观评价研究  

Subjective and objective evaluation of psychological resilience training on regulation of sleep quality in pilots

作　　者：戚菲 韩颖 王冬 项瑛 林志烽 李政 QI Fei;HAN Ying;WANG Dong;XIANG Ying;LIN Zhifeng;LI Zheng(Medical Sleep Center,Dalian Rehabilitation Center of Joint Logistics Support Force of PLA,Dalian 116019;Department of Medical Nursing,Dalian Rehabilitation Center of Joint Logistics Support Force of PLA,Dalian 116019,China)

机构地区：[1]联勤保障部队大连康复疗养中心睡眠中心,大连116019 [2]联勤保障部队大连康复疗养中心医护部,大连116019

出　　处：《空军航空医学》2024年第6期492-496,共5页AVIATION MEDICINE OF AIR FORCE

摘　　要：目的制定心理韧性自主训练方案,以增强飞行人员心理韧性,提高抗应激能力和睡眠质量,并验证此训练方法的有效性。方法对2021年3月—2023年1月在联勤保障部队大连康复疗养中疗养的234名飞行人员,随机分层抽样分为训练组和对照组,各117例,在常规疗养基础上,训练组采用心理韧性自主训练方案开展训练,对照组不参训,并应用心理韧性量表评估心理韧性变化,匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)和多导睡眠检测评定睡眠质量的主观评价和客观量化情况,探索该训练对睡眠影响的主客观评定效果。结果与训练前比较,训练组训练后坚韧性因子(t=2.534,P=0.025)、信念因子(t=2.379,P=0.032)和心理韧性总分(t=2.490,P=0.028)均增加,差异有统计学意义;训练组训练后主观睡眠质量(Z=3.918,P<0.001)、睡眠时间(Z=2.201,P=0.027)、入睡时间(Z=2.178,P=0.037)、睡眠效率(Z=2.378,P=0.018)、睡眠障碍(Z=3.228,P=0.001)、日间功能障碍(Z=4.908,P<0.001)和PSQI总分(Z=3.790,P<0.001)有所改善,差异具有统计学意义。对照组在常规疗养后主观睡眠质量(Z=2.804,P=0.020)、睡眠时间(Z=2.200,P=0.028)、入睡时间(Z=2.073,P=0.048)和PSQI总分(Z=2.992,P=0.016)有改善,差异具有统计学意义。多导睡眠监测数据结果显示,与训练前比较,训练组睡眠进程中总睡眠时间(t=6.973,P=0.015)、睡眠潜伏期(t=5.166,P=0.032)、快速眼动潜伏期(t=5.490,P=0.028)及睡眠效率(t=5.021,P=0.041)差异具有统计学意义;非快速眼球运动N1期睡眠时间减少(t=5.247,P=0.036),N2期(t=6.268,P=0.023)和N3期(t=5.232,P=0.038)增加。对照组在常规疗养基础上,睡眠主客观指标有改善,但差异无统计学意义(P>0.05)。结论心理韧性训练方案能够提高飞行人员的心理韧性水平,并且可明显改善睡眠质量。Objective To formulate the development of an autonomous training program for psychological resilience in order to enhance the psychological resilience of pilots,improve their stress resistance and sleep quality,and prove the utility of this training method.Methods A total of 234 pilots who were recuperating in Dalian Rehabilitation Center of Joint Logistic Support Force of PLA from March 2021 to January 2023 were randomly stratified and divided into a training group and a control group.In addition to routine recuperation,the training group received an autonomous training program for psychological resilience,while the control group did not.The Connor Davidson Resilience Scale(CD-RISE)was used to evaluate changes in psychological resilience,and the Pittsburgh Sleep Quality Index(PSQI)and Polysomnography(PSG)were adopted to evaluate subjective and objective quantification of sleep quality and study the effects of this training on sleep.Results The resilience factor(t=2.534,P=0.025),belief factor(t=2.379,P=0.032),and total psychological resilience score(t=2.490,P=0.028)of the training group increased after training,and the differences were statistically significant.After training,the training group showed significant improvements in subjective sleep quality(Z=3.918,P<0.001),sleep time(Z=2.201,P=0.027),falling asleep time(Z=2.178,P=0.037),sleep efficiency(Z=2.378,P=0.018),sleep disorders(Z=3.228,P=0.001),daytime dysfunction(Z=4.908,P<0.001),and PSQI total score(Z=3.790,P<0.001).The subjective sleep quality(Z=2.804,P=0.020),sleep time(Z=2.200,P=0.028),falling asleep time(Z=2.073,P=0.048),and PSQI total score(Z=2.992,P=0.016)of the control group improved to a certain extent after routine recuperation.The results of multi-channel sleep monitoring data showed that after training,the total sleep time(t=6.973,P=0.015),sleep latency(t=5.166,P=0.032),REM latency(t=5.490,P=0.028),and sleep efficiency(t=5.021,P=0.041)were significantly different.During the non-rapid eye movement phase,the sleep time in N1 phase decreased(t=5.24

关 键 词：心理韧性训练 睡眠调节 睡眠质量 飞行人员 

分 类 号：R853[医药卫生—航空、航天与航海医学]