军事飞行人员飞行疲劳情况调查及影响因素分析  

Flight fatigue survey among military flying personnel and influencing factors analysis

作　　者：高莺平 张晓 曹小勇 Gao Yingping;Zhang Xiao;Cao Xiaoyong(Department of Special Operations Medicine,the 988th Hospital of Joint Logistic Support Force,Zhengzhou 450042,China)

机构地区：[1]联勤保障部队第九八八医院特勤科,郑州450042

出　　处：《中华航空航天医学杂志》2024年第4期262-267,共6页Chinese Journal of Aerospace Medicine

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20220917)。

摘　　要：目的了解军事飞行人员飞行疲劳情况,分析飞行疲劳的影响因素,为我军飞行人员航卫保障工作提供参考依据。方法使用疲劳量表14和飞行疲劳影响因素量表评估147名住院军事飞行人员的疲劳指数。根据疲劳量表14评分进行分组,分值0~3分为非疲劳组,≥3分为疲劳组,对2组飞行疲劳影响因素量表中10个因素得分进行比较。以是否疲劳为因变量,采用多因素Logistic回归分析影响飞行疲劳的因素。结果疲劳量表14总分为3(1,6)分,其中脑力疲劳总分为2(1,3)分,躯体疲劳总分为2(1,3)分。根据疲劳评分分组,非疲劳组54人(36.73%),疲劳组93人(63.27%)。2组飞行人员的年龄(t=5.79,P<0.001)、婚姻状况(χ^(2)=7.95,P=0.005)、飞行时间(Z=-5.09,P<0.001)、飞行年数(Z=-6.11,P<0.001)、机种(χ^(2)=74.48,P<0.001)、吸烟史(χ^(2)=5.42,P=0.020)、睡眠障碍(t=2.46,P=0.015)、工作负荷(t=3.58,P=0.001)、人际关系(t=2.45,P=0.016)及心理负荷(t=3.14,P=0.002)差异均有统计学意义;多因素Logistic回归分析结果显示,吸烟(OR=2.811,95%CI:1.105~7.151)、睡眠障碍(OR=1.576,95%CI:1.125~2.206)、工作负荷(OR=1.559,95%CI:1.108~2.194)、人际关系(OR=1.620,95%CI:1.155~2.270)和心理负荷(OR=1.509,95%CI:1.069~2.130)是飞行疲劳的影响因素。结论军事飞行人员存在不同程度的飞行疲劳问题,吸烟、睡眠障碍、工作负荷、人际关系及心理负荷是飞行疲劳的影响因素。重视军事飞行人员睡眠质量和心理健康,关注人际关系相处模式及工作负荷程度,给予相应的睡眠、心理指导,倡导适度体能锻炼,开展文体活动有利于缓解高强度工作下的疲劳感。Objective To provide references for aeromedical support for military flying personnel by investigating the current situation of flight fatigue and analyzing its influencing factors.Methods Fatigue Scale-14(FS-14)and Flight Fatigue Influence Factor Scale were used to assess the fatigue index of 147 hospitalized military flying personnel.They were grouped according to the FS-14 score,with a score of 0-3 points as the non-fatigue group and≥3 points as the fatigue group,and the scores of 10 factors in the Flight Fatigue Influence Factor Scale were compared between 2 groups.Factors affecting flight fatigue were analyzed by using multifactor binary Logistic regression with the presence of fatigue as the dependent variable.Results The total FS-14 score was 3(1,6)points,of which the total brain fatigue score was 2(1,3)points,and the total somatic fatigue score was 2(1,3)points.The flying personnel were grouped according to fatigue scores,with 54 cases(36.73%)in the non-fatigued group and 93 cases(63.27%)in the fatigue group.There were significant analysis results on age(t=5.79,P<0.001),marital status(χ^(2)=7.95,P=0.005),flying hours(Z=-5.09,P<0.001),flying years(Z=-6.11,P<0.001),aircraft types(χ^(2)=74.48,P<0.001),smoking history(χ^(2)=5.42,P=0.020),sleep disorders(t=2.46,P=0.015),workload(t=3.58,P=0.001),interpersonal relationships(t=2.45,P=0.016)and psychological load(t=3.14,P=0.002)between 2 groups.Multifactorial Logistic regression analysis showed that smoking history(OR=2.811,95%CI:1.105-7.151),sleep disorders(OR=1.576,95%CI:1.125-2.206),workload(OR=1.559,95%CI:1.108-2.194),interpersonal relationships(OR=1.620,95%CI:1.155-2.270)and psychological load(OR=1.509,95%CI:1.069-2.130)were the influencing factors on flight fatigue.Conclusions Military flying personnel have different degrees of flight fatigue problems,and smoking history,sleep disorders,workload,interpersonal relationships and psychological load are the influencing factors of flight fatigue.Attaching importance to the sleep quality and psychological hea

关 键 词：疲劳 影响因素 飞行人员 

分 类 号：R851[医药卫生—航空、航天与航海医学]