高原驻训任务下官兵心理健康及睡眠障碍与正念经验的关系研究  

Study on the relationship between mental health,sleep disorder and mindfulness practice of officers and soldiers in plateau-stationed training mission

作　　者：王瑶 付伟 程国彬 李波 严清明 余艳 WANG Yao;FU Wei;CHENG Guo-bin;LI BO;YAN Qing-ming;YU Yan

机构地区：[1]联勤保障部队第925医院神经外科,贵州贵阳550009 [2]联勤保障部队第925医院消化内科,贵州贵阳550009

出　　处：《中国疗养医学》2025年第4期7-13,共7页Chinese Journal of Convalescent Medicine

基　　金：贵州省卫健委课题gzwkj2022-305。

摘　　要：目的 深入探究高原驻训官兵群体中睡眠质量、正念练习实践与心理健康三者之间的内在联系。方法 研究最终共招募了437名正在高原驻训的官兵参与。根据标准化的睡眠质量评估标准,划分为两个组别:睡眠质量良好组和睡眠质量不佳组。收集了所有参与者的基础人口学资料,并对其正念练习以及症状自评量表(SCL-90)心理健康评分进行了细致的评估。采用了多因素Logistic回归分析,并进一步通过中介效应分析来厘清它们之间的潜在关系。结果 (1)睡眠质量良好组正念练习率较高,同时SCL-90阳性评分率则偏低。相反,不佳组的官兵平均年龄较大、军龄较长,且普遍拥有更高的教育水平。(2)通过多因素Logistic回归分析确认睡眠质量不佳是导致不良心理健康状态的一个独立影响因素。同时,正念练习经验者则与不良心理健康风险负相关。(3)中介效应分析揭示了睡眠质量在正念经验和心理健康之间的中介作用。睡眠质量在这一关系中起到了部分中介的作用,即正念经验通过影响睡眠质量进而对心理健康产生积极影响。结论 本研究的结果提示在高原驻训的官兵群体中,正念练习和优质的睡眠质量是维护心理健康不可或缺的要素。因此,推广正念练习的相关培训以改善官兵的睡眠质量,有望成为提升高原驻训官兵心理健康状态的有效途径。Objective To explore the internal relationship among sleep quality,mindfulness practice and mental health among officers and soldiers in plateau-stationed training mission.Methods A total of 437 officers and soldiers were recruited to participate in the study.According to standardized sleep quality assessment criteria,they were divided into two groups:good sleep quality group and poor sleep quality group.Basic demographic data were collected for all participants and their mindfulness practice and mental health scores on the symptom checklist(SCL-90)were carefully assessed.Multivariate Logistic regression analysis was used,and the potential relationship between them was further clarified by mediating effect analysis.Results①The good sleep quality group had a higher rate of mindfulness practice and a lower rate of SCL-90 positive score.In contrast,those in the poor sleep quality group were on average older,had more years in the military,and generally had higher levels of education.②Multivariate Logistic regression analysis confirmed that poor sleep quality was an independent factor leading to poor mental health.At the same time,mindfulness practice was negatively associated with poor mental health risk.③The mediating effect analysis revealed the mediating role of sleep quality between mindfulness practice and mental health.Sleep quality plays a partial mediating role in this relationship,that is,mindfulness practice has a positive effect on mental health by affecting sleep quality.Conclusion The results of this study suggest that mindfulness practice and good sleep quality are indispensable elements to maintain mental health of the officers and soldiers in plateau-stationed training.Therefore,promoting the relevant training of mindfulness practice to improve the sleep quality of officers and soldiers is expected to be an effective way to improve the mental health of officers and soldiers in plateau-stationed training.

关 键 词：高原驻训 官兵 睡眠质量 正念练习 心理健康 

分 类 号：R395.6[哲学宗教—心理学]