综合医院护理人员亚健康状态及心率变异性分析

Analysis of the relationship of nurses' sub-healthy state and their heart rate variability in general hospital

目的调查综合医院护理人员亚健康状态和心率变异性情况及其关系。方法对外科组203名护理人员,内科组220名护理人员,分别测量症状自评量表(SCL-90)和监测心率变异性(HRV),并进行比较。结果外科组除恐怖因子和其它,内科组除强迫症状、人际关系、恐怖、敌对和其它以外的各因子得分均高于常模组,差异有统计学意义(P<0.01);外科组除恐怖、敌对和其它以外各因子得分均高于内科组,差异有统计学意义(P<0.01);外科组与内科组相比较,HRV在时域分析和频域分析显示,SDNN、rMSSD及PNN_(50)均减少,LF/HF增大(P<0.05或0.01)。结论临床护理人员易处于亚健康状态,特别是外科护理人员处于严重的交感神经和迷走神经失衡状态。

Objective To assess nurses＇ sub-health status, heart rate variability and their relationship. Methods 423 nurses （including 203 nurses working at surgical department and 220 nurses working at department of internal medicine） were interviewed using Symptom Check List 90 （SCL-90） and measured using Holter for heart rate. Results In nurses working at surgical department, factors＇ scores of SCL-90 （not including ＇terror＇ and ＇other＇ factors） were all greater than the Chinese Norms （P 〈 0. 01 ）, while in nurses working at department of internal medicine, factors＇ scores （ not including ＇ compulsive symptom＇, ＇ interpersonal relationship＇, ＇ terror＇ , ＇ hostile＇ and ＇ other＇ factors） were also greater than the Chines Norms （P 〈 0. 01 ）. Factors＇ s scores （not including ＇ terror＇, ＇ hostile＇ and ＇ other＇ factors） in surgical nurses were higher than those in internal medical nurses （P 〈 0. 01 ）. Time and frequency domain analysis showed that SDNN, RMSSD and PNN50 in surgical nurses were lower than internal medical nurses, but not for LF/HF （P 〈 0. 05 and 0. 01 ）. Condwfion Clincal nurses are more likely to be in sub-healthy state, especially for nurse working at surgical department.