上海市某三级甲等医院老年科护士睡眠质量与工作压力源的相关性研究

Correlational study on sleep quality and job stressors in nurses from gerontology department of one grade 3 and first-class hospital in Shanghai

目的 探讨老年科护士的睡眠质量与工作压力源之间的关系.方法 2012年1-4月采用匹兹堡睡眠质量调查表（PSQI）、护士工作压力源量表对上海市某三甲医院95名老年科护士进行调查.结果 95名老年科护士PSQI总评分为（6.92±3.37）分,其中PSQI总分≥7分老年科护士48名（50.53％）有睡眠障碍;老年科护士的睡眠质量低于国内常模,七项得分均高于正常成人组,差异有统计学意义（P＜0.01）.PSQI总分≥7分的老年科睡眠障碍护士在患者护理方面的问题得分最高,为（16.58±7.264）分.不同轮班情况的老年科护士睡眠障碍发生率比较,差异有统计学意义（F=5.11,P＜0.05）.老年科护士工作压力源与睡眠障碍相关系数按从高到低前10项分别为：患者不合作（0.303）、护理管理者的理解和支持不够（0.300）、知识不足（0.298）、缺乏友好合作气氛（0.285）、分工不明确（0.276）、上班护士数量少（0.270）、患者不礼貌（0.268）、经常倒班（0.266）、工资及其他的福利待遇低（0.266）、患者要求过高（0.261）、非护理性质的工作太多（0.254）.结论 老年科护士睡眠质量较差与老年科的工作性质有关,需根据不同的压力源采取适当的应对策略,以缓解工作压力,改善老年科护士的睡眠质量.

Objective To investigate the relationship between sleep quality and job stressors.Methods The research population was comprised of nurses in the department of gerontology from one grade 3 and first-class hospital in Shanghai and the research was conducted with a total of 95 nurses between January and April in 2012.Job Stressor Questionnaire and the Pittsburgh Sleep Quality Index （PSQI） were used for data collection in the research.Results The analysis shows that the average PSQI score of 95 subject nurses was （6.92 ± 3.37）,48 of them （50.53％） suffered sleep disorders （PSQI ≥ 7）.Their sleep quality was poorer than normal adults＇,their scores of all seven items were higher than normal adults＇ and the difference was statistically significant （P ＜ 0.01）.Among all of scores,the score on patient nursing was the highest.Classified by different conditions of subjects,the incidence of sleep disorder of different shift nurses was statistically significant （F =5.11,P ＜ 0.05）.The top ten job stressors of the nurses in the department of gerontology ranked by correlation coefficients between the stressors and sleep disorders （PSQI≥7）were：noncorporation of patients （0.303）,less understanding and support of nursing management team （0.300）,lacking of enough knowledge （0.298）,unfriendly work atmosphere （0.285）,unclear job descriptions （0.276）,less nurses on duty （0.270）,impolite patients （0.268）,frequent shift work （0.266）,lower income and less welfare （0.266）,over demanding patients（0.261）,much more non professional work（0.254）.Conclusions The poor sleep quality of nurses in the department of gerontology is closely correlated with work characteristics.Appropriate measures should be taken to reduce job stress and improve the sleep quality of nurses in the department of gerontology.