军队医院住院医师睡眠质量的心理社会因素

Relationship between Sleep Quality and Psychosocial Factors in Resident Physician in PLA Hospital.

目的调查驻军中心医院住院医师的睡眠质量及心理社会影响因素。方法应用整群覆盖调查方式,以匹兹堡睡眠指数量表(PSQI)、艾森克人格问卷(EPQ)、生活事件量表(LES)、应付方式量表、社会支持量表(SSRS)对被试群体进行调查,结果以成组t检验、多元逐步回归分析方式进行统计学处理。结果①PSQI:被试群体中44.50%存在睡眠障碍,睡眠障碍组7个因子及总分均显著高于中国常模(t=4.218～36.477,P<0.01);②EPQ:睡眠障碍组内外向(t=2.531,P<0.05)极显著低于非睡眠障碍组,而神经质分(t=3.213,P<0.01)极显著高于后者;③LES:睡眠障碍组在"家庭问题"(t=2.398,P<0.05)、"正性事件"(t=2.617,P<0.01)、"负性事件"(t=2.617,P<0.01)、"生活事件总和"(t=2.777,P<0.05)4项得分均显著高于非睡眠障碍组;④应付方式问卷:睡眠障碍组在"解决问题"(t=3.293,P<0.01)、"求助"(t=3.105,P<0.01)2项得分显著低于非睡眠障碍组,而在"自责"(t=3.105,P<0.01)、"幻想"(t=3.216,P<0.01)、"回避"(t=3.163,P<0.01)、"合理化"(t=2.963,P<0.01)4项得分显著高于后者;⑤SSRS:睡眠障碍组在"客观支持"(t=5.544,P<0.01)、"主观支持"(t=3.265,P<0.01)、"支持利用度"(t=6.366,P<0.01)、"总分"(t=2.456,P<0.05)4项得分均显著低于非睡眠障碍组;⑥PSQI的影响因素:所有入选因素中,以"神经质"对因变量的出现频率最高,其次为"负性事件"、"客观支持"、"幻想",而"解决问题"为唯一的保护性因素。结论军队医院住院医师的睡眠障碍严重,且与情绪不稳定性、高生活事件数量、不成熟应对方式、社会支持程度缺乏等因素密切相关。

Objective To investigate the sleep quality of resident physician in PLA hospital and its psychosocial factors.Methods Pittsburgh Sleep Quality Index（PSQI）,Eysenck Personality Questionnaire（EPQ）,Life Event Scale（LES）,Coping Style Questionnaire（CSQ）,and Social Support Revaluation Scale（SSRS） were used to evaluate the sleep status and psychosocial factors.Results ①PSQI： 44.5% of resident physician were in sleep disorder（SD）.The scores of the SD group were higher significantly than the Chinese norm in SSQ（t=4.218,P0.01）,SL（t=9.699,P0.01）,Sdu（t=18.921,P0.01）,HSE（t=25.852,P0.01）,Sdi（t=12.441,P0.01）,USM（t=36.477,P0.01）,DD（t=6.993,P0.01）,PSQI（t=14.836,P0.01）.②EPQ： The score of N in SD group was higher significantly than the non-SD group（t=3.213,P0.01）.③LES： The scores of the SD group were higher significantly than the non-SD group in item1（t=2.617,P0.01）,item 2（t=2.617,P0.01）,item 3（t=2.777,P0.05）.④CSQ： The scores of the SD group were higher significantly than the non-SD group in item 2（t=3.105,P0.01）,item 4（t=3.216,P0.01）,item 5（t=3.163,P0.01）,item 6（t=2.963,P0.01）,and lower in item 1（t=3.293,P0.01）,item 3（t=3.105,P0.01）.⑤SSRS： The scores of the SD group were lower significantly than the non-SD group in item1（t=5.544,P0.01）,item2（t=3.265,P0.01）,item 3（t=6.366,P0.01）,item 4（t=2.456,P0.05）.The scores of PSQI were correlated positively with the scores of N,negative life events,objective support,fantasy,and solve problem.Conclusion The sleep quality of PLA hospital resident physician is serious,and obviously related to the instable mood,large number of life events,immature coping style,and lack of social support.