临床医生主观幸福感与疲劳、睡眠质量及心理安全感的相关性

Association among clinicians' subjective well-being and fatigue,sleep quality and psychological security

目的探讨临床医生主观幸福感与疲劳、睡眠质量及心理安全感的关系。方法采用总体幸福感量表、疲劳量表、匹兹堡睡眠质量指数量表和心理安全感量表对山东省滨州医学院烟台附属医院280名临床医生施测。结果男女医生在脑力疲劳、睡眠总分、心理安全感总分、人际安全感和确定控制感比较差异有统计学意义(P<0.01);幸福感总分与心理安全感总分、人际安全感、确定控制感呈正相关(P<0.01),与疲劳总分、躯体疲劳、脑力疲劳、睡眠总分、主观睡眠质量、使用睡眠药物、睡眠潜伏期、睡眠持续性、习惯性睡眠效率及睡眠紊乱呈负相关(P<0.05);疲劳总分与睡眠总分、主观睡眠质量、使用睡眠药物、睡眠潜伏期、习惯性睡眠效率及睡眠紊乱呈正相关(P<0.05);人际安全感、确定控制感、主观睡眠质量、使用睡眠药物、习惯性睡眠效率、睡眠持续性、睡眠潜伏期、躯体疲劳对主观幸福感有预测作用。结论临床医生的主观幸福感与疲劳、睡眠质量及心理安全感具有密切的关系。

Objective To explore the association among clinicians’subjective well-being and fatigue,sleep quality and psychological security.Methods A total of 280 clinicians from Yantai Affiliated Hospital of Binzhou Medical Univer-sity of Shandong Province were investigated with General Well-Being Schedule,Fatigue Scale-14,Pittsburgh Sleep Quality Index and Security Questionnaire.Results Male and female doctors showed distinct differences in mental fa-tigue,total sleep score,total score of psychological security,interpersonal security and certainty in control （P〈0.01）. Happiness score was positively correlated with total score of psychological security,interpersonal security and certainty in control （P〈0.01）,while negatively correlated with fatigue score,body fatigue,mental fatigue,sleep score,sub-jective sleep quality,using of sleep medication,sleep latency,sleep continuity,habitual sleep efficiency and sleep dis-orders （P〈0.05）.Fatigue score was positively correlated with sleep score,subjective sleep quality,use of sleep medi-cation,sleep latency,habitual sleep efficiency and sleep disorders （P〈0.05）.Interpersonal security,certainty in con-trol,subjective sleep quality,using of sleep medication,habitual sleep efficiency,sleep continuity,sleep latency and body fatigue were significant predictors for subjective well-being.Conclusion Clinicians’subjective well-being is closely associated with fatigue,sleep quality and psychological security.