海南三甲医院医护人员慢性疲劳与睡眠质量相关分析

Correlation analysis on chronic fatigue and sleep quality of doctors and nurses in third-grade class-A hospitalof Hainan Province

目的了解海南省三甲医院医护人员慢性疲劳现况及其与睡眠质量的关系，为早期诊断慢性疲劳和寻找有效的预防措施提供科学依据。方法采用横断面研究的方法，用多级随机抽样的方法抽取1042名医护人员，用疲劳量表14（FS-14）和睡眠质量量表（PSQI）进行测评。结果FS-14总平均得分为（7．43±3．04）分，慢性疲劳的发生率为38．77％（404／1042），躯体疲劳得分（4．79±2．31）分，脑力疲劳得分（2．63±1．40）分；躯体疲劳、脑力疲劳、疲劳总分与PSQI各因子分的相关分析表明，均呈正相关，其差异有统计学意义（r=0．22～0．43，P〈0．05）；多重线回归分析表明，日间功能障碍、睡眠障碍、睡眠效率、睡眠质量与疲劳呈正相关。结论医护人员慢性疲劳与睡眠质量有关，睡眠质量越低，慢性疲劳程度越高。所以应保证医护人员的充足睡眠，以提高工作效率。

[ Objective ] To understand the relationship between chronic fatigue and sleep quality of doctors and nurses in third-grade class-A hospital of Hainan Province, provide scientific basis for the early diagnosis and effective prevention of chronic fatigue. [Methods ] With the cross-sectional study, 1042 doctors and nurses were collected by the multistage random sampling, and were assessed by the Fatigue scale-14 （FS-14） and Piusburgh sleep quality index （PSQI）.[Results] The total scores of FS-14 was （7.43±3.04）, the incidence of chronic fatigue was 38.77% （404/1042）, and the scores of body fatigue and mental fatigue was （4.79±2.31） and （2.63±1.40） respectively. The body fatigue scores, mental fatigue scores and total scores of FS-14 were positively correlated with the PSQI factor scores, and the differences were statistically significant （r=0.22-0.43, P〈0.05）. The multiple linear regression analysis showed that the daytime dysfunction, sleep disorders, sleep efficiency, sleep quality were positively correlated with the fatigue. [Conclusion] The chronic fatigue is correlated with the sleep quality in doctors and nurses, and the medical staff with lower sleep quality have the higher degree of chronic fatigue. Therefore, the doctors and nurses should ensure adequate sleep to improve work efficiency.