广州地区三甲医院助产士睡眠质量现状调查及影响因素分析

Survey and Analysis on Sleep Quality of midwifes from Class Ⅲ A Level Hospitals in Guangzhou

目的了解广州地区三甲医院助产士的睡眠质量现状及特点，探讨改善助产士睡眠质量的有效措施。方法采用睡眠状况自评量表（SRSS）对广州市四所三甲医院196名助产士、284名护士进行睡眠质量问卷调查。结果助产士的SRSS平均分（26．20±4．64）分，中重度睡眠障碍发生率为30．7％，与一般护士比较差异均无统计学意义（P〉0．05），但“入睡困难”、“噩梦夜惊”以及“失眠后反应”三个条目，助产士平均分数高于一般护士（P〈0．05）；26-35岁年龄段助产士中重度睡眠障碍比例（44．5％）高于一般护士（20．O％）（P=0．0275）；助产士中不同夜班工作年限的睡眠障碍程度差异具有统计学意义（P=0．049）。结论助产士易发生“入睡困难”、“噩梦夜惊”以及“失眠后反应”等睡眠障碍，同时有随夜班工作年限延长睡眠障碍程度加重的趋势。

Objective To investigate the sleep quality among midwifes in Class III A level hospitals in Guangzhou, in order to find the effec- tive measures to improve their sleep quality. Methods Totally 196 midwifes and 284 nurses from three ClassⅢ A Level hospitals were inves- tigated on the sleep quality, Self-Rating Scale of Sleep （SRSS） was used as tools.Results The score of SRSS was （29.94 ± 4.52） among midwifes, the difference of scores between midwifes and nurses is not significant ; The score of item-＂ difficulty falling asleep＂, ＂nightmare and pavornocturnus＂, ＂reaction of losing sleep＂ in midwifes is significantly higher than that of nurse. Significant differences were also ob- served on the incidences of medium and serious sleep problems between midwifes and nurses （44.5% VS 20% ）. The midwife quality was af- fected by different years of working night shift （P = 0.049）. Conclusion The midwife prone to have ＂sleep difficulties＂,＂ nightmares, night terrors＂ and ＂the response of insomnia and other sleep disorders＂, and the degree of sleep disorder aggravated with the night shift work life prolonged.