高原驻训医护人员睡眠质量和心理健康状况调查

Sleep Quality and Mental Health Status of Medical Staffs who Entered in the High Altitude

目的：调查参加高原驻训医护人员的睡眠质量和心理健康状况。方法：采用匹兹堡睡眠质量指数（PSQI）量表、症状自评量表（SCL-90）和自编一般情况调查表,对参加高原驻训的107名医护人员进行问卷调查。结果：1107名高原驻训医护人员睡眠质量总均分为（5.81±3.20）分,与国内正常人群比较,差异有统计学意义（t=7.78,P〈0.01）;2高原驻训医护人员在睡眠效率（t=3.08,P〈0.01）和睡眠紊乱（t=2.02,P〈0.05）两个因子上存在性别上的显著性差异;高原驻训男性医护人员在强迫、人际敏感、忧郁、焦虑、敌对、偏执和精神病性等因子上得分显著高于女性（t=2.08~2.20,P〈0.05或0.01）;3单因素方差分析的结果显示,高原驻训医护人员睡眠质量和心理健康状况在文化程度上均存在显著性差异（F=4.30~5.35,4.68~3.47;P〈0.05或0.01）;4睡眠质量总分与心理健康总分呈显著正相关（r=0.64,P〈0.01）。结论：某部高原驻训医护人员睡眠质量较一般人群差,且男性睡眠质量和心理健康状况差于女性;高学历高原驻训医护人员睡眠质量和心理健康状况差于低学历人员;睡眠质量与心理健康状况密切相关。

Objective： To evaluate the sleep quality and mental health status of medical staffs who en- tering in the high altitude. Methods：One hundred and seven medical staffs who entered in the high alti- tude were interviewed by the questionnaire of Pittsburgh Sleep Quality Index （PSQI）, Symptom Checklist 90 （ SCL - 90） and general Information questionnaire scale. Results： ①The mean score of PSQI was （5.81 ± 3.20）, there was significant difference in total mean score of sleep quality between medical staffs and domestic norm（t =7.78 ,P 〈0.01 ）. ②There existed obvious difference in sleep efficiency（ t =3.08 ,P 〈 0.01 ）and sleep disorder（ t =2.02 ,P 〈0.05 ）of medical Staffs who entered in the high altitude with dif- ferent gender, The obsessive - compulsive, interpersonal sensitivity, depression, anxiety, hostility, paranoid and psyehoticism in male medical staffs were higher than those of female medical staffs（t = 2.08 ~ 2.20, P 〈 0.05 ）. ③One - way ANOVA showed that there were obviously different in the sleep quality and men- tal health status of medical staffs who entered in the high altitude with different educational background （F = 4.30 ~ 5.35 ;4.68 -3.47 ,P 〈0.05 ）. ④There were significantly correlation of the total score of PSQI with the total score of SCL-90（ r =0.64 ,P 〈0.01 ）. Conclusion： Compared with the domestic norm,the sleep quality of medical staffs who entered in the high altitude is worse. The sleep quality and mental health are worse in male medical staffs than female medical staffs. The sleep quality and mental health are worse in medical staffs with higher degree than those with lower degree. There are significantly correlation between sleep quality and mental health status.