某三级甲等医院实习护生睡眠质量干预效果和多水平模型分析

A Multilevel Model Analysis of Intervention Effect of Sleep Quality of Nursing Interns

目的了解海南省人民医院大中专护理实习生睡眠质量干预效果,为管理层加强大中专学生的健康管理提供重要依据。方法对海南省人民医院115名实习生进行睡眠质量干预,采用症状自评量表、匹兹堡睡眠质量指数评价效果。结果干预前后,3次不同时间点本组实习生的睡眠质量得分分别为(7.10±2.79)分、(6.97±2.78)分、(5.50±2.55)分。心理团体辅导前后,心理症状总分差异有统计学意义(t=3.89,P<0.001),干预后心理症状总分下降。多水平模型分析结果表明:时间与心理症状总分的交互项,迟睡频率、不吃早餐次数、同学关系、就业压力、时间均有统计学意义,说明不同时间点个体睡眠质量有差异,且受迟睡频率(β=1.39)、不吃早餐次数(β=0.46)、同学关系(β=0.47)、就业压力(β=-0.86)和心理症状影响。结论心理团体辅导是调整不良睡眠习惯和提高心理素质的有效方法。

Objective To understand the intervention effect of sleep quality of nursing interns, and to provide reference for health management of college students. Methods The intervention for sleep quality was conducted among 115 nursing interns from Hainan Provincial General Hospital with a seE-designed questionnaire, SCL-90, EPQ and PSQI. Results Sleep quality scores of three different time points before and after the intervention were 7.10±2.79, 6.97±2.78, and 5.50±2.55 respectively. The difference of mental health level （the scores of SCL-90） before and after psychological group gnidanee was statistically significant（t=3.89, P〈 0.001 ） which indicated that mental health was improved. Multiple level model analysis showed that interaction of time and the score of SCL-90, frequency of sit up late, times of without having breakfast, relationship with classmates, employment pressure and time had statistical significance and it indicated sleep quality was different in three different time points and the influence factors included frequency of sit up late （13=1.39）, times of without having breakfast （β=0.46）, relationship with classmates （β=0.47）, employment pressure （β=-0.86） and mental health. Conclusion Psychological group guidance is an effective method for adjusting bad sleep habits and improving psychological quality of college students.