三级医院儿科 ICU 护理人员睡眠质量及影响因素分析

Sleep quality and related influencing factors in pediatric ICU nurses in level three hospital

目的：调查分析儿科 ICU 护理人员睡眠质量现状，并分析其影响因素。方法2015年4月，采用匹兹堡睡眠质量指数（PSQI）评量表对湖北省6家三级医院332名儿科 ICU 护理人员的睡眠情况进行调查。结果332名儿科 ICU 护理人员 PSQI 平均得分（7．73±1．54）分，7个维度得分和总分均高于国内常模，差异均有统计学意义（P ＜0．01），其中192人 PSQI 得分≥8分，提示存在睡眠障碍。不同职称、婚姻状况、轮班、学历、工龄、工作环境儿科 ICU 护理人员睡眠质量得分差异均有统计学意义（P ＜0．05）。结论儿科 ICU 护理人员的睡眠质量差于普通人群，尤以副主任护师，离异、轮班、大专学历、工龄＞10年、病房噪音＞60 dB 和光照＞100 LUX 的护理人员睡眠障碍为甚。

Objective To investigate the sleep quality and related influencing factors in pediatric ICU nurses.Methods The study investigated 332 pediatric ICU nurses from six level three hospitals in Hubei province in April 201 5.The sleep status of the participants were assessed by Pittsburgh sleep quality index （PSQI）rating scale.Results The pooled score was （7.73 ±1 .54）and the scores of all the seven dimensions were higher than the Chinese norm （P 〈0.05）.The PSQI scores of 1 92 participants were no less than eight points,which indicated an existing of sleep disorders.The differences of the sores between different professional title,marriage status,work shift,education,working age,and working environment had statistical significant （P 〈0.05）.Conclusions The sleep quality of pediatric ICU nursing staffs was significantly worse than the general population,especially for co-chiefnurse.Factors including divorce,work shifts,college degree,working age 〉1 0 years,ward noise 〉60 dB and illumination 〉1 00 LUX can worse the situation.