广州市番禺区医疗机构放射工作人员睡眠质量初探

The preliminary study on the sleep quality of the radiation workers in medical institutions in Guangzhou Panyu

目的了解广州地区医疗机构放射工作人员睡眠质量现状，为完善医疗机构放射工作人员睡眠质量评估体系提供依据，为医疗射线装置的安全运行提供支持。方法采用匹兹堡睡眠质量指数量表中文版（PSQI），对广州市番禺区所有放谢医疗机构共42家单位的放射人员进行问卷调查。结果发放问卷380份，收回合格问卷363份，合格率为95．53％；不同性别医院放射工作人员在主观睡眠质量（t=-2．100，P=0．036）、睡眠时间（t=-2．178，P=0．030）、日间功能障碍因子（t=3．979，P〈0．001）和PSQI总分（t=-4．244，P〈0．1301）上差异有统计学意义（P〈0．05）；不同工种医院放射工作人员在睡眠时间（F=2．704，P=0．045）和应用催眠药物因子（止2．649，P=0．049）上差异有统计学意义（P〈0．05）；医院放射工作人员主观睡眠质量因子与年龄呈负相关（r=-0．080，P=0．030），入睡时间与年龄呈正相关（1=-0．032，P=0．041），应用催眠药物因子与年龄（r=0．142，P〈0．001）和工龄（r=0．138，P〈0．001）均呈正相关；不同婚姻状况医院放射工作人员在主观睡眠质量（t=2．147，P=0．032）、入睡时间（t=1．988，P=0．048）、睡眠时间（t=2．043，P=0．042）、日间功能障碍因子（t=2．118，P=0．035）和PSQI总分（t=2．157，P=0．032）上差异有统计学意义（P〈0．05）。结论不同性别、工种、婚姻状况的医院放射工作人员睡眠质量存在差异，可通过组织培训、进行有针对性的心理干预等方法来改善放射工作人员的睡眠质量。

Objective To explore the status of radiation workers＇ sleep quality of medical institutions in Guangzhou area, improve sleep quality evaluation system based on radiation workers in medical institutions, and provide support for the safe operation of medical radiation equipment. Method Conducted a questionnaire survey on radiation workers of all medical institutions in Panyu district, Guangzhou city （a total of 42 units） with Pittsburgh sleep quality index （PSQI） scale in Chinese version. Results There were 380 actual valid questionnaires, and the valid return rate was 95.53%. There were statistically significant differences in subjective sleep quality, sleep time, daytime dysfunction factor, PSQI total score between radiation staffs with different gender （t=--2.100, P=0.036; t=-2.178, P=0.030; t=-3.979, P〈0.001; t=-4.244, P〈0.001）; there were statistically significant differences in sleep time, hypnotic application factor among radiation staffs with different jobs （F=2.704, P=0.045; F=2.649, P=0.049）; there were statistically significant differences in subjective sleep quality,sleep latency, sleep time, daytime dysfunction factor, PSQI total score between radiation staffs with different marriage status （t=2.147, P=0.032; t=1.988, P=0.048; t=2.043, P=0.042; t=-2.118, P=0.035; t=2.157, P=0.032）. The subjective sleep quality factor was negatively related to age in the radiation workers in medical institutions （r= -0.080, P=-0.030）, sleep latency was positively related to age （r=0.032, P=-0.041）, hypnotic application factor was positively related to age, working age （r=0.142, P〈0.001; r=0.138, P〈0.001）. Conclusions There are differences in sleep quality among radiation staffs with different gender, jobs, marriage status; we can improve the sleep quality of the staffs through the organization of training and targeted psychological intervention.