急进高原士兵睡眠现状及其影响路径分析

Sleep Status and Path Analysis of Effect among Soldiers Rushed to Plateau

目的探讨急进高原士兵睡眠现状及与觉察压力、疲劳状况、自尊的关系与可能的影响路径,为制定提高高原士兵睡眠质量的措施提供思路。方法随机整群抽取急进高原士兵700名作为调查对象,运用觉察压力量表、疲劳-14量表、自尊量表和睡眠状况自评量表进行调查分析,并构建结构方程模型。结果 (1)经常参加娱乐活动士兵睡眠得分显著低于不经常参加娱乐活动士兵(P<0.05)。训练期望高士兵睡眠得分显著低于训练期望一般、无所谓士兵(P<0.01)。高原知识掌握较差士兵睡眠得分显著高于高原知识掌握较多、一般士兵(P<0.01)。干部骨干管理方式为关心、比较关心时,士兵睡眠得分显著低于不关心时(P<0.01)。(2)疲劳状况、自尊进入睡眠回归方程,共解释总变异的25.2%。(3)路径分析显示:觉察压力通过自尊的完全中介作用影响睡眠状况,其中介效应值为-0.0384。疲劳状况通过自尊的部分中介作用影响睡眠状况,自尊的中介效应值为-0.0368,占总效应的7.9%。结论急进高原士兵睡眠质量与疲劳状况、自尊密切相关;自尊在觉察压力与睡眠间具有完全中介作用,自尊在疲劳状况与睡眠间具有部分中介作用。

Objective To conduct path analysis of the effect of sleep status and its relations with perceived stress, fatigue and self-esteem among soldiers rushed to the plateau. Methods A survey was carried out using the perceived stress scale, fatigue scale, self-esteem scale and self-rating scale of sleep（SRSS） in 700 soldiers chosen by random cluster sampling method from soldiers who had rushed to the plateau. Results （1） The sleep score of soldiers who often took part in recreational activities was t significantly lower than that of soldiers who did not（ P〈0.05 ）. The sleep score of soldiers with less knowledge of the plateau was significantly higher than that of soldiers with more knowledge of the plateau （ P〈0.05 ）. The sleep score of soldiers who felt care from officers was significantly lower than that of soldiers who did not（ P〈0.05 ）. （2） The entrance of fatigue status and self-es- teem into the sleep regression equation could account for 25.2% of the total variance. （3） The path analysis showed that perceived stress had indirect effect on sleep status via self-esteem, and the mediation effect value was -0. 0384. Fatigue status had some effect on sleep status via self-esteem, and the mediation effect value was -0. 0368, accounting for 7.9%. Conclusion The sleep quality of soldiers is closely related to fatigue status and self-esteem. Self-esteem has a complete mediation effect between perceived stress and sleep quality, but has partial mediation effect between fatigue status and sleep quality.