某部官兵失眠的危险因素分析

Analysis of risk factors of insomnia in officers and soldiers of the army

目的探讨部队失眠官兵的心理健康状况及危险因素。方法选取2017年6月由解放军三一六医院调查的某部官兵862例,根据是否存在失眠分为失眠组(n=168)及对照组(n=694)。观察两组官兵的心理健康状况,同时分析两组官兵的一般资料及失眠的危险因素。结果某部官兵失眠的发生率为19.49%(168/862)。失眠组匹兹堡睡眠质量指数[(16.72±2.67)vs.(9.78±2.88)]、焦虑自我评分[(44.07±9.34)vs.(36.87±6.92)]和抑郁自我评分[(43.02±6.04)vs.(35.32±6.62)]均高于对照组,差异有统计学意义(P=0.000)。进一步的多因素logistics回归分析显示年龄≥30岁、机关人员、工作时间>8h/d、电子产品使用时间≥4h、军官、独生子女和技术类人员是部队官兵失眠的危险因素(P<0.05)。结论部队官兵失眠的发生率较高,失眠可导致官兵心理健康状况下降。军官、电子产品使用≥4h/d、独生子女、技术类岗位、年龄≥30岁、机关人员、工作时间>8h/d等是失眠的危险因素。

Objective To investigate the mental health and risk factors of insomnia in officers and soldiers of the army. Methods June 2017, 862 officers and army soldiers who participated in our hospital health survey were collected. They were divided into an insomnia group (n=168) and a control group (n=694) according to whether there was insomnia. The mental health status of the two groups were observed. Moreover, the social characteristics of the two groups were compared and the risk factors for insomnia were analyzed. Results The incidence of insomnia in officers and soldiers was 19.49%. When compared with the control group, the Pittsburgh sleep quality index of the insomnia group was significantly higher (16.72 ± 2.67 vs. 9.78 ± 2.88, P=0.000);self-rating anxiety score was higher (44.07 ± 9.34 vs. 36.87 ± 6.92, P=0.000);self-rating depression score is higher (43.02 ± 6.04 vs.35.32 ± 6.62, P=0.000). Further multivariate logistics regression analysis showed that ≥ 30 age, office, working time > 8 h/d, electronic products use time ≥ 4 h/d, officer, singleton and technical staff were risk factors of insomnia in officers and soldiers (P < 0.05). Conclusion The incidence of insomnia in army officers and soldiers is high, which can lead to the decline of mental health. The characteristics of Military officers, electronic products use > 4 h/d, only child, technical posts, age ≥ 30 years old, government personnel, working hours > 8 h/d are risk factors for insomnia.