综合医院护士的日间过度嗜睡及其影响因素的研究

Excessive daytime sleepiness in general hospital nurses:prevalence and correlates

目的本研究通过调查中国华南地区一间大型医疗机构(综合医院)中护士日间过度嗜睡的发生率及相关影响因素。方法纳入了1102名在职护士要求他们在一段规定的时间内完成一份自我报告问卷,其中包括人口学资料采集、生活习惯(BMI、小睡习惯、打鼾等)、失眠、抑郁、焦虑、MEQ分型、倒班、工作兴趣等与工作及睡眠相关的特征。了解EDS在被试人群中的发生率及其影响因素。结果共有1048名护士有效的完成了问卷(应答率为95.1%)。其中169名(16.1%)护士存在日间过度嗜睡(EDS)。抑郁症状(校正后的OR值=2.24,95%的可信区间1.51~3.31)、焦虑症状(1.65;1.02~2.67)、失眠(2.29;1.56~3.36)、倒班工作(1.98;1.03~3.83)和对工作的低兴趣(1.74;1.01~2.99)是EDS发生的独立危险因素。结论日间过度嗜睡(EDS)在华南地区的综合医疗机构中的青年护士群体中普遍存在。EDS的发生可能与抑郁症状、焦虑症状、失眠、倒班工作和对工作的低兴趣存在相关。

Objective To investigate the prevalence and correlates of excessive daytime sleepiness EDS in a population of hospital nurses in South China.Methods A total of 1102 nurses working in a large medical center were invited to participate in this cross-sectional study(females 96.9%,mean age 29.6 years).They all completed a self-reported questionnaire consisting of items on demographic variables,lifestyle factors,insomnia,anxiety,depression,and both work-related and sleep related characteristics.Results A total of 1048 nurses gave a valid response(response rate 95.1%).Among them,169(16.1%)reported EDS as defined as an Epworth Sleepiness Scale≥14.Depression(adjusted odds ratio=2.24,95%confidence interval 1.51~3.31),anxiety(1.65;1.02~2.67),insomnia(2.29;1.56~3.36),rotating shift work(1.98;1.03~3.83)and low interest in work(1.74;1.01~2.99)were all independent risk factors of the occurrence of EDS.Conclusion EDS were common among this relatively young and healthy nurse population in south China.There were clear associations with EDS and depression,anxiety,insomnia,rotating shift work and low work-related interest.