军人睡眠障碍的影响因素及与认知功能的相关性研究

Influential factors of sleep disorders and their correlation with cognitive function in soldiers

目的探讨军人睡眠障碍的影响因素及与认知功能的相关性。方法选择2019年3月至2020年3月某部队军人300例进行研究,根据睡眠障碍发生情况分为睡眠障碍组(69例)和对照组(231例)。收集患者年龄、婚姻状况、家庭条件、兵源地、官兵级别、文化程度、家庭关系、服役时间、抑郁、焦虑发生情况的资料,分析睡眠障碍发生的影响因素,比较两组简易智能精神状态量表(MMSE)评分、匹兹堡睡眠质量指数量表(PQSI)评分并分析两者间的相关性。结果所有军人均完成调查,其中69例(23.00%)存在睡眠障碍,231例(77.00%)无睡眠障碍;单因素分析结果显示,两组年龄、婚姻状况、家庭条件、兵源地、官兵级别差异无统计学意义(P>0.05);文化程度、家庭关系、服役时间、抑郁、焦虑与军人睡眠障碍相关(P<0.05);多因素非条件Logistic回归分析结果显示,文化程度、家庭关系、服役时间、抑郁、焦虑均是军人发生睡眠障碍的独立危险因素(P<0.05)。睡眠障碍组MMSE评分低于对照组,PQSI评分高于对照组,差异有统计学意义(P<0.05)。相关性分析结果显示,军人睡眠障碍与认知功能呈负相关(r=-0.575,P<0.05)。结论文化程度、家庭关系、服役时间、抑郁、焦虑均是军人发生睡眠障碍的影响因素,且睡眠障碍与认知功能具有相关性。

Objective To analyze the influential factors of sleep disorders and their correlation with cognitive function in soldiers.Methods A total of 300 soldiers in a troop from March 2019 to March 2020 were selected for this study and divided into the sleep disorder group(69 cases)and control group(231 cases)according to the occurrence of sleep disorders.The data of age,marital status,family conditions,sources of troop,officers and soldiers level,cultural level,family relationships,service time,depression,anxiety,etc.were collected.The influential factors of sleep disorder occurrence were analyzed.The scores of the simple intelligent mental state scale(MMSE)and Pittsburgh sleep quality index scale(PQSI)were compared between the two groups.Then the correlation between the two scores was analyzed.Results All included soldiers completed the survey,among them 69 cases(23.00%)had sleep disorder and 231 cases(77.00%)had no sleep disorder.The univariate analysis results showed that there were no statistically significant differences in age,marital status,family conditions,military resources and rank of officers and soldiers between the two groups(P>0.05);the educational level,family relationship,service time,depression and anxiety were correlated with sleep disorders in soldiers(P<0.05);the multivariate non-conditional logistic regression analysis results showed that the educational level,family relationship,service time,depression and anxiety were the independent risk factors of soldier sleep disorders occurrence(P<0.05).The MMSE score in the sleep disorder group was lower than that in the control group,the PQSI score was higher than that in the control group,and the differences were statistically significant(P<0.05).The results of correlation analysis showed that there was a negative correlation between the cognitive function and sleep disorders in soldiers(r=-0.575,P<0.05).Conclusion The educational level,family relationship,service time,depression and anxiety are the influent factors of sleep disorders occurrence in soldiers,moreover sleep disorders are correlated to the cognitive function.