职业紧张对麻醉师睡眠质量的影响及相关因素分析

Effect of occupational stress on sleep quality of anesthesiologists and analysis on related factors

目的探讨职业紧张对麻醉师睡眠质量的影响及相关因素。方法选取2019年4月-2020年4月在唐山市丰南区中医医院和华北理工大学附属医院工作的麻醉师49人,进行职业紧张问卷调查和匹兹堡睡眠质量指数问卷调查,根据评分结果进行分组(职业紧张组和非职业紧张组;睡眠正常组和睡眠障碍组),分析麻醉师睡眠质量的影响因素。结果职业紧张组麻醉师睡眠质量评分[主观睡眠质量(1.72±0.45)、入睡时间(1.65±0.19)、睡眠障碍(1.54±0.27)、日间功能(1.66±0.40)、睡眠时间(1.52±0.23)、睡眠效率(1.71±0.24)、总评分(10.08±1.09)]均高于非职业紧张组(1.46±0.31、1.34±0.20、1.29±0.18、1.32±0.25、1.20±0.17、1.18±0.22、8.03±0.87)(均P<0.05),睡眠障碍组麻醉师职业任务紧张评分(任务过量、任务不适、任务模糊、任务冲突、责任感、工作环境、总评分)、个体紧张反应评分(业务紧张、心理紧张、人际关系紧张、躯体紧张、总评分)均高于睡眠正常组(均P<0.05),睡眠障碍组麻醉师个体应对资源评分(休闲、自我保健、社会支持、理性处理、总评分)均低于睡眠正常组(均P<0.05),睡眠障碍组麻醉师年龄高于睡眠正常组(P<0.05),睡眠障碍组麻醉师每周工作时间长于睡眠正常组(P<0.05),睡眠障碍组职业紧张者多于睡眠正常组(P<0.05)。结论职业紧张易诱发麻醉师睡眠障碍,而睡眠障碍又可恶化麻醉师职业紧张。年龄、每周工作时间、职业紧张均是麻醉师睡眠质量的影响因素。

Objective To investigate effect of occupational stress on sleep quality of anesthesiologists and its related factors.Methods Totally 49 anesthesiologists were selected from the Fengnan District Hospital of Traditional Chinese Medicine in Tangshan City and the Hospital Affiliated to North China University of Science and Technology from April 2019 to April 2020,and were investigated by the occupational stress questionnaire and Pittsburgh sleep quality index questionnaire.They were grouped according to the score(occupational stress group and non occupational stress group,sleep normal group and sleep disorder group).Influencing factors of sleep quality in anesthesiologists were analyzed.Results Sleep quality scores of the occupational stress group[subjective sleep quality(1.72±0.45),sleep latency(1.65±0.19),sleep disorder(1.54±0.27),daytime function(1.66±0.40),sleep time(1.52±0.23),sleep efficiency(1.71±0.24),total score(10.08±1.09)]were higher than those of non occupational stress group(1.46±0.31,1.34±0.20,1.29±0.18,1.32±0.25,1.20±0.17,1.18±0.22,8.03±0.87)(all P<0.05).Occupational task stress scores(task overload,task discomfort,task ambiguity,task conflict,sense of responsibility,work environment,total score),and individual stress response scores(business tension,psychological tension,interpersonal tension,physical tension,total score)in the sleep disorder group were higher than those in the sleep normal group(all P<0.05).Individual coping resource scores(leisure,self-care,social support,rational treatment,total score)in the sleep disorder group were lower than those in the sleep normal group(all P<0.05).Age in the sleep disorder group was higher than that in the sleep normal group(P<0.05).The anesthesiologists in the sleep disorder group had the longer weekly working hours than those in the sleep normal group(P<0.05).The anesthesiologists with occupational stress were more in the sleep disorder group than the sleep normal group(P<0.05).Conclusion Occupational stress can easily induce anesthesiologists’sleep disorders,while sleep disorders can worsen anesthesiologists’occupational stress.Age,weekly working hours,occupational stress are influencing factors of sleep quality in anesthesiologists.