夜班护士中医体质类型对睡眠质量的影响

Effect of traditional Chinese medicine constitution type on sleep quality of night nurses

目的调查并分析夜班护士中医体质类型对睡眠质量的影响。方法通过便利抽样法选取2019年6月至12月广东省中医院481名护士为调查对象,采用中医体质量表和匹兹堡睡眠质量指数(PSQI)进行调查,依据睡眠质量评分分为睡眠障碍组(n=156)和睡眠正常组(n=325),分析中医体质类型对睡眠质量的影响。结果481名夜班护士最常见的中医体质类型为气郁质(27.4%)、湿热质(17.9%)、痰湿质(12.3%)、平和质(10.6%),睡眠质量得分为(7.11±4.80)分。回归分析结果显示,平和质是睡眠质量的独立保护因素,血瘀质、气郁质、痰湿质、湿热质是睡眠质量的独立危险因素(P<0.05)。结论夜班护士的睡眠质量相对较差,体质类型与其睡眠质量密切相关,临床护理管理者可依据其体质类型制定相应的护理管理策略,以促进夜班护士的睡眠质量和身心健康。

Objective To investigate and analysis the influence of night shift nurses′traditional Chinese medicine physique type on sleep quality.Methods A total of 481 nurses in Guangdong Hospital of Traditional Chinese Medicine from June to December 2019 were selected by convenience sampling method,investigated by using the Chinese medicine physique scale and Pittsburgh sleep quality index(PSQI).Patients were divided into sleep disorder group(n=156)and normal sleep group(n=325)according to sleep quality scores,and the influence of traditional Chinese medicine constitution type on sleep quality was analyzed.Results The most common TCM physiques of 481 night shift nurses were Qi-stagnation(27.4%),damp-heat(17.9%),phlegm-damp(12.3%),and peaceful(10.6%),the sleep quality score was(7.11±4.80)points.Regression analysis results show that calmness is an independent protective factor for sleep quality,while blood stasis,qi stagnation,phlegm-dampness,and dampness are independent risk factors for sleep quality(P<0.05).Conclusion The sleep quality of night shift nurses is relatively poor.Constitution type is closely related to sleep quality in night shift nurses.Clinical nursing managers can design nursing management strategies according to constitution types to promote their sleep quality and physical and mental health.