绵阳市3所三级甲等医院手术室护士睡眠质量现状及影响因素分析

Analysis on sleep quality status and influencing factors of operating room nurses in grade-A tertiary hospitals in Mianyang City

目的调查三级甲等医院手术室护士功能性躯体症状、恢复体验与睡眠质量现状,分析手术室护士睡眠质量影响因素。方法2022年8—12月采用便利抽样法,选取绵阳市3所三级甲等医院274名手术室护士为调查对象,采用功能性躯体症状量表、恢复体验量表和睡眠质量量表进行调查,采用描述分析、相关性分析及多元回归分析探讨功能性躯体症状、恢复体验与睡眠质量的关系。结果274名手术室护士匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)得分为(7.94±4.66)分,功能性躯体症状得分为(25.50±12.71)分,恢复体验得分为(56.87±11.80)分。单因素分析显示,不同手术室护龄、夜班频率、每周加班时长、运动锻炼频率、工作压力强度的手术室护士PSQI总分比较,差异均有统计学意义(均P<0.05)。相关分析显示,PSQI总分及各维度得分与功能性躯体症状总分及各维度得分均呈正相关(r=0.276~0.707,均P<0.05),与恢复体验总分及各维度得分均呈负相关(r=-0.186~-0.676,均P<0.05)。多元线性回归分析显示,手术室护龄、运动锻炼频率、夜班频率、功能性躯体症状及恢复体验是手术室护士睡眠质量的主要影响因素(均P<0.05),共解释总变量的73.2%。结论绵阳市三级甲等医院手术室护士睡眠质量较差,功能性躯体症状与恢复体验是其独立影响因素。护理管理者应采取针对性干预措施,改善护士身心健康水平,从而提高其睡眠质量。

objective To investigate the functional somatic symptoms,recovery experience and sleep quality status of operating room nurses in grade-A tertiary hospitals,and to analyze the influencing factors of sleep quality of operating room nurses.Method From August to December 2022,a total of 274 operating room nurses from three grade-A tertiary hospitals in Mianyang City were selected by convenience sampling method.Functional somatic symptoms scale,recovery experience scale and sleep quality scale were used for the survey.Descriptive analysis,correlation analysis and multiple regression analysis were used to explore the relationship between functional somatic symptoms,recovery experience and sleep quality.Result The results showed that the Pittsburgh sleep quality index scale(PSQI)score of 274 operating room nurses was(7.94±4.66)points,the functional somatic symptom score was(25.50±12.71)points,and the recovery experience score was(56.87±11.80)points.Univariate analysis showed that there were statistically significant differences in PSQI scores among operating room nurses with different nursing years,night shift frequency,weekly overtime hours,exercise frequency,and work pressure intensity(all P<0.05).Correlation analysis showed that PSQI total score and scores of each dimension were positively correlated with the total scores of functional somatic symptoms and the scores of each dimensions(r=0.276-0.707,all P<0.05),and negatively correlated with total score of recovery experience and scores of each dimension(r=-0.186--0.676,all P<0.05).Multiple linear regression showed that the length of service in the operating room,exercise frequency,night shift frequency,functional somatic symptoms and recovery experience were the main influencing factors of sleep quality of operating room nurses(all P<0.05),accounting for 73.2%of the total variables.Conclusions The sleep quality of operating room nurses in Mianyang grade-A tertiary hospitals is poor,and functional somatic symptoms and recovery experience are independent influencing factors.Nursing managers should take targeted interventions to improve the physical and mental health of nurses,so as to improve their sleep quality.