急诊科医务人员心理素质、自我调节疲劳与睡眠质量的相关研究

Study on the correlation between psychological quality,self-regulation fatigue and sleep quality of medical staff in emergency department

目的调查三级公立医院急诊科医务人员心理素质、自我调节疲劳与睡眠质量现状及其相关性,探讨心理素质、自我调节疲劳对睡眠质量的影响。方法采用便利抽样法,于2023年6—7月选取绵阳市6所三级公立医院急诊科医务人员为调查对象,采用心理素质量表、自我调节疲劳量表和睡眠质量量表对247名急诊科医护人员进行调查,采用多元线性回归分析探讨急诊科医务人员睡眠质量的影响因素。结果247名急诊科医务人员匹茨堡睡眠质量(pittsburgh sleep quality index scale,PSQI)得分为(8.19±4.16)分,其中158名(63.97%)急诊科医务人员PSQI总分≥5分,存在睡眠障碍;心理素质得分为(285.49±55.92)分;自我调节疲劳得分为(45.42±15.54)分。单因素分析显示,年龄、文化水平、岗位类别、职称、急诊科工龄、周夜班频率、平均加班时长、健康状况、运动锻炼频率(周/次)、是否饮酒及是否饮咖啡均是影响急诊科医务人员睡眠质量的影响因素(均P<0.05)。相关分析显示,急诊科医务人员PSQI总分及各维度得分与心理素质总分及各维度得分均呈负相关(r=-0.206~-0.713,均P<0.05),与自我调节疲劳总分及各维度得分均呈正相关(r=0.241~0.605,均P<0.05)。多因素分析显示,文化水平、急诊科工龄、夜班频率、健康状况、是否饮酒、是否饮咖啡、心理素质及自我调节疲劳均是急诊科医务人员睡眠质量的主要影响因素(均P<0.05),共解释总变异的65.7%。结论三级公立医院急诊科医务人员睡眠质量不佳,其中心理素质和自我调节疲劳是其重要保护性因素。医院管理者应重视特殊科室医务人员睡眠健康状况,提升医务人员心理素质和自我调节疲劳能力,从而改善其睡眠质量。

Objective To investigate the current situation and correlation of psychological quality,self-regulation fatigue and sleep quality of medical staff in emergency department of tertiary public hospitals,and to explore the influence of psychological quality and self-regulation fatigue on sleep quality.Methods Convenience sampling method was used to select medical staff in emergency departments of 6 tertiary public hospitals in Mianyang City as the survey objects from June to July 2023.Psychological quality scale,self-regulated fatigue scale and sleep quality scale were used to investigate 247 medical staff in emergency department.Multiple linear regression analysis was used to explore the influencing factors of sleep quality of medical staff in emergency department.Results The Pittsburgh sleep quality index scale(PSQI)score of 247 emergency medical staff was(8.19±4.16)points,of which 158(63.97%)emergency medical staff had a total PSQI score of≥5 points and had sleep disorders.The score of psychological quality was(285.49±55.92)points.The score of self-regulation fatigue was(45.42±15.54)points.Univariate analysis showed that ages,educational level,job categories,professional titles,length of service in the emergency department,frequency of night shifts(weeks),average overtime hours,health status,frequency of exercise(weeks/times),alcohol consumption,and coffee consumption affected the sleep quality of medical staff in the emergency department(all P<0.05).Correlation analysis showed that the total score of PSQI and the scores of each dimension were negatively correlated with the total score of psychological quality and the scores of each dimension(r=-0.206--0.713,all P<0.05),ans positively correlated with the total score of self-regulation fatigue and its dimension(r=0.241-0.605,all P<0.05).Multivariate analysis showed that education level,length of service in emergency department,night shift frequency,health status,alcohol and coffee consumption,psychological quality and self-regulation fatigue were the main influencing factors on the sleep quality of medical staff in emergency department(all P<0.05),which explained 65.7%of the total variables.Conclusion The sleep quality of medical staff in the emergency department of tertiary public hospitals is poor,among which psychological quality and self-regulation fatigue are important protective factors.Hospital managers should pay attention to the sleep health status of medical staff in special departments,improve their psychological quality and selfregulation fatigue ability,so as to improve their sleep quality.