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海军某舰艇部队官兵睡眠质量和生存质量的调查研究
曾文峰1,严雯婕1,宋伟2,苏彤3*
0
(1. 第二军医大学心理与精神卫生学系学员队, 上海 200433;
2. 第二军医大学卫生勤务学系军事教研室, 上海 200433;
3. 第二军医大学心理系医学心理学教研室, 上海 200433
*通信作者)
摘要:
目的 了解海军舰艇部队官兵睡眠情况和生存质量状况,探究睡眠质量与生存质量的相关性及其影响因素。方法 采用随机整群抽样法,用匹兹堡睡眠质量指数(PSQI)量表和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)对某舰艇部队官兵进行问卷调查。结果 共发放问卷160份,收回有效问卷154份,有效率为96.25%。31.8%(49/154)的海军舰艇部队官兵睡眠质量好,53.2%(82/154)睡眠质量一般,14.9%(23/154)睡眠质量差。睡眠质量好的海军舰艇部队官兵在生存质量生理领域、心理领域、社会领域和环境领域4个领域的得分均高于睡眠质量差者(P<0.05或P<0.01)。海军舰艇部队官兵主观睡眠质量、入睡时间、睡眠时间、睡眠障碍、催眠药物、日间功能障碍、睡眠效率7个成分的得分和PSQI总分与生存质量4个领域的得分多数呈负相关。初中、高中或中专、大专、大学本科、研究生学历海军舰艇部队官兵的入睡时间得分差异有统计学意义(F=5.368,P<0.01),其中大专学历最高,大学本科最低;战士的入睡时间得分高于军官(t=2.069,P=0.040)。入伍时间>8年、3~8年、≤ 2年海军舰艇部队官兵的社会领域得分差异有统计学意义(F=3.401,P=0.036);军官的社会领域得分高于战士(t=-2.093,P=0.038)。结论 海军舰艇部队官兵的睡眠质量需要改善,提高睡眠质量是改善其生存质量的有效途径。海军舰艇部队官兵的睡眠质量和生存质量与学历、工作类别和入伍时间有关,应根据不同人员特点开展相应的心理和行为干预。
关键词:  睡眠质量  生命质量  海军  舰艇  官兵
DOI:10.16781/j.0258-879x.2018.02.0203
投稿时间:2017-08-17修订日期:2017-11-27
基金项目:国家自然科学基金(81602734),第二军医大学大学生创新能力培养计划重点项目(ZD2017014),第二军医大学教育研究课题(JYC2015016).
Investigation of sleep quality and life quality of soldiers in a navy warship troop
ZENG Wen-feng1,YAN Wen-jie1,SONG Wei2,SU Tong3*
(1. Student Team, Faculty of Psychology and Mental Health, Second Military Medical University, Shanghai 200433, China;
2. Department of Military Science, Faculty of Health Service, Second Military Medical University, Shanghai 200433, China;
3. Department of Medical Psychology, Faculty of Psychology, Second Military Medical University, Shanghai 200433, China
*Corresponding author)
Abstract:
Objective To investigate the sleep quality and life quality of soldiers in a navy warship troop, and to explore the correlation between sleep quality and life quality and their influencing factors. Methods Random cluster sampling method was used to select navy soldiers from a navy warship troop. The subjects were surveyed by Pittsburgh sleep quality index (PSQI) scale and World Health Organization Quality of Life-Brief scale (WHOQOL-BREF). Results A total of 160 questionnaires were sent out and 154 valid questionnaires were returned (response rate 94.6%). Of 154 subjects, 31.8% (49/154) had good sleep quality, 53.2% (82/154) had moderate sleep quality, and 14.9% (23/154) had poor sleep quality. The soldiers with good sleep quality had significantly higher scores than those with poor sleep quality in physical, psychological, social and environmental domains of life quality (P<0.05 or P<0.01). Total PSQI score and most of scores of 7 parts of life quality, including subjective sleep quality, sleep latency, sleep time, sleep disturbances, hypnotic drugs, daytime dysfunction and sleep efficiency, were negatively correlated with the scores of 4 domains of sleep quality. There was significant difference in sleep latency of the subjects with the educational level of junior high school, senior high or polytechnic school, junior college, undergraduate college, or graduate degrees (F=5.368, P<0.01), and the subjects with junior college degree had the highest score of sleep latency, while those with undergraduate college degree had the lowest score of sleep latency. Soldiers had a higher score of sleep latency than the officers (t=2.069, P=0.040). There was significant difference in the social domain scores of life quality between navy servicemen with military service time >8 years, 3-8 years and ≤ 2 years (F=3.401, P=0.036). Officers had a higher score of social domain than soldiers (t=-2.093, P=0.038). Conclusion The sleep quality of navy servicemen should be improved. Improving sleep quality can effectively ameliorate life quality. The sleep quality and life quality of navy servicemen are related to educational levels, work categories and military service time. The corresponding psychological and behavioral intervention should be carried out according to the characteristics of different personnels.
Key words:  sleep quality  quality of life  navy  warship  soldiers