| 摘要: |
| 目的 调查首次执行长远航任务的医护官兵睡眠状况及影响因素。方法 应用整群抽样方法，采用自制问卷和匹兹堡睡眠质量指数（PSQI）量表对91名首次执行长远航任务的医护官兵进行调查。结果 共收回有效问卷91份，回收有效率为100%。长远航期间医护官兵失眠率为63.74%（58/91），较出任务前（43.96%，40/91）明显上升（P<0.01）。执行任务4个月时医护官兵PSQI总分为（7.59±5.35）分，PSQI总分>7分者有39例（42.86%）。医护官兵失眠症状以入睡困难为主，占89.66%（52/58）；受到调时因素影响的人数最多（41人，70.69%），其次是环境改变（33人，56.90%）。Logistic回归分析显示床铺位置是医护官兵失眠的主要影响因素（P<0.05）。医护官兵主要采取增加运动量的方法缓解失眠，仅1人通过接受心理辅导缓解失眠。结论 长远航会对医护官兵睡眠状况造成严重影响，首次执行长远航任务的医护官兵睡眠情况存在较大问题，受到调时及环境改变的影响时失眠发生率较高，且缺少合理的防范及治疗措施。 |
| 关键词: 长远航 医护官兵 失眠 调查 |
| DOI：10.16781/j.0258-879x.2020.11.1267 |
| 投稿时间：2020-01-22修订日期：2020-09-18 |
| 基金项目:海军军医大学（第二军医大学）长海医院海军军事医学专项（2018018）. |
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| Sleep status of medical officers and soldiers during the first long-distance navigation after 4 months |
| LIU Yi-qun1,NI Zhe-xin1,SUN Shuai1,LU Xiao-ying2* |
(1. Department of Traditional Chinese Medicine(Gynecology), Changhai Hospital, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Department of Nursing, Changhai Hospital, Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To investigate the sleep status and its influencing factors of medical officers and soldiers on their first long-distance navigation. Methods With cluster sampling method, 91 medical officers and soldiers were investigated with self-made general information questionnaire and Pittsburgh sleep quality index (PSQI). Results A total of 91 valid questionnaires were collected, with an effective rate of 100%. During the long-distance navigation, the insomnia rate of medical officers and soldiers was 63.74% (58/91), which was significantly higher than that before the navigation (43.96%,40/91) (P<0.01). The PSQI score was 7.59±5.35 at the end of 4 months, and 39 cases (42.86%) had PSQI score>7. The most common symptom of insomnia was "difficulty in falling asleep" (89.66%, 52/58); and the most cases (70.69%, 41/58) were affected by timing adjustment, followed by environmental changes (56.90%, 33/58). Logistic regression analysis showed that bed position was the main influencing factor of insomnia (P<0.05). The medical officers and soldiers alleviated insomnia mainly by increasing exercise, only one of them alleviated insomnia through psychological counseling. Conclusion Long-distance navigation has a serious impact on the sleep status of medical officers and soldiers. Sleep problems in medical officers and soldiers on their first long-distance navigation tasks are serious. The incidence of insomnia is high due to the influence of timing adjustment and environmental changes, and there is a lack of reasonable prevention and treatment measures. |
| Key words: long-distance navigation medical officers and soldiers insomnia survey |
