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| 海军出航官兵不同工作岗位睡眠质量状况及影响因素分析 |
| 赵玉丞1△,周晖2△,石长贵3,陈晓晗1,龚宝峰1,李澎1,徐瑾1,许义新1,李根茹1,贺斌1,庄建华1,尹又1* |
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| (海军军医大学(第二军医大学)第二附属医院脊柱外科, 上海 200003;海军军医大学(第二军医大学)第二附属医院神经内科, 上海 200003) |
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| 摘要: |
| 目的 探讨不同工作岗位海军出航官兵的睡眠质量状况及其影响因素。方法 采用随机整群抽样法选取某舰队的官兵作为调查对象，获取出航官兵有效问卷501份、出航前官兵有效问卷460份。501名出航官兵根据人员编制和工作性质，分为后勤组、舰务组、航海组、机电组、观通组和机炮组。利用匹兹堡睡眠质量指数（PSQI）量表、Epworth嗜睡量表（ESS）、焦虑自评量表（SAS）和自编的睡眠障碍原因调查表调查官兵的睡眠质量状况和睡眠质量的影响因素，并采用点二列相关分析探讨不同工作岗位官兵睡眠影响因素与睡眠质量之间的相关性。结果 出航官兵PSQI总分为（9.22±4.13）分，高于出航前官兵［（6.75±3.54）分；t＝2.37，P＜0.01］。出航官兵睡眠质量的影响因素主要是焦虑情绪（75.25%，377/501）、噪声（62.67%，314/501）和躯体疼痛（59.08%，296/501）。不同工作岗位官兵睡眠质量存在差异，且主要影响因素也不同，后勤组和航海组官兵的睡眠质量主要受焦虑情绪的影响，机电组和观通组官兵的睡眠质量主要受倒班制度的影响，机炮组官兵的睡眠质量主要受躯体疼痛的影响，舰务组官兵的睡眠质量主要受噪声的影响。噪声主要与舰务组官兵的主观睡眠质量、睡眠障碍和日间功能障碍相关，倒班制度主要与机电组和观通组官兵的主观睡眠质量、入睡时间、睡眠障碍和日间睡眠障碍相关，躯体疼痛主要与机炮组官兵的主观睡眠质量、入睡时间、睡眠障碍和日间功能障碍相关，焦虑情绪主要与后勤组和航海组官兵的睡眠效率、日间功能障碍相关（P均＜0.05）。结论 海军官兵出航较在港时睡眠质量变差，出航行为、舰艇工作岗位与睡眠质量存在密切关联。 |
| 关键词: 海军医学 舰艇 睡眠质量 工作岗位 影响因素 |
| DOI：10.16781/j.CN31-2187/R.20210608 |
| 投稿时间：2021-06-18修订日期：2022-03-07 |
| 基金项目:上海市科学技术委员会生物医药领域科技支撑项目(19441907500),海军军医大学(第二军医大学)军事医学创新专项(2017JS07),上海市科学技术委员会科技创新行动计划(17411950104),海军军医大学(第二军医大学)第二附属医院创新型临床研究项目(2020YLCYJ-Y02),海军军医大学(第二军医大学)第二附属医院为军特色医疗服务项目(2020CZWJFW12). |
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| Analysis of sleep quality and its influencing factors of naval officers and soldiers in different job positions during voyage |
| ZHAO Yu-cheng1△,ZHOU Hui2△,SHI Chang-gui3,CHEN Xiao-han1,GONG Bao-feng1,LI Peng1,XU Jin1,XU Yi-xin1,LI Gen-ru1,HE Bin1,ZHUANG Jian-hua1,YIN You1* |
| (Department of Spinal Surgery, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China;Department of Neurology, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China) |
| Abstract: |
| Objective To explore the sleep quality and its influencing factors of naval officers and soldiers in different job positions during voyage.Methods The officers and soldiers were selected from a naval fleet by random cluster sampling method,and 501 valid questionnaires of officers and soldiers during voyage and 460 valid questionnaires of officers and soldiers before voyage were obtained.The 501 officers and soldiers during voyage were divided into logistics group,shipping group,nautical group,electromechanical group,communication group,and weapon group according to the staffing and work nature.The Pittsburgh sleep quality index (PSQI) scale,Epworth sleepiness scale (ESS),self-rating anxiety scale (SAS) and self-compiled sleep disorder cause questionnaire were used to investigate the sleep quality of officers and soldiers and identify the influencing factors of sleep quality.The point biserial correlation analysis was used to analyze the correlations between the sleep influencing factors and sleep quality of officers and soldiers in different job positions.Results The total PSQI score of the officers and soldiers during voyage was 9.22±4.13,which was higher than that of the officers and soldiers before voyage (6.75±3.54;t=2.37,P<0.01).The main factors influencing the sleep quality of officers and soldiers during voyage were anxiety (75.25%,377/501),noise (62.67%,314/501),and physical pain (59.08%,296/501).There were differences in the sleep quality of officers and soldiers in different job positions,and the main influencing factors were also different.The sleep quality of officers and soldiers of the logistics group and the nautical group was mainly affected by anxiety,the sleep quality of officers and soldiers of the electromechanical group and the communication group was mainly affected by the shift system,the sleep quality of officers and soldiers of the weapon group was mainly affected by physical pain,and the officers and soldiers of the shipping group were mainly affected by noise.Noise was mainly correlated with the subjective sleep quality,sleep disorder and daytime dysfunction of officers and soldiers of the shipping group;the shift system was mainly correlated with the subjective sleep quality,sleep time,sleep disorder and daytime sleep disorder of officers and soldiers of the electromechanical group and the communication group;body pain was mainly correlated with the subjective sleep quality,sleep time,sleep disorder and daytime dysfunction of officers and soldiers of the weapon group;and anxiety was mainly correlated with the sleep efficiency and daytime dysfunction of officers and soldiers of the logistics group and nautical group (all P<0.05).Conclusion The sleep quality of naval officers and soldiers is worse during voyage than when they are in port,and there are close relationships between the behavior during voyage,job positions on warship and sleep quality. |
| Key words: naval medicine warship sleep quality job position influencing factors |
