| 摘要: |
| 目的 研究长航条件下官兵的失眠现状及其影响因素。方法 采用随机整群抽样法调查执行亚丁湾护航任务的长航官兵476名。长航前1周，对被调查人员进行症状自评量表（SCL-90）、艾森克人格问卷简式量表中国版（EPQ-RSC）测评；长航2个月后，对被调查人员进行失眠严重程度指数量表（ISI）和一般情况调查表测评。应用多元线性回归分析探讨调查人员失眠的影响因素。结果 共回收有效问卷474份。护航期间有44.1%（209/474）的官兵存在不同程度的失眠，其中28.7%（136/474）为亚临床失眠，13.5%（64/474）为中度失眠，1.9%（9/474）为重度失眠。多元线性回归分析显示护航次数、是否承担值更任务及口腔溃疡发生频率是失眠的重要影响因素（R2=0.68，标准化回归系数分别为－0.101、0.111、0.172，P均<0.05）。同时，情绪稳定性也对失眠存在一定影响（R2=0.03，标准化回归系数为0.173，P<0.05）。结论 长航官兵的睡眠质量受到严重影响，失眠发生率高。护航次数、是否承担值更任务、口腔溃疡发生频率是失眠的主要影响因素，情绪稳定性可能也在其中发挥作用。 |
| 关键词: 失眠 亚丁湾护航 海军医学 影响因素 |
| DOI：10.16781/j.0258-879x.2019.04.0440 |
| 投稿时间：2018-10-14修订日期：2018-12-24 |
| 基金项目:国家自然科学基金（31200844），第二军医大学教育研究课题（JYB2015011）. |
|
| Insomnia of soldiers in Chinese navy escort fleets in Aden Gulf: status and influencing factor analysis |
| JIANG Qian1,ZHANG Cheng2,ZHANG Yi1,LIU Tao-sheng1* |
(1. Department of Psychiatry, Faculty of Psychology, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. No. 91458 Troop of PLA Navy, Sanya 572021, Hainan, China
*Corresponding author) |
| Abstract: |
| Objective To explore the insomnia status and the influencing factors of navy soldiers during escort in Aden Gulf. Methods Totally 476 soldiers were collected by random cluster sampling method. The mental health status of the soldiers was assessed by Eysenck personality questionnaire-revised, short scale for Chinese (EPQ-RSC) and symptom check list-90 (SCL-90) at 1 week before the escort. At 2 months after the long voyage, the insomnia status and general situation were assessed using the insomnia severity index (ISI) scale and the general situation questionnaire, respectively. The multivariate linear regression analysis was conducted to analyze the influencing factors of insomnia. Results A total of 474 valid questionnaires were collected. During the escort, 44.1% (209/474) of the soldiers suffered from insomnia of different extents, with 28.1% (136/474) subthreshold insomnia, 13.5% (64/474) moderate insomnia and 1.9% (9/474) severe insomnia. The multivariate linear regression analysis showed that the times of escort, night duties and the frequency of oral ulcer were the influencing factors of insomnia (R2=0.68; standardized regression coefficients were -0.101, 0.111 and 0.172, respectively; all P<0.05). Meantime, emotional stability also influenced insomnia to a small extent (R2=0.03, standardized regression coefficient=0.173, P<0.05). Conclusion The sleep quality of the soldiers during long-time escort is severely influenced, with high prevalence of insomnia. The main influencing factors include the times of escort, night duties and the frequency of oral ulcer, and emotional stability may also be an influencing factor. |
| Key words: insomnia escort in Aden Gulf naval medicine influencing factors |
