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| 海岛环境作业人员睡眠质量及影响因素调查 |
| 徐莹1,2,任攀2,刘曼娇2,王浩1,徐淑雨1,蔡文鹏1,苏彤1,唐云翔1* |
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(1. 海军军医大学(第二军医大学)心理系医学心理学教研室, 上海 200433;
2. 中国人民解放军海军929医院, 上海 200433
*通信作者) |
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| 摘要: |
| 目的 探究海岛环境作业人员的睡眠状况及影响因素，为开展针对性干预提供科学依据。方法 应用一般资料调查表、匹兹堡睡眠质量指数量表（PSQI）、抑郁-焦虑-压力量表（DASS-21）、简易应对方式量表（SCSQ）、心理弹性量表（CD-RISC），对897名长期位于边远海岛环境作业的人员开展心理调查。通过Pearson或Spearman相关分析检验PSQI、DASS-21、SCSQ、CD-RISC得分之间的相关性。将PSQI得分＞7分作为睡眠障碍的判断标准，比较睡眠障碍组与无睡眠障碍组一般资料及DASS-21、SCSQ、CD-RISC得分的差异，通过多因素logistic回归分析探讨睡眠质量的影响因素。结果 海岛作业人员PSQI得分为8.0（6.0，10.0）分，其中睡眠障碍组512人（57.08%）、无睡眠障碍组385人（42.92%）。睡眠障碍组与无睡眠障碍组在性别、年龄、婚姻状况、成长期间有无遭遇重大变故及DASS-21、SCSQ、CD-RISC评分方面差异有统计学意义（均P＜0.05）。PSQI得分与DASS-21、SCSQ消极应对方式维度得分呈正相关（均P＜0.01），与SCSQ积极应对方式维度得分、CD-RISC得分呈负相关（均P＜0.01）。多因素logistic回归分析显示，DASS-21得分（P＜0.001）、SCSQ积极应对方式维度得分（P＝0.017）和SCSQ消极应对方式维度得分（P＝0.005）是海岛作业人员睡眠质量的独立影响因素。结论 长期处于海岛特殊环境作业人员睡眠质量较差，情绪状态、应对方式是睡眠质量的独立影响因素。 |
| 关键词: 特殊环境 海岛 睡眠 心理健康 影响因素 |
| DOI：10.16781/j.CN31-2187/R.20240233 |
| 投稿时间：2024-04-10修订日期：2024-05-21 |
| 基金项目: |
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| Sleep quality and its influencing factors of individuals working on islands: a survey |
| XU Ying1,2,REN Pan2,LIU Manjiao2,WANG Hao1,XU Shuyu1,CAI Wenpeng1,SU Tong1,TANG Yunxiang1* |
(1. Department of Medical Psychology, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China;
2. No. 929 Hospital of PLA Navy, Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To explore the sleep status and its influencing factors of individuals working on islands, and to provide a scientific basis for targeted intervention. Methods A total of 897 individuals on islands were surveyed with general information questionnaire, Pittsburgh sleep quality index (PSQI), depression anxiety stress scale-21 (DASS-21), simplified coping style questionnaire (SCSQ), and Connor-Davidson resilience scale (CD-RISC). The correlations among PSQI, DASS-21, SCSQ and CD-RISC scores were tested by Pearson or Spearman correlation analyses. The PSQI score＞7 was considered as sleep disorder. The general data and DASS-21, SCSQ and CD-RISC scores were compared between sleep disorder group and non-sleep disorder group. The influencing factors of sleep quality were explored by multivariate logistic regression analysis. Results The PSQI score of the individuals was 8.0 (6.0, 10.0). There were 512 (57.08%) individuals in the sleep disorder group, and 385 (42.92%) in the non-sleep disorder group. There were significant differences in gender, age, marital status, whether experienced major upheavals during growth, and DASS-21, SCSQ and CD-RISC scores between the sleep disorder group and non-sleep disorder group (all P＜0.05). PSQI score was positively correlated with DASS-21 score and negative coping style score of SCSQ (both P＜0.01), while negatively correlated with positive coping style score of SCSQ and CD-RISC score (both P＜0.01). Multivariate logistic regression analysis showed that DASS-21 score (P＜0.001), SCSQ positive coping style score (P＝0.017) and negative coping style score (P＝0.005) were the independent influencing factors for sleep quality of the individuals working on islands. Conclusion Sleep quality of individuals working on islands is poor. Emotional state and coping style are the independent influencing factors of sleep quality. |
| Key words: special environment islands sleep mental health influencing factors |
