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精神科护理人员睡眠状况及相关因素分析
黎玮琴吕笑丽顾云芬刘芹季彩芳王浩李哲杜向东
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摘要:
目的 了解精神科护理人员睡眠状况及其影响因素,以及睡眠与职业倦怠相关性。方法 采 用匹兹堡睡眠质量指数(PSQI)、Epworth嗜睡量表(ESS)与职业倦怠量表(MBI-GS)对200名精神科护理人 员进行问卷调查;Logistic回归分析确定影响护理人员睡眠问题的因素。结果 精神科护理人员PSQI总 分高于常模(P< 0.05),32.5%护理人员存在睡眠问题。ESS结果显示大部分护理人员日间存在嗜睡状况; ESS总分与睡眠质量、睡眠障碍、日间功能障碍、PSQI总分呈正相关。近一个月上中夜班护理人员与不 上中夜班护理人员两组PSQI总分、ESS总分及MBI-GS各维度总分的差异均无统计学意义(P> 0.05)。情 绪衰竭及去人性化维度得分与睡眠质量、入睡时间、催眠药物、日间功能障碍及PSQI总分呈正相关;个 人成就感维度得分与PSQI总分及因子分无相关性;MBI-GS各维度得分与ESS总分没有相关性。Logistic 回归分析显示年龄、护龄是影响精神科护士睡眠的主要风险因素,职称分布上主管护师发生睡眠问题的 风险远低于护士。结论 精神科护理人员存在睡眠及嗜睡问题。睡眠质量和职业倦怠密切相关,睡眠障 碍不仅影响身心健康,而且导致护理质量下降。年龄、护龄是影响精神科护士睡眠的主要风险因素。职 称为主管护师的护理人员出现睡眠问题的风险小于职称为护士的护理人员。
关键词:  护理人员  精神科  睡眠质量  嗜睡  职业倦怠
DOI:10.3969/j.issn.1009-6574.2017.11.011
基金项目:苏州市精神疾病临床医学中心项目(Szzx201509)
Sleep status and its influencing factors in psychiatric nurses
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Abstract:
Objective To understand the sleep status and its influencing factors, as well as the correlation between sleep and job burnout in psychiatric nurses. Methods A total of 200 psychiatric nurses were investigated by the Pittsburgh Sleep Quality Index( PSQI), Epworth sleepiness scale(ESS) and Maslach Burnout Inventory-General Survey( MBI-GS). Logistic regression analysis was adopted to determine the influencing factors of nurses’ sleep disorders. Results The total score of PSQI of the involved nurses was higher than normal population, and the difference was statistically significant( P < 0.05), and 32.5% of nurses had sleep problems. ESS results showed that most nurses had lethargy. The total score of ESS was positively correlated with sleep quality, sleep disorders, daytime dysfunction and PSQI total score. There was no statistically significant difference in the total score of PSQI, ESS and MBI-GS between the two groups of night shift nurses and no night shift nurses in nearly one month( P<0.05). The scores of the sleep quality, sleep time, hypnotic drugs, daytime dysfunction and the total score of PSQI were positively correlated with the score of emotional exhaustion and removal of personalization dimensions. However, there was no correlation between personal accomplishment and the total score, as well as the element scores of the PSQI. In addition, there was no correlation between job burnout scores and the total score of ESS. Logistic regression analysis showed that age and nursing age were the main risk factors affecting sleep of psychiatric nurses. The risk of sleep problems in nurses with intermediate professional titles was much lower than that of primary nurses. Conclusions Psychiatric nurses have sleep and sleepiness problems. The quality of sleep has significant interaction with job burnout. Sleep disorders not only affect physical and mental health, but also lead to the decreased quality of care. The main risk factors of affecting psychiatric nurses’ sleep are age and nursing age. Compared with the nurses with primary professional titles, the nurses with intermediate were less likely to have sleep problems.
Key words:  Nursing staff  Psychiatric  Sleep quality  Lethargy  Job burnout

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