
浏览全部资源
扫码关注微信
1.400038 重庆,陆军军医大学(第三军医大学)护理系野战护理学教研室
2.400038 重庆,陆军军医大学(第三军医大学)医学心理系
[冯正直,E-mail: fzz@tmmu.edu.cnFENG Zhengzhi, E-mail: fzz@tmmu.edu.cn
收稿:2023-10-10,
修回:2023-12-27,
纸质出版:2024-07-30
移动端阅览
许珂, 赵梦雪, 王佳, 等. 知觉压力对常驻高原军人睡眠质量的影响:职业紧张的调节作用[J]. 陆军军医大学学报, 2024,46(14):1618-1625.
Ke XU, Mengxue ZHAO, Jia WANG, et al. Effect of perceived stress on sleep quality in military personnel serving in plateau: regulatory effect of occupational stress[J]. Journal of Army Medical University, 2024, 46(14): 1618-1625.
许珂, 赵梦雪, 王佳, 等. 知觉压力对常驻高原军人睡眠质量的影响:职业紧张的调节作用[J]. 陆军军医大学学报, 2024,46(14):1618-1625. DOI: 10.16016/j.2097-0927.202310034.
Ke XU, Mengxue ZHAO, Jia WANG, et al. Effect of perceived stress on sleep quality in military personnel serving in plateau: regulatory effect of occupational stress[J]. Journal of Army Medical University, 2024, 46(14): 1618-1625. DOI: 10.16016/j.2097-0927.202310034.
目的
2
探讨常驻高原军人睡眠质量特点
以及知觉压力、职业紧张等因素对其影响。
方法
2
本研究采用横断面研究设计方案。于2023年2月
应用自编的人口学资料调查表、匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index
PSQI)、知觉压力量表(perceived stress scale
PSS-10)、工作内容问卷(job content questionnaire
JCQ)
对整群抽取的常驻我国高原某部的3 784名高原军人进行测查。
结果
2
常驻高原军人PSQI总分为(5.37±2.78)分
PSQI总分及各维度得分均显著高于我国平原常模(
P
<
0.001)。不同年龄、军龄、民族、驻守高原时长、文化程度、家庭结构的常驻高原军人PSQI得分差异具有统计学意义(
P
<
0.001)。低知觉压力组常驻高原军人的PSQI得分显著低于高知觉压力组(
t
=-12.108
P
<
0.001)。调节效应分析显示
驻守高原时长、工作自主、工作心理要求、工作环境中的社会支持能调节知觉压力与睡眠质量间的关系(
t
值分别为8.326、-3.788、-2.145、-6.656
P
<
0.05)
分别解释睡眠质量变异率的14.6%、7.6%、7.0%和7.9%。
结论
2
常驻高原军人睡眠质量较差。年龄、军龄、驻守高原时长、民族、家庭结构、文化程度、知觉压力、职业紧张是常驻高原军人睡眠质量的重要影响因素。驻守高原时长、职业紧张能调节常驻高原军人睡眠质量与知觉压力的关系。
Objective
2
To explore the features of sleep quality and its relationship with perceived stress and occupational stress in military personnel serving in high-altitude regions.
Methods
2
Cross-sectional study design was adopted in this study.In February 2023
self-designed demographic data questionnaire
Pittsburgh sleep quality index (PSQI)
perceived stress scale (PSS-10) and job content questionnaire (JCQ) were applied to survey 3 784 soldiers from a unit stationing in plateau subjected by cluster sampling.
Results
2
The total score of PSQI was 5.37±2.78 in the participants
and the total score and the scores of each dimension of PSQI were significantly higher than the national norms for Chinese (
P
<
0.001).There were significant differences in PSQI scores among different age
length of military service
nationality
length of stationing in plateau
education level and famil
y structure (
P
<
0.001).The low perceived stress group had significantly lower PSQI scores than the high perceived stress group (
t
=-12.108
P
<
0.001).Regulatory effect analysis showed that the length of stationing in plateau
work autonomy
work psychological requirements
and social support in the work environment could modulate the relationship between perceived stress and sleep quality (
t
=8.326
-3.788
-2.145
-6.656
P
<
0.05)
and explained 14.6%
7.6%
7.0% and 7.9% of the variance of sleep quality
respectively.
Conclusion
2
The military personnel serving in high-altitude regions have a poor sleep quality.Age
time of military service
time of stationing in plateau
nationality
family structure
education level
perceived stress
and occupational stress are important factors affecting their sleep quality.The length of stationing in plateau time and occupational stress
can modulate the relationship between perceived stress and sleep quality.
管銮友, 鲁娜. 精神分裂症患者的记忆与睡眠的特点及二者间的关系研究核心探究[J]. 世界睡眠医学杂志, 2023, 10(3): 674-676, 680. DOI: 10.3969/j.issn.2095-7130.2023.03.072.
GUAN L Y, LU N. The characteristics of memory and sleep in patients with schizophrenia and the exploration of the core research on the relationship between the memory and sleep[J]. World J Sleep Med, 2023, 10(3): 674-676, 680. DOI: 10.3969/j.issn.2095-7130.2023.03.072.
徐明, 储雪雁, 王浩, 等. 部队官兵睡眠质量情况调查研究[J]. 中华保健医学杂志, 2017, 19(1): 60-61. DOI: 10.3969/.issn.1674-3245.2017.01.019.
XU M, CHU X Y, WANG H, et al . Investigation and study on sleep quality of army officers and soldiers[J ] . Chin J Health Care Med, 2017, 19(1): 60-61. DOI: 10.3969/.issn.1674-3245.2017.01.019.
李鹏, 谢慎威, 向彬, 等. 应用不同指标评价常驻高原军人有氧运动能力的适宜性比较[J]. 第三军医大学学报, 2020, 42(6): 588-593. DOI: 10.16016/j.1000-5404.201909215.
LI P, XIE S W, XIANG B, et al . Comparison of different indexes for assessing aerobic exercise capacity in military staff in high-altitude regions[J ] . J Third Mil Med Univ, 2020, 42(6): 588-593. DOI: 10.16016/j.1000-5404.201909215.
石彤, 傅振寰, 王汝州, 等. 军人疲劳、情绪状态对睡眠质量的影响及睡眠质量与警觉性相关性分析[J]. 军事医学, 2023, 9(4): 259-263, 267. DOI: 10.7644/j.issn.16749960.2023.04.004.
SHI T, FU Z H, WANG R Z, et al . Effects of fatigue and emotional state on sleep quality and correlations between sleep quality and alertness in soldiers[J ] . Mil Med Sci, 2023, 9(4): 259-263, 267. DOI: 10.7644/j.issn.16749960.2023.04.004.
杜瑄, 杨玲玲, 刘晓慧, 等. 智谋、社会支持在脑卒中患者主要照顾者知觉压力与疲劳中的链式中介作用[J]. 中华现代护理杂志, 2023, 9(1): 35-41. DOI: 10.3760/cma.j.cn115682-20220403-01596.
DU X, YANG L L, LIU X H, et al . Influence of perceived stress on fatigue of main caregivers of stroke patients: the chain intermediary effect of resourcefulness and social support[J ] . Chin J Mod Nurs, 2023, 9(1): 35-41. DOI: 10.3760/cma.j.cn115682-20220403-01596.
张丹, 胡雪庆, 刘勤学. 大学生压力和睡眠质量: 反刍思维和心理韧性的链式中介作用[J]. 心理科学, 2021, 44 (1): 90-96. DOI: 10.16719/j.cnki.1671-6981.20210113.
ZHANG D, HU X Q, LIU Q X. Stress and sleep quality among undergraduate students: chain mediating effects of rumination and resilience[J]. J Psychol Sci, 2021, 44(1): 90-96. DOI: 10.16719/j.cnki.1671-6981.20210113.
何凯, 陶建刚, 张世奇. 职业紧张与抑郁相关的meta分析: 基于付出—回报模型[J]. 中国健康心理学杂志, 2022, 30(1): 53-58. DOI: 10.13342/j.cnki.cjhp.2022.01.012.
HE K, TAO J G, ZHANG S Q. Meta: analysis of relationship between occupational stress and depression based on effort: reward model[J]. China J Health Psychol, 2022, 30(1): 53-58. DOI: 10.13342/j.cnki.cjhp.2022.01.012.
陈志冰, 周娅冰, 陈梅龙, 等. 职业紧张和轮班对铁路工务系统职工睡眠质量的影响[J]. 环境与职业医学, 2020, 37(3): 231-236. DOI: 10.13213/j.cnki.jeom.2020.19652.
CHEN Z B, ZHOU Y B, CHEN M L, et al . Effect of occupational stress and shift work on sleep quality of workers of permanent way system[J ] . J Environ Occup Med, 2020, 37(3): 231-236. DOI: 10.13213/j.cnki.jeom.2020.19652.
梁郁晴, 成娟, 刘敏. 医务人员职业紧张性与血清甲状腺激素水平的关系[J]. 标记免疫分析与临床, 2021, 28(2): 304-308. DOI: 10.11748/bjmy.issn.1006-1703.2021.02.028.
LIANG Y Q, CHENG J, LIU M. The relationship between occupational stress of medical staff and thyroid hormone levels[J]. Labeled Immunoass Clin Med, 2021, 28(2): 304-308. DOI: 10.11748/bjmy.issn.1006-1703.2021.02.028.
许珂, 赵梦雪, 王佳, 等. 抑郁情绪对高原新兵新训期睡眠质量的影响: 负性认知加工偏向的纵向调节作用[J]. 陆军军医大学学报, 2022, 44(19): 1923-1929. DOI: 10.16016/j.2097-0927.202202090.
XU K, ZHAO M X, WANG J, et al . Effect of depression on sleep quality in high-altitude recruits during new training: longitudinal moderation of negative cognitive processing bias[J ] . J Army Med Univ, 2022, 44(19): 1923-1929. DOI: 10.16016/j.2097-0927.202202090.
BUYSSE D J, REYNOLDS C F 3rd, MONK T H, et al . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research[J ] . Psychiatry Res, 1989, 28(2): 193-213. DOI: 10.1016/0165-1781(89)90047-4.
COHEN S, KAMARCK T, MERMELSTEIN R. A global measure of perceived stress[J]. J Health Soc Behav, 1983, 24(4): 385-396. DOI: 10.2307/2136404.
KARASEK R, BRISSON C, KAWAKAMI N, et al . The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics[J ] . J Occup Health Psychol, 1998, 3(4): 322-355. DOI: 10.1037//1076-8998.3.4.322.
温忠麟, 侯杰泰, 张雷. 调节效应与中介效应的比较和应用[J]. 心理学报, 2005, 37(2): 268-274.
WEN Z L, HOU J T, ZHANG L. A comparison of moderator and mediator and their applications[J]. Acta Psychol Sin, 2005, 37(2): 268-274.
黄心塬, 马舒, 孔繁一, 等. 白噪音干预对改善高原军人主观睡眠质量和焦虑情绪的效果[J]. 昆明医科大学学报, 2022, 43(9): 130-134. DOI: 10.12259/j.issn.2095-610X.S20220918.
HUANG X Y, MA S, KONG F Y, et al . The effectiveness of white noise intervention for improving subjective sleep quality and anxiety of militaries living at the high altitude[J ] . J Kunming Med Univ, 2022, 43(9): 130-134. DOI: 10.12259/j.issn.2095-610X.S20220918.
马晓蓉, 张静宜, 宗运之, 等. 无创呼吸机治疗对阻塞性睡眠呼吸暂停低通气综合征患者骨代谢和氧化应激影响的研究[J]. 中国呼吸与危重监护杂志, 2022, 21(10): 731-736. DOI: 10.7507/1671-6205.202208044.
MA X R, ZHANG J Y, ZONG Y Z, et al . Effect of noninvasive ventilation treatment to bone metabolism and oxidative stress in patients with obstructive sleep apnea-hypopnea syndrome[J ] . Chin J Respir Crit Care Med, 2022, 21(10): 731-736. DOI: 10.7507/1671-6205.202208044.
谭苑芬, 陈柏欣, 张坚昇, 等. 海拔转移对睡眠与认知功能影响的研究进展[J]. 中华医学杂志, 2022, 102(18): 1406-1410. DOI: 10.3760/cma.j.cn112137-20211022-02336.
TAN Y F, CHEN B X, ZHANG J S, et al . Progress on the effects of altitude shift on sleep and cognitive function[J ] . Natl Med J China, 2022, 102(18): 1406-1410. DOI: 10.3760/cma.j.cn112137-20211022-02336.
马舒, 刘诗翔. 高原军人睡眠障碍与影响因素的相关性分析[J]. 中国实用神经疾病杂志, 2012, 15(9): 37-38. DOI: 10.3969/j.issn.1673-5110.2012.09.016.
MA S, LIU S X. Correlation analysis between sleep disorder and influencing factors in plateau soldiers[J]. Chin J Pract Nerv Dis, 2012, 15(9): 37-38. DOI: 10.3969/j.issn.1673-5110.2012.09.016.
金瑾, 张兰, 沈晓芳. 苏州市三级医院153名神经内科医务人员的职业疲劳现状及与工作压力源和睡眠质量的关系分析[J]. 职业与健康, 2023, 39(3): 293-296. DOI: 10.13329/j.cnki.zyyjk.2023.0058.
JIN J, ZHANG L, SHEN X F. Occupational fatigue status and its relationship with work stressors and sleep quality in 153 medical workers in neurology department in Suzhou City[J]. Occup Health, 2023, 39(3): 293-296. DOI: 10.13329/j.cnki.zyyjk.2023.0058.
李玉红, 乌仁塔娜, 嘎琴, 等. 高原地区世居藏族与久居汉族青年男性睡眠结构及质量差异的初步研究[J]. 中华医学杂志, 2015, 95(42): 3416-3419. DOI: 10.3760/cma.j.issn.0376-2491.2015.42.005.
LI Y H, WUREN T N, GA Q, et al . Pilot study on the differences of young male's sleep structure and quality between indigenous Tibetans and longtime Han residents in high altitude area[J ] . Natl Med J China, 2015, 95(42): 3416-3419. DOI: 10.3760/cma.j.issn.0376-2491.2015.42.005.
严由伟, 刘明艳, 唐向东, 等. 压力源及其与睡眠质量的现象学关系研究述评[J]. 心理科学进展, 2010, 18(10): 1537-1547. DOI: 10.3724/SP.J.1142.2010.40521.
YAN Y W, LIU M Y, TANG X D, et al . On the stressors and its phenomenological relationship with sleep quality[J ] . Adv Psychol Sci, 2010, 18(10): 1537-1547. DOI: 10.3724/SP.J.1142.2010.40521.
LARAQUI O, ROLAND-LEVY C, MANAR N, et al . Health status, sleeping habits and dyssomnia of coastal fishermen[J ] . Int Marit Health, 2022, 73(4): 163-171. DOI: 10.5603/IMH.2022.0029.
0
浏览量
152
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621