高原驻训战士睡眠质量和心理健康状况分析

发布时间：2019-02-11 09:45

【摘要】：目的研究某快反部队战士高原驻训期间的睡眠质量和心理健康状况,并分析影响睡眠质量的因素。方法采用匹兹堡睡眠质量指数(PSQI)、症状自评量表(SCL-90)对研究组战士(驻训高原前后)进行评测,未驻训高原战士作为对照组,比较不同环境下战士睡眠质量和心理状况的变化。影响高原驻训的睡眠质量因素采用logistic回归分析及偏最大似然估计前进法。结果研究组驻训高原前主观睡眠质量、睡眠时间和日间功能障碍的评分显著高于对照组(P0.05和P0.01);入睡时间评分显著低于对照组(P0.05);研究组进驻高原后主观睡眠质量、睡眠障碍和日间功能障碍的评分显著高于驻训高原前和对照组(P0.05和P0.01),睡眠时间评分显著低于驻训高原前(P0.01)。研究组躯体化、强迫、恐惧、精神病性、因子均分及总分均显著高于对照组(P0.05和P0.01);驻训高原后躯体化、焦虑、恐惧、精神病性因子、因子均分和总分均显著高于高原前(P0.05)。影响战士高原驻训睡眠质量的心理状况主要是躯体化因子、焦虑因子;年龄大、军龄大、已婚和吸烟是睡眠质量危险因素,文化程度高、籍贯属于青藏高原地区是睡眠质量保护因素。结论高原驻训进一步影响了战士的睡眠质量和心理健康状况。
[Abstract]:Objective to study the sleep quality and mental health of a QRF soldier during altitude training, and to analyze the factors affecting sleep quality. Methods the Pittsburgh Sleep quality Index (PSQI),) symptom Checklist (SCL-90) was used to evaluate the soldiers in the study group (before and after training at high altitude), and the non-trained soldiers were used as the control group. To compare the changes of sleep quality and psychological status of soldiers in different environments. Logistic regression analysis and partial maximum likelihood estimation were used to determine the sleep quality. Results the scores of subjective sleep quality, sleep time and daytime dysfunction in the study group were significantly higher than those in the control group (P0.05 and P0.01), and the scores of sleep time were significantly lower than those in the control group (P0.05). The scores of subjective sleep quality, sleep disorder and daytime dysfunction in the study group were significantly higher than those before training at high altitude and control group (P0.05 and P0.01), and the score of sleep time was significantly lower than that before altitude training (P0.01). Somatization, obsessive compulsion, fear, psychosis, factor mean score and total score in the study group were significantly higher than those in the control group (P0.05 and P0.01). Somatization, anxiety, fear, psychotic factors, average score and total score were significantly higher than those before altitude training (P0.05). The main factors affecting the sleep quality of soldiers at high altitude were somatization factors and anxiety factors. Age, military age, married and smoking are risk factors of sleep quality, education level is high, and the origin of Qinghai-Tibet Plateau is the protective factor of sleep quality. Conclusion altitude training further affects the sleep quality and mental health of soldiers.
【作者单位】：中国人民解放军第三医院全军精神卫生中心;陕西中医药大学;
【基金】：解放军总后勤部卫生科研基金(14BJZ26)
【分类号】：R82

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