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目的探讨内地官兵高原驻训期间睡眠质量及其可能的影响因素。方法采用心理应激自评问卷(PSET)、匹兹堡睡眠质量指数量表(PSQI)、疲劳症状自评量表、自编一般资料调查表对459名高原驻训官兵进行现场心理测评。结果 (1)高原驻训官兵总体睡眠质量均值为5.61±3.48,40.5%睡眠质量较好,25.3%睡眠质量较差,34.2%睡眠质量一般。(2)睡眠质量较差官兵的疲劳及心理应激得分显著高于睡眠质量好的官兵(t1=-10.70,t2=-9.68,P<0.01)。(3)心理应激、疲劳程度、自评演习信心程度、自评健康状况与PSQI总分呈显著正相关(r=0.517,0.488,0.259,0.352,P<0.01)。(4)心理应激、疲劳程度、自评演习信心程度和自评健康状况进入PSQI总分回归方程,且预测变异量为36.1%。结论高原条件下驻训官兵的心理应激状况、疲劳程度影响睡眠质量,官兵对演习的自信程度、健康状况的评估也对睡眠产生积极的影响。
Objective To explore the quality of sleep and its possible influencing factors during the military training of officers and men in the Mainland. Methods PSET, Pittsburgh Sleep Quality Index Scale (PSQI), Self-rating Fatigue Symptom Checklist and Self-compiled General Information Questionnaire were used to conduct on-the-spot psychological assessment of 459 officers and soldiers stationed in the plateau. Results (1) The overall quality of sleep of officers and soldiers stationed in the plateau was 5.61 ± 3.48, the quality of sleep was better, the quality of sleep was better, the quality of sleep was worse, the quality of sleep was poor, and the quality of sleep was poor. (2) The fatigue and psychological stress scores of officers and soldiers with poor sleep quality were significantly higher than those with good sleep quality (t1 = -10.70, t2 = -9.68, P <0.01). (3) There was a significant positive correlation between psychological stress, degree of fatigue, self-assessment exercise confidence and self-rated health status and PSQI score (r = 0.517,0.488,0.259,0.352, P <0.01). (4) Psychological stress, degree of fatigue, self-assessment exercise confidence level and self-rated health status entered PSQI regression equation, and the predicted variance was 36.1%. Conclusions The psychological stress and the degree of fatigue affect the quality of sleep in officers and soldiers stationed in the plateau. The self-confidence and health assessment of the officers and men also have a positive effect on sleep quality.