作　　者： (孟旭阳）; (张巧）; (王佳）; (熊玮）; (王丽华）; (马炬）; (韩磊）; (罗旭东）; (王慧龙）; (赵润平）; (汪涛）;

机构地区： 第三军医大学学员一营,重庆400038 第三军医大学医学心理系行为医学教研室,重庆400038

出　　处： 《重庆医学》 2017年第25期3571-3573,共3页

摘　　要： 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 investigate the sleep quality of inland military officers and soldiers stationed and trained at plateau and its possible influence factors. Methods A total of 459 military officers and soldiers stationed and trained at plateau were performed the on site psychological assessment by adopting the psychological stress self-evaluation test （PSET）, Pittsburgh Sleep Quality Index （PSQI）, work related fatigue feelings （WRFFQ） and self compiled general data questionnaire. Results （1） The mean value of overall sleep quality in militaries stationed and trained at plateau was 5.61 ± 3.48.40.5 % of respondents had good sleep quality,25.3% had poor sleep quality and 34.2% had general sleep quality. （2）The fatigue and psychological stress scores in the militaries with poor sleep quality were significantly higher than those in the militaries with good sleep quality （t1 =- 10.70, t2 = -9.68, P〈0.01）. （3）The psychological stress, fatigue degree,confidence level of self-assessment health status had significantly positive correlation（r= 0.517,0. 488,0.259,0.352, P 〈 0.01 ）. （4） The psychological stress, fatigue degree, confidence level of self-assessment health status entered the PSQI total score regression equation, moreover the predictive variation amount was 36.1%. Conclusion The psychological stress status and fatigue level in the militaries at plateau affect the sleep quality, and the confidence degree and health status assessment of officers and soldiers on exercise also produce the active influence on sleep.

关 键 词： 睡眠质量 心理应激 疲劳 高原军人