综合医院护士的日间过度嗜睡及其影响因素的研究

doi:10.3969/j.issn.1000-8535.2020.04.023

广州医药 ›› 2020, Vol. 51 ›› Issue (4): 104-109.DOI: 10.3969/j.issn.1000-8535.2020.04.023

综合医院护士的日间过度嗜睡及其影响因素的研究

陈丽萍¹, 骆春柳², 潘集阳³

1 广州市第一人民医院精神心理科 (广州 510180)
2 暨南大学附属华侨医院影像中心(广州 510632)
3 暨南大学附属华侨医院精神科(广州 510632)

收稿日期:2020-02-12 出版日期:2020-07-20 发布日期:2021-11-28
通讯作者: 潘集阳,E-mail: jiypang@163.com
作者简介:陈丽萍,女,医学博士(暨南大学精神卫生专业,导师潘集阳),主治医师。中国睡眠研究会睡眠障碍专委会青年委员;曾香至港中文大学研修1年。核心期刊发表论文多篇,SCI论文2篇,参与翻译国外模拟医学专著1本。
基金资助:
广东省自然科学基金(2013B022000076);广州市卫生和计划生育科技项目 (20182A010010);广州市卫生计生科技一般引导项目(20181A011005);暨南大学的护理项目专项资金(2013303;2016401);广东省科技计划项目(2016ZC0043)

Excessive daytime sleepiness in general hospital nurses: prevalence and correlates

CHEN Liping¹, LUO Chunliu², PAN Jiyang³

1 Department of Psychiatry,Guangzhou First People's Hospital,Guangzhou 510180,China
2 Medical Imaging Center,The First Affiliated Hospital,Jinan University,Guangzhou 510632,China
3 Department of Psychiatry,The First Affiliated Hospital,Jinan University,Guangzhou 510632,China

Received:2020-02-12 Online:2020-07-20 Published:2021-11-28

摘要/Abstract

摘要： 目的本研究通过调查中国华南地区一间大型医疗机构(综合医院)中护士日间过度嗜睡的发生率及相关影响因素。方法纳入了1 102名在职护士要求他们在一段规定的时间内完成一份自我报告问卷,其中包括人口学资料采集、生活习惯(BMI、小睡习惯、打鼾等)、失眠、抑郁、焦虑、MEQ分型、倒班、工作兴趣等与工作及睡眠相关的特征。了解EDS在被试人群中的发生率及其影响因素。结果共有1 048名护士有效的完成了问卷(应答率为95.1%)。其中169名(16.1%)护士存在日间过度嗜睡(EDS)。抑郁症状(校正后的OR值= 2.24,95%的可信区间 1.51～3.31)、焦虑症状(1.65; 1.02～2.67)、失眠(2.29; 1.56～3.36)、倒班工作(1.98; 1.03～3.83)和对工作的低兴趣(1.74; 1.01～2.99)是EDS发生的独立危险因素。结论日间过度嗜睡(EDS)在华南地区的综合医疗机构中的青年护士群体中普遍存在。EDS的发生可能与抑郁症状、焦虑症状、失眠、倒班工作和对工作的低兴趣存在相关。

关键词: 日间过度嗜睡, 综合医院护士, 抑郁, 焦虑, 倒班工作

Abstract: Objective To investigate the prevalence and correlates of excessive daytime sleepiness EDS in a population of hospital nurses in South China. Methods A total of 1 102 nurses working in a large medical center were invited to participate in this cross-sectional study (females 96.9%,mean age 29.6 years). They all completed a self-reported questionnaire consisting of items on demographic variables,lifestyle factors,insomnia,anxiety,depression,and both work-related and sleep related characteristics. Results A total of 1 048 nurses gave a valid response (response rate 95.1%). Among them,169 (16.1%) reported EDS as defined as an Epworth Sleepiness Scale≥14. Depression (adjusted odds ratio=2.24,95% confidence interval 1.51～3.31),anxiety (1.65; 1.02 ～2.67),insomnia (2.29; 1.56～3.36),rotating shift work (1.98; 1.03～3.83) and low interest in work (1.74; 1.01～2.99) were all independent risk factors of the occurrence of EDS. Conclusion EDS were common among this relatively young and healthy nurse population in south China. There were clear associations with EDS and depression,anxiety,insomnia,rotating shift work and low work-related interest.

Key words: Excessive daytime sleepines, Nurses, Depression, Anxiety, Rotating shift work

陈丽萍, 骆春柳, 潘集阳. 综合医院护士的日间过度嗜睡及其影响因素的研究[J]. 广州医药, 2020, 51(4): 104-109.

CHEN Liping, LUO Chunliu, PAN Jiyang. Excessive daytime sleepiness in general hospital nurses: prevalence and correlates[J]. Guangzhou Medical Journal, 2020, 51(4): 104-109.

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综合医院护士的日间过度嗜睡及其影响因素的研究

Excessive daytime sleepiness in general hospital nurses: prevalence and correlates

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