摘要
目的 探讨杭州市多所综合性医院存在轮班睡眠障碍(SWD),职业为护理人员的女性患者“失眠-疲劳-慢性疼痛”的情况调查及相关性分析。方法 采用便利取样法,招募87例SWD女性护理人员作为研究对象,收集纳入对象基本信息。采用匹兹堡睡眠质量指数量表(PSQI)、弗林德斯疲劳量表(FFS)和颈背部慢性疼痛视觉模拟量表(VAS)对其进行横断面研究。结果 纳入患者睡眠质量PSQI综合评分为16.00(14.00,17.00)分,FFS日间疲劳综合评分为15.00(12.00, 18.00)分,颈背部慢性疼痛综合评分为3.00(2.00,4.00)分,睡眠质量与日间疲劳、慢性疼痛呈显著正相关;单因素分析结果提示年龄、技术职称、夜班轮转情况及对SWD认知程度对FFS疲劳得分有影响作用(P<0.05);Logistic回归分析提示,技术职称、夜班轮转情况、对SWD认知情况是影响护士SWD的重要因素。结论 SWD女性护理人员睡眠质量、日间疲劳及慢性疼痛症状之间存在相互影响的关系,睡眠质量是后两者的正相关风险因素。同时为降低SWD相关症状的发生,可以通过提高患者对SWD危害的认识,优化轮班工作时间表等主动干预的方式达到预防的目的。
Objective To investigate the situation of "insomnia-fatigue-chronic pain" among female nurses with shift work disorders(SWD) in many general hospitals in Hangzhou and its correlation analysis. Methods The convenience sampling method was adopted to recruit 87 SWD female nurses as subjects, and basic information of the included subjects was collected. The Pittsburgh sleep quality index(PSQI), Flinders fatigue scale(FFS) and visual analogue scale(VAS) were used to cross-sectionally study the patients. Results The PSQI comprehensive score of sleep quality was16.00(14.00,17.00) points;the FFS comprehensive score of daytime fatigue was 15.00(12.00,18.00) points;the chronic pain of neck and back was 3.00(2.00,4.00) points. Sleep quality was positively correlated with daytime fatigue and chronic pain.The results of univariate analysis indicated that age, technical title,night shift rotation and cognition of SWD had influence on the FFS fatigue score(P<0.05).The regression analysis indicated that technical title,night shift rotation and cognition of SWD were important factors affecting SWD of nurses. Conclusion Sleep quality, daytime fatigue and chronic pain symptoms are correlated with each other in SWD female nurses, and sleep quality is a positive risk factor for the latter two. At the same time, in order to reduce the occurrence of SWD-related symptoms, active interventions such as improving patients’ awareness of the hazards of SWD and optimizing the shift work schedule can be used to achieve the purpose of prevention.
作者
张晶莹
吴叶琪
吴婷
王睿
ZHANG Jingying;WU Yeqi;WU Ting;WANG Rui(Department of Massage,Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University,Hangzhou 310007,China)
出处
《中国现代医生》
2022年第17期178-182,共5页
China Modern Doctor
基金
浙江省基础公益研究计划项目(LGF20H270009)
浙江省中医药科技计划项目(2020ZB172)。
关键词
轮班睡眠障碍
女性
疲劳
慢性疼痛
调查研究
Shift work disorder(SWD)
Female
Fatigue
Chronic pain
Survey research
