论文部分内容阅读
目的调查了解抗震救灾官兵的睡眠质量,并探讨及时有效的干预方法。方法以参加抗震救灾368名官兵为研究对象,采用匹兹堡睡眠质量指数量表(PSQ I)测查睡眠质量。将PSQ I总分≥7分的官兵随机分为心理组和药物组,并进行相应的干预。干预过程中的第1,2,3,4周末再次进行睡眠质量评估。结果抗震救灾官兵不良睡眠发生率为27.7%。干预的4周末两组PSQ I总分、睡眠质量、入睡时间、日间功能评分均明显下降(药物组:t=21.32,9.43,12.32,6.43;P均<0.01;心理组:t=14.31,2.31,7.27,8.92;P<0.01或0.05)。两组PSQ I总分在干预的第1,2周时的差异有显著性(t=3.253,P<0.01;t=2.661,P<0.05),在3,4周未时差异无显著性(t=1.712,1.331;P>0.05)。结论抗震救灾官兵睡眠质量受到一定损害,药物和心理干预均可有效的缓解睡眠障碍,但心理干预起效较慢。
Objective To investigate the quality of sleep of officers and men in earthquake relief and to explore timely and effective intervention methods. Methods Taking 368 officers and soldiers participating in earthquake relief as the research object, the quality of sleep was measured by Pittsburgh Sleep Quality Index Scale (PSQ I). The officers and soldiers who score ≥7 points in PSQ I were randomly divided into psychological group and drug group, and corresponding intervention was made. The quality of sleep was evaluated again at the end of the first, second, third and fourth week during the intervention. Results The incidence of adverse sleep in officers and men of earthquake relief was 27.7%. At 4 weeks after intervention, PSQ I score, sleep quality, sleep time and daytime functional scores of two groups were significantly decreased (t = 21.32,9.43,12.32,6.43; P <0.01; psychological group: t = 14.31, 2.31, 7.27, 8.92; P <0.01 or 0.05). There was a significant difference between the two groups in the first and second week of intervention (t = 3.253, P <0.01; t = 2.661, P <0.05) t = 1.712, 1.331; P> 0.05). Conclusion The quality of sleep of officers and soldiers in quake relief is impaired. Both drug and psychological intervention can effectively alleviate the sleep disturbance, but the effect of psychological intervention is slow.