摘要
目的:了解煤矿矿井作业人员的睡眠质量及其心理情感状态的关系。方法:应用匹兹堡睡眠质量(PSQI)量表和症状自评量表(SCL-90),测评受试者的睡眠质量以及躯体化、强迫症状、人际关系敏感、抑郁、焦虑、精神病性、恐怖、偏执、敌对的心理情感状态。结果:调查煤炭矿井作业人员484人,均为男性,其中井上工作194人,年龄(41.9±9.7)岁;井下工作290人,年龄(40.4±9.0)岁。484人中,睡眠质量很好234人(48.35%)、中等144人(29.75%)、差106人(21.90%),睡眠质量差的群体中,井上工作44人(41.51%)、井下工作62人(58.49%)。随睡眠质量减退在主观睡眠质量、睡眠潜伏期、睡眠持续性、习惯性睡眠效率、睡眠紊乱、使用睡眠药物、白天功能紊乱的睡眠质量各因子评分均有显著统计学差异(F=6.958~1256.293,P<0.01)。睡眠质量差的群体中心理情感状态异常的发生率分别为,躯体化症状24人(22.64%)、强迫症状33人(31.13%)、人际关系敏感16人(15.09%)、抑郁21人(19.81%)、焦虑14人(13.21%)、敌对27人(25.47%)、恐怖9(8.49%)、偏执18人(16.98%)、精神病性12人(11.32%)。Logistics多元逐步回归分析筛选出睡眠质量差与躯体化症状、强迫症状、敌对和恐怖心理状态相关,OR值分别为2.758、3.462、3.488、0.227(P<0.05)。结论:煤炭矿井作业人员睡眠质量和心理情感状态异常检出率较高,睡眠质量与心理情感状态有一定相关性,主要与躯体化症状、强迫症状、敌对和恐怖心理状态相关,可同时并存而交互影响。
Objective:To understand the relationship between sleep quality and psychological and emotional state of coal mine workers.Methods:Sleep quality and somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,psychosis,terror,paranoia,and hostility were measured using PSQI and SCL-90.Results:We investigate 484 people working in coal mines,all males,including 194 in-well working,age(41.9±9.7) years old;290 people working underground,age(40.4±9.0) years old.Among 484 people,234(48.35%)had good sleep quality,144(29.75%)had moderate sleep quality,and 106(21.90%)had poor sleep quality.Among the groups with poor sleep quality,44(41.51%)people worked in the well and 62(58.49%)people worked underground.There were a statistically significant differences in the scores of sleep quality with subjective sleep quality,sleep latency,sleep persistence,habitual sleep efficiency,sleep disturbance,sleep medication,and daytime dysfunction(F=6.958~1256.293,P<0.01).In the group with poor sleep quality,the incidence of abnormal psychological emotional state were:24(22.64%)had somatization symptoms,33(31.13%)had compulsive symptoms,16(15.09%)had interpersonal sensitivity,21(19.81%)had depression,14(13.21%)had anxiety,27(25.47%)had hostility,9(8.49%)had terror,18(16.98%)had paranoia and 12(11.32%)had psychosis.Logistics multivariate stepwise regression analysis showed that poor sleep quality was associated with somatic symptoms,obsessive-compulsive symptoms,hostility,and terror mental state.The OR values were respectively 2.758,3.462,3.488 and 0.227(P<0.05).Conclusion:The abnormal detection rate of sleep quality and psychological and emotional state of coal mine workers is relatively high.Sleep quality has certain correlation with psychological and emotional state,which is mainly related to somatization symptoms,obsessive-compulsive symptoms,hostility and psychological state of terror,which can coexist and interact with each other.
作者
张萍淑
乔思佳
马英
马文有
岳玲梅
孙妍
刘妍
李佳慧
郑慧
元小冬
ZHANG Pingshu;QIAO Sijia;MA Ying(Department of Neurology,Kailuan General Hospital,Tangshan 063000,China)
出处
《中国健康心理学杂志》
2020年第6期879-882,共4页
China Journal of Health Psychology
基金
北京市科技计划课题(编号:Z161100002616019)
安全生产重特大事故防治关键技术科技项目(编号:hebei-0001-2017AQ)
河北省医学适用技术跟踪项目(编号:G201759)。
关键词
煤炭
矿井作业
睡眠质量
心理状态
影响因素
生产安全
Coal
Mine operations
Sleep quality
Psychological state
Influencing factors
Production safety
作者简介
张萍淑,E-mail:3426671258@qq.com;通信作者:元小冬,E-mail:yxd69@sohu.com。
