摘要
目的调查三级甲等医院医务人员疲劳和睡眠情况,为开展医务人员的生理和心理健康服务工作提供依据。方法2021年8月,以便利抽样的方法选取北京市某三级甲等医院1009名医务人员开展问卷调查,采用匹兹堡睡眠质量指数量表(PSQI)和疲劳指数-14量表(FS-14)分别调查研究对象睡眠质量和疲劳情况,采用多因素logistic回归模型分析睡眠障碍和疲劳的影响因素。结果回收有效问卷1001份,有效率回收率99.20%。1001名医务人员PSQI总平均分为(7.43±3.69)分,平均睡眠时间为(6.25±1.09)h,有睡眠障碍的占44.86%;FS-14总平均分为(7.31±3.77)分,有520例判定为疲劳状态,发生率为51.95%。logistic回归分析结果显示:(1)相比内科科室,工作科室是急诊(OR=1.78)、重症(OR=2.21)的医务人员发生睡眠障碍的可能性更大(P<0.05);(2)相比没有压力的医务人员,经常感到有压力的医护人员发生睡眠障碍、疲劳的可能性更大(OR=4.295、5.646,P<0.05);(3)相比大专及以下学历,硕士以上学历的医护人员发生睡眠障碍的可能性更小(OR=0.565,P<0.05);(4)相比自感健康情况差的医务人员,自感健康状况中等以上的医护人员发生睡眠障碍、疲劳的可能性更小(OR=0.036~0.242,P<0.05);(5)相比主城区院区工作的医务人员,副中心院区工作的医务人员发生疲劳的可能性更小(OR=0.622,P<0.05);(6)相比工作时间≤40 h的医务人员,周工作时间大于50 h的医务人员发生疲劳的可能性更大(OR=2.217、1.593,P<0.05);(7)相比从业时间<5年的医务人员,从业时间11~20年的医务人员发生疲劳的可能性更大(OR=2.095,P<0.05);(8)相比周运动次数<2次的医务人员,周运动次数≥2次的医务人员发生疲劳的可能性更小(OR=0.681,P<0.05)。PSQI各条目与FS-14量表的躯体疲劳和脑力疲劳以及疲劳总分均有正相关关系(P<0.05)。结论北京市某三级甲等医院医务人员普遍存在疲劳现象及睡眠质量问题。可以通过改善工作环境、关注身心健康、提供心理支持等综合措施,缓解医务人员的疲劳及睡眠问题。应进行科学的人员配备和工作量平衡、提供睡眠教育以及提供良好的工作环境,提高医务人员身心健康。
Objective To investigate the fatigue and sleep status of medical staff in a top tertiary general(GradeⅢwith A level)hospital,so as to provide orientation for the development of physical and mental health services for medical staff.Methods In August 2021,a questionnaire survey was conducted among 1009 medical staff from a top tertiary general hospital in Beijing by convenient sampling.The Pittsburgh sleep quality index(PSQI)and Fatigue index-14(FS-14)were used to investigate the sleep quality and fatigue of the subjects.The influencing factors of sleep disorder and fatigue were analyzed by multivariate logistic regression model.Results Totally 1001 valid questionnaires were recovered with the effective recovery rate of 99.20%.The total average score of PSQI was(7.43±3.69),and the average sleep time was(6.25±1.09)h and 44.86%of them had sleep disorders.Totally 520 cases were judged as fatigue,with the average score of FS-14 was(7.31±3.77),and the incidence rate was 51.95%.The results of logistic regression analysis showed that:(1)Compared with personnel working in departments of internal medicine,the medical staff working in emergency departments(OR=1.78)and departments related to severe diseases(OR=2.21)were more likely to have sleep disorders(P<0.05).(2)Compared with medical staff without stress,medical staff who often feel stressed were more likely to have sleep disorders and fatigue(OR=4.295,5.646,P<0.05).(3)Compared with medical staff with college degree and below education level,medical staff with graduate degree and above were less likely to have sleep disorders(OR=0.565,P<0.05).(4)Compared with the medical staff with poor self-perceived health status,the medical staff with moderate self-perceived health status were less likely to suffer from sleep disorders and stress(OR=0.036-0.242,P<0.05).(5)Compared with the medical staff working in the main urban area,the medical staff working in the sub central area were less likely to suffer from fatigue(OR=0.622,P<0.05).(6)Compared with medical staff working less than 40hours per week,medical staff working more than 50 hours a week were more likely to suffer from fatigue(OR=2.217,1.593,P<0.05).(7)Compared with the medical staff with employment time less than 5 years,the medical staff with employment time for 11 to 20 years were more likely to suffer from fatigue(OR=2.095,P<0.05).(8)Compared with medical personnel who exercised less than 2 times a week,medical personnel who exercised more than 2 times a week were less likely to experience fatigue(OR=0.681,P<0.05).All items of PSQI were positively correlated with physical fatigue,mental fatigue and total fatigue scores of FS-14(P<0.05).Conclusions Fatigue and sleep quality problems were common among medical staff in this top tertiary general hospital in Beijing.We should improve the working environment,pay attention to physical and mental health,provide psychological support and other comprehensive measures to alleviate the fatigue and sleep problems of these medical personnel.Scientific staffing and workload balance should be done.The sleep education and a good working environment should be provided to improve the physical and mental health of medical personnel.
作者
陈思
龚迎光
刘占东
包芮冰
邓明卓
CHEN Si;GONG Yingguang;LIU Zhandong;BAO Ruibing;DENG Mingzhuo(Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《职业卫生与应急救援》
2022年第6期661-667,共7页
Occupational Health and Emergency Rescue
基金
北京友谊医院科研启动基金(yyqdktgl2021-7)。
作者简介
陈思(1992-),女,硕士,研究实习员;通信作者:邓明卓,副主任医师,E-mail:bjyyyygh@163.com。
