[职业压力和工作-回报失衡对警察睡眠质量的影响]

[Effect of occupational stress and effort-reward imbalance on sleep quality of people's policeman].

作者信息

Wu Hui, Gu Guizhen, Yu Shanfa

机构信息

Henan Provincial Institute of Occupational Health, Zhengzhou 450052, China.

Henan Provincial Institute of Occupational Health, Zhengzhou 450052, China. Email:

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2014 Apr;48(4):276-80.

PMID:24969450

Abstract

OBJECTIVE

To explore the effect of occupational stress and effort-reward imbalance on sleep quality of people's police.

METHODS

A cluster sampling survey of sleep quality and occupational stress correlated factors was conducted on 287 police from a city public security bureau by questionnaires in May, 2011; the relationship between sleep quality and occupational stress correlated factors was analyzed by one-way ANOVA and multivariate non-conditional logistic regression using effort-reward imbalance model (ERI) and demand-control-support model (DCS). And the subjects were divided into high tension group and low tension group using the 1.0 of ERI and DCS coefficients as the boundary.

RESULTS

The sleep quality score of shift work police was higher than day work police (11.95 ± 6.54 vs 9.52 ± 6.43, t = 2.77, P < 0.05).In ERI model, the sleep quality score in high tension group was higher than low tension group (14.50 ± 6.41 vs 8.60 ± 5.53, t = -5.32, P < 0.01), and in DCS model, the sleep quality score in high tension group was also higher than low tension group (13.71 ± 6.62 vs 9.46 ± 6.04, t = -3.71, P < 0.01).For the regression analysis of ERI model as an argument, sex (OR = 3.0, 95%CI:1.16-7.73) , age for 30-39 years (OR = 3.48, 95%CI:1.32-9.16) , intrinsic effort (OR = 2.30, 95%CI:1.10-4.81) and daily hassles (OR = 2.15, 95%CI:1.06-4.33) were risk factors of low sleep quality, and reward (OR = 0.26, 95%CI:0.12-0.52) was the protective factor.For the regression analysis of DCS model as an argument , age for 30-39 years (OR = 2.55, 95%CI:1.02-6.37) , depressive symptom (OR = 2.10, 95%CI:1.14-3.89) and daily hassles (OR = 3.25, 95%CI:1.70-6.19) were risk factors of low sleep quality.While the ERI model and the DCS model were analyzed simultaneously, sex (OR = 3.03, 95%CI:1.15-7.98) , age for 30-39 years (OR = 3.71, 95%CI:1.38-9.98) and daily hassles (OR = 2.09, 95%CI:1.01-4.30) were the risk factors of low sleep quality, and reward (OR = 0.22, 95%CI:0.10-0.48) was the protective factor.

CONCLUSION

Occupational stress and effort-reward imbalance affected the sleep quality to people's policeman.

摘要

目的

探讨职业压力和付出-回报失衡对人民警察睡眠质量的影响。

方法

2011年5月采用问卷调查法对某市公安局287名警察的睡眠质量及职业压力相关因素进行整群抽样调查；采用单因素方差分析及多元非条件logistic回归，运用付出-回报失衡模型（ERI）和工作要求-控制-支持模型（DCS）分析睡眠质量与职业压力相关因素的关系。并以ERI和DCS系数1.0为界将研究对象分为高紧张组和低紧张组。

结果

倒班警察的睡眠质量得分高于日班警察（11.95±6.54 vs 9.52±6.43，t=2.77，P<0.05）。在ERI模型中，高紧张组的睡眠质量得分高于低紧张组（14.50±6.41 vs 8.60±5.53，t=-5.32，P<0.01），在DCS模型中，高紧张组的睡眠质量得分也高于低紧张组（13.71±6.62 vs 9.46±6.04，t=-3.71，P<0.01）。以ERI模型为自变量进行回归分析，性别（OR=3.0，95%CI：1.16-7.73）、3039岁（OR=3.48，95%CI：1.32-9.16）、内在付出（OR=2.30，95%CI：1.10-4.81）和日常烦恼（OR=2.15，95%CI：1.06-4.33）是睡眠质量低的危险因素，回报（OR=0.26，95%CI：0.12-0.52）是保护因素。以DCS模型为自变量进行回归分析，3039岁（OR=2.55，95%CI：1.02-6.37）、抑郁症状（OR=2.10，95%CI：1.14-3.89）和日常烦恼（OR=3.25，95%CI：1.70-6.19）是睡眠质量低的危险因素。同时分析ERI模型和DCS模型时，性别（OR=3.03，95%CI：1.15-7.98）、30~39岁（OR=3.71，95%CI：1.38-9.98）和日常烦恼（OR=2.09，95%CI：1.01-4.30）是睡眠质量低的危险因素，回报（OR=0.22，95%CI：0.10-0.48）是保护因素。