Shouguang People's Hospital, NO. 45, Jiankang Street, Shouguang, Weifang, Shandong Province, China.
BMC Psychiatry. 2017 Jul 3;17(1):241. doi: 10.1186/s12888-017-1402-3.
This study aimed to determine the prevalence of sleep disturbances among clinical nurses in general hospitals in Mainland China, and identify its associate factors.
Using a cross-sectional design, a total of 5012 clinical nurses selected by random cluster sampling completed the survey on the Pittsburgh Sleep Quality Index (PSQI), measures of quality of life indexed by the Medical Outcomes Study 12-item Short-Form Health Survey, occupational stress evaluated by the Job Content Questionnaire, lifestyle and sociodemographic details.
The average PSQI score of 4951 subjects was 7.32 ± 3.24, including 3163 subjects with PSQI ≥5, accounting for 63.9%. Multivariate Logistic regression analysis showed that the risk factors for sleep disturbances in nurses were female gender, the Emergency department and ICU, many years of service, high night shift frequency, professional status: primary and intermediate, employment status: temporary, poor quality of life: poor mental health, low perceived health, high occupational stress (high psychological demand, low job control and low workplace social support).
Sleep disturbances are highly prevalent among clinical nurses in general hospitals in Mainland China. Many of the factors listed above were associated with the prevalence of sleep disturbances in nurses, and occupational stress plays an important role in the development of sleep disturbances in Chinese clinical nurses.
本研究旨在调查中国大陆综合医院临床护士睡眠障碍的发生率，并探讨其相关影响因素。
采用横断面设计，采用随机整群抽样方法抽取 5012 名临床护士进行问卷调查，调查内容包括匹兹堡睡眠质量指数量表（PSQI）、医学生存质量量表 12 项简表（SF-12）、职业紧张量表（JCQ）、生活方式及人口学特征等。
4951 名有效被调查者的 PSQI 平均得分为 7.32±3.24 分，其中 PSQI 得分≥5 分者共 3163 例（63.9%）。多因素 Logistic 回归分析结果显示，女性、急诊科、重症监护病房、工作年限长、夜班频率高、职称：初级和中级、工作状态：临时、生活质量差：心理健康状况差、健康自评低、职业紧张程度高（心理需求高、工作控制度低、工作场所社会支持度低）是临床护士睡眠障碍的危险因素。
中国大陆综合医院临床护士睡眠障碍发生率较高，上述诸多因素与护士睡眠障碍的发生有关，职业紧张在我国临床护士睡眠障碍的发生发展中起着重要作用。
