上海地区三甲医院手术室护士睡眠障碍及其相关因素分析

doi:10.12183/j.scjpm.2025.0021

摘要/Abstract

摘要： 目的调查上海市三甲医院手术室护士睡眠障碍发生情况,并对其相关因素开展分析及探讨。方法于2023年7月以上海市8家三甲医院的所有手术室护士为研究对象,采用一般信息调查问卷、护士工作压力源量表、工作内容问卷（JCQ）及匹兹堡睡眠质量指数量表（PSQI）对其开展调查。比较不同特征的手术室护士睡眠障碍发生率,并通过logistic回归筛查手术室护士发生睡眠障碍的影响因素。结果本研究最终纳入426名手术室护士,其中男占比13.85%,女占比86.15%,平均年龄（37.58±5.26）岁,平均工龄（12.46±4.13）年;大专占比50.94%,本科及以上占比49.06%;护士占比33.10%,护师占比37.09%,主管护师及以上占比29.81%。睡眠障碍发生242例,发生率为56.81%。手术室护士发生睡眠障碍的危险因素主要有年龄为28~<40岁（OR=3.016）、工龄为5~<10年（OR=2.986）、合并慢性病（OR=2.936）、平均月夜班次数>5次（OR=2.719）、工作压力为中度或重度（OR=2.412、3.084）、高职业紧张度（OR=2.815）,保护因素为规律运动锻炼（OR=0.406）。结论上海市三甲医院手术室护士睡眠障碍发生率较高,年龄为28~<40岁、工龄为5~<10年、合并慢性病、平均月夜班次数>5次、存在中度或重度工作压力、高职业紧张度者尤甚。故应采取有效策略对手术室护士睡眠进行干预,并鼓励其定期开展运动锻炼,以改善睡眠障碍。

关键词: 手术室护士, 睡眠障碍, 职业紧张, 相关因素

Abstract: Objective To investigate the incidence of sleep disorders among operating room nurses in grade A tertiary hospitals in Shanghai and analyze its related factors. Methods In July 2023, all operating room nurses in 8 grade A tertiary hospitals in Shanghai were included for this study. The General Information Survey Questionnaire, Nurse Job Stress Inventory, Job Content Questionnaire (JCQ), and Pittsburgh Sleep Quality Index (PSQI) were applied to conduct surveys on them. The incidence of sleep disorders among operating room nurses with different characteristics was compared, and logistic regression was applied to screen for influencing factors of sleep disorders among operating room nurses. Results This study ultimately included 426 operating room nurses, of whom 13.85% were male and 86.15% were female, with an average age of (37.58±5.26) years and an working experience of (12.46±4.13) years; the proportion of college education was 50.94%, and the proportion of bachelor degree or above was 49.06%; the proportion of junior nurses was 33.10%, the proportion of senior nurses was 37.09%, and the proportion of supervising nurses and above was 29.81%. Sleep disorders occurred in 242 cases (56.81%). The risk factors for sleep disorders among operating room nurses mainly included age of 28-<40 years (OR=3.016), working experience of 5-<10 years (OR=2.986), complicated with chronic diseases (OR=2.936), average monthly night shift frequency >5 times (OR=2.719), moderate or severe work pressure (OR=2.412, 3.084), and high occupational stress (OR=2.815), the protective factor was regular exercise (OR=0.406). Conclusions The incidence of sleep disorders among operating room nurses in grade A tertiary hospitals in Shanghai is relatively high, especially among age of 28-<40 years, working experience of 6-<10 years, complicated with chronic diseases, average monthly night shift frequency >5 times, moderate or severe work pressure, and high occupational stress. Therefore, effective strategies should be taken to intervene in the sleep of operating room nurses, and encourage them to carry out regular exercise to improve sleep disorders.

Key words: Operating room nurse, Sleep disorder, Occupational stress, Related factors

中图分类号:

R192

章敏昊, 张曌, 阎倩, 张以洁. 上海地区三甲医院手术室护士睡眠障碍及其相关因素分析[J]. 华南预防医学, 2025, 51(1): 21-24.

ZHANG Minhao, ZHANG Zhao, YAN Qian, ZHANG Yijie. Analysis of sleep disorders and related factors among operating room nurses in grade A tertiary hospitals in Shanghai[J]. South China Journal of Preventive Medicine, 2025, 51(1): 21-24.

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