倒班护士的睡眠担忧现状及影响因素研究

目的 调查倒班护士的睡眠担忧现状，并分析其影响因素，为制定针对性的干预措施提供参考。方法 采用一般资料问卷、睡眠担忧量表、阿森斯失眠量表、自我调节疲劳量表和反刍思维量表对368名倒班护士进行调查。结果 倒班护士睡眠担忧总分为40.00（33.00，44.75）分，担忧睡眠后果和不能控制睡眠2个维度评分分别为24.00（21.00，28.00）分、16.00（12.00，17.75）分。回归分析结果显示，健康状况、失眠、自我调节疲劳和反刍思维是倒班护士睡眠担忧的主要影响因素（均P＜0.05）。结论 倒班护士的睡眠担忧程度较严重，可以通过改善其失眠症状、降低自我调节疲劳程度和反刍思维水平来减轻倒班护士的睡眠担忧水平。

Sleep-related worry and its influencing factors among shift nurses

Objective To investigate the current status of sleep-related worry among shift nurses, and analyze its influencing factors, so as to provide a reference for developing targeted intervention.Methods A total of 368 shift nurses were investigated by utilizing a general information questionnaire, the Anxiety and Preoccupation about Sleep Questionnaire (APSQ), the Athens Insomnia Scale (AIS), the Self-regulatory Fatigue Scale (SRF-S), and the Rumination Response Scale (RRS).Results The total APSQ score of the shift nurses was 40.00(33.00，44.75), and the two subscale scores of worry about the consequences of poor sleep quality and worry about uncontrollable sleep were 24.00（21.00，28.00） and 16.00(12.00，17.75), respectively.Regression analysis showed that, health condition, the AIS score, the SRF-S score, and the RRS score were the main factors influencing shift nurses′ sleep-related worry (all P＜0.05).Conclusion The sleep-related worry among shift nurses is serious, which can be reduced by alleviating their insomnia symptoms and decreasing their levels of self-regulatory fatigue and rumination.