县级中医院临床护士睡眠质量影响因素及解决对策

目的 调查本院各科室临床护士睡眠质量及其影响因素，提供相关防范措施，为改善护士睡眠质量、提高护士身心健康提供理论依据。方法 选取本院各科室106名护士为调查对象，采用PSQI和一般情况调查表对护士的睡眠状况进行调查，分析调查结果，提出相关对策。结果 全院106名临床护士PSQI得分＞7分者共18人（16.98%），其余护士PSQI得分≤7分。各科室之间比较，PSQI得分＞7分发生率最高的是血透室66.67%，其次为内科32.00%、妇产科27.78%、ICU室和急诊22.22%、手术室20.00%、外科17.24%最低。各科室临床护士睡眠时间比较，差异有统计学意义（P＜0.05）；年龄、学历、婚姻对临床护士睡眠质量无影响（P＞0.05），班制对临床护士的睡眠质量有影响（P＜0.05）。ESS调查结果显示各科室临床护士嗜睡指数比较，差异无统计学意义（P＞0.05）；但从表观数据可以看出，所有科室临床护士的嗜睡指数均＞7分，血透室护士嗜睡指数最高，达到了（9.45±1.67）分。结论 各个科室护士睡眠质量均较差，医院应针对具体情况，作出针对性的干预措施，提高护士整体睡眠水平。

Influencing Factors of Sleep Quality of Clinical Nurses in County-level Chinese Medicine Hospitals and Countermeasures

Objective To investigate the sleep quality and its influencing factors of clinical nurses in our hospital, and to provide theoretical basis for improving the sleep quality and improving the physical and mental health of nurses. Methods A total of 106 nurses in each department of our hospital were selected to investigate the sleep status of nurses by PSQI and general information questionnaire. The results were analyzed and the relevant countermeasures were put forward.Results There were 18(16.98%) nurses with PSQI score > 7 and the PSQI score of other nurses were ≤ 7.As for comparison among departments, the incidence of PSQI score > 7 was the highest in hemodialysis room 66.67%,followed by internal medicine 32.00%,gynecology and obstetrics 27.78%,ICU room and emergency 22.22%,operating room 20.00%,surgical department was the lowest with 17.24%.The sleep time of clinical nurses in each department was significantly different (P＜0.05).Age, education and marriage had no effect on sleep quality of clinical nurses (P＞0.05). Shift system had influence on sleep quality of clinical nurses (P＜0.05).The results of ESS survey showed that there was no significant difference in somnolence index among clinical nurses in each department (P＞0.05).However, it can be seen from the apparent data that the sleepiness index of clinical nurses in all departments was >7, and the sleepiness index of nurses in hemodialysis room was the highest(9.45±1.67).Conclusion The sleep quality of nurses in each department is poor, and the hospital should take appropriate intervention measures to improve the overall sleep level of nurses.