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目的调查新疆北部寒区驻城镇军人睡眠异常和睡眠疾病发生情况及对部队战斗力的影响。方法用国际通用的调查量表自制成问卷,采用问答的形式进行调查,在军医指导下现场同步填写。结果241名驻城镇军人中睡眠异常者212人,占88.0%,按发病率高低前10种睡眠异常和睡眠疾病依次为失眠、睡眠不足综合征、鼾症、睡眠梦语症、睡眠梦魇症、睡眠遗精症、睡眠时相延迟综合征、睡眠肌痉挛综合征、睡眠不安腿综合征、倒班综合征。按睡眠异常对战斗力的影响前10种情况依次为影响白天精力、影响情绪、体力、学习、思维、站岗、训练、食欲、成绩、出操。驻城镇军人PSQ I总均分为6.10±3.26,以PSQ I>7为界值,失眠发生率29.0%。从影响驻城镇军人睡眠质量的因素来看,睡眠环境内部影响因素为居室人多、室友磨牙和换哨,睡眠环境外部因素影响以噪声为主。影响睡眠的其他因素主要为个人因素、战友、生病、心理因素及上级批评、压力过大、辛苦劳累。睡眠剥夺以工作加班为主。按照Athens失眠量表>6分失眠发生率为19.9%。睡眠质量自测>20分严重睡眠障碍者占17.0%。思睡总均分为7.21±4.41,高于正常值,思睡者近50%。驻城镇军人存在着不良睡眠卫生意识和习惯:没有良好的睡眠习惯;睡前进行不利于睡眠的活动;睡前不良嗜好;睡眠环境不佳。结论驻城镇军人的睡眠质量、睡眠影响因素、失眠、思睡和睡眠卫生意识等方面不容乐观,应引起卫生部门及军事部门的足够重视,积极采取干预措施改善驻城镇军人的睡眠质量。
Objective To investigate the prevalence of sleep disorders and sleep disorders among military personnel stationed in cities and towns in the cold region of northern Xinjiang and its impact on the combat effectiveness of the units. Methods The questionnaire was self-made using the international questionnaire, and the questionnaire was conducted in the form of question and answer. The questionnaire was filled in on-site under the guidance of military doctors. Results A total of 241 sleep abnormalities were detected in 241 soldiers in urban areas, accounting for 88.0%. According to the incidence of the top 10 sleep disorders and sleep disorders, there were insomnia, hypopnoea syndrome, snoring, sleep dreams, sleep nightmares, Sleep spermatorrhea, delayed sleep phase syndrome, sleep muscle spasm syndrome, sleep disturbed leg syndrome, shift syndrome. According to the impact of sleep abnormalities on the combat effectiveness of the top 10 cases in order to affect the energy during the day and affect the emotional, physical, learning, thinking, standing guard, training, appetite, performance, exercise. The average score of PSQ I in urban soldiers was 6.10 ± 3.26, with PSQ I> 7 as the cutoff value and the incidence of insomnia as 29.0%. From the factors that affect the quality of sleep in soldiers in urban areas, the internal factors of sleep environment are many people in room, molars and whistles of roommates, and external factors of sleep environment are mainly noise. Other factors that affect sleep are mainly personal factors, comrades-in-arms, sickness, psychological factors and higher-level criticism. They are under pressure and hardworking. Sleep deprivation mainly work overtime. According to Athens insomnia scale> 6 points insomnia was 19.9%. Sleep quality self-assessment> 20 points Severe sleep disorders accounted for 17.0%. The average sleepiness was 7.21 ± 4.41, which was higher than the normal value and almost 50% of those who slept. There is a poor awareness and habits of poor health in urban areas: no good sleep habits; activities that are not conducive to sleep before going to bed; bad habits before going to bed; poor sleep environment. Conclusion The quality of sleep in urban areas, factors affecting sleep, insomnia, sleeplessness and sleep hygiene awareness should not be optimistic. It should be paid enough attention by the health department and the military department, and intervention measures should be taken actively to improve the sleep quality of the soldiers in the towns.