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目的:调查了解某部急进高原适应性训练官兵的睡眠质量。方法:采用匹兹堡睡眠质量指数(PSQI)量表,对进驻高原适应性训练35天后的某部官兵658例睡眠质量进行测评,并与正常人及失眠症者比较。结果:急进高原适应性训练官兵PSQI总平均分为(5.19±3.20)分。其中PSQI总分≥7分207例,占31.5%;5~6分133例,占20.2%;≤4分318例,占48.3%。各因子分值≥2分为主观睡眠质量101例(15.3%),入睡时间260例(39.5%),睡眠时间63例(9.6%),睡眠效率52例(7.9%),睡眠障碍69例(10.5%),催眠药物5例(0.8%),日间功能障碍241例(36.6%)。除睡眠时间和睡眠障碍因子分值外,官兵PSQI总分及各因子分值均非常显著高于正常成人(P<0.01);PSQI总分及各因子分值均非常显著低于失眠症者(P<0.01)。≤21岁官兵日间功能障碍因子分值显著高于≥22岁官兵(P<0.05),睡眠效率因子分值显著低于≥22岁官兵(P<0.05);初次进驻高原官兵PSQI总分及主观睡眠质量、日间功能障碍因子分值显著高于≥2次官兵(P<0.05);有氧列车机动官兵PSQI总分及主观睡眠质量、入睡时间、睡眠障碍、日间功能障碍因子分值均显著高于摩托化机动官兵(P<0.05)。结论:急进高原适应性训练官兵睡眠质量较差,应进行有针对性的心理干预。
Objective: To investigate the quality of sleep of some soldiers who adapt to training rapidly in plateau. Methods: A Pittsburgh Sleep Quality Index (PSQI) scale was used to evaluate the sleep quality of 658 officers and soldiers of a certain soldier who entered the plateau 35 days after adaptation training. The results were compared with those of normal subjects and insomnia. Results: The average score of PSQI in ADHD training was (5.19 ± 3.20) points. Of which PSQI score ≥ 7 points 207 cases, accounting for 31.5%; 5 ~ 6 points 133 cases, accounting for 20.2%; ≤ 4 points 318 cases, accounting for 48.3%. There were 101 cases (15.3%) of subjective sleep quality, 260 cases (39.5%) of falling asleep, 63 cases of sleep time (9.6%), 52 cases of sleep efficiency (7.9%) and 69 cases of sleep disturbance 10.5%), hypnotic drugs in 5 cases (0.8%) and daytime dysfunction in 241 cases (36.6%). Except sleep time and sleep disturbance factor scores, the scores of PSQI and scores of officers and soldiers were significantly higher than those of normal adults (P <0.01). The score of PSQI and scores of all factors were significantly lower than those of insomnia P <0.01). The scores of daytime dysfunction scores of officers and soldiers ≤21 years old were significantly higher than those of officers and soldiers ≥22 years old (P <0.05), and the scores of sleep efficiency factor were significantly lower than those of officers and soldiers ≥22 years old (P <0.05) Subjective quality of sleep, daytime dysfunction factor scores were significantly higher than 2 times officers and soldiers (P <0.05); aerobic train maneuver soldiers PSQI total score and subjective sleep quality, sleep time, sleep disorders, daytime dysfunction factor scores Were significantly higher than motorized officers and men (P <0.05). Conclusion: The emergency training of soldiers and soldiers in acute altitude sickness is poor, and psychological intervention should be carried out.