摘要
目的探讨海军某舰艇部队官兵长远航期间常见睡眠问题及影响因素,并分析其与中医体质的相关性。方法采用随机整群抽样法,抽取740名舰艇官兵,应用匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)量表和中医体质辨识量表进行睡眠状况及中医体质调查。共回收有效PSQI量表630份,有效率85.1%;回收有效中医体质辨识量表738份,有效率99.7%。结果在航行前、航行15 d及航行30 d后,630例舰艇官兵睡眠障碍检出率分别为40.2%、49.4%、54.6%;与国内常模比较,舰艇官兵PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能障碍单因子得分差异均有统计学意义(均P<0.01)。738名海军舰艇官兵中,偏颇体质者占53.8%,类型主要分为阴虚质(12.2%)、阳虚质(10.7%)和湿热质(9.1%)。海军舰艇官兵睡眠问题与中医体质、战位、距离前次长航任务时间存在相关性,其中痰湿质、阴虚质、血瘀质和湿热质可能是官兵睡眠问题的独立危险因素(均P<0.01),并在长航不同阶段发挥主要作用。结论舰艇官兵长远航期间睡眠障碍者占比较高,整体健康水平有待提高,其睡眠状况与中医体质存在相关性,可以从调理偏颇体质入手,发挥中医“治未病”在官兵健康维护等方面的作用。
Objective To investigate the common sleep problems and influencing factors during long voyage of officers and soldiers in a naval vessel unit,and explore its correlation with the constitution of Traditional Chinese Medicine(TCM).Methods Totally 740 naval officers and soldiers were selected by random cluster sampling method.Their sleep status and TCM constitution were assessed by the Pittsburgh sleep quality index(PSQI)and TCM constitution scale.Totally 630 valid PSQI scales were collected,with an effective rate of 85.1%.And 738 valid TCM constitution scales were collected,with an effective rate of 99.7%.Results Before the voyage,15 days and 30 days after voyage,the incidence of sleep disorders in 630 navy servicemen was 40.2%,49.4%and 54.6%,respectively.There were statistically significant differences in the total score of PSQI and factor score of sleep quality,sleep latency,sleep duration,sleep efficiency and daytime dysfunction between navy servicemen and the domestic norm(all P<0.01).53.8%of 738 naval officers and soldiers were regarded as lopsided constitution,including Yin-deficiency(12.2%),Yangdeficiency(10.7%)and Dampness-heat(9.1%).The sleep problems of navy servicemen during long voyage were correlated with TCM constitution,positions and the time from the previous long voyage mission.The Phlegm-dampness,Yin-deficiency,Bloodstasis and Dampness-heat were independent risk factors for the sleep disorders(all P<0.01),and played a major role in different stages during the long voyage respectively.Conclusions The naval officers and soldiers with sleep disorders during long voyage account the high proportion,whose overall health level need to be improved.Their sleep status is correlated with TCM constitution.It is suggested that traditional Chinese medicine"preventive treatment of disease"can play an important role in health maintenance of navy servicemen through conditioning the lopsided constitution.
作者
戚秀中
QI Xiuzhong(Department of Traditional Chinese Medicine,Qingdao Special Service Sanatorium of PLA Navy,Qingdao Shandong,266071,China)
出处
《职业与健康》
CAS
2024年第6期727-731,共5页
Occupation and Health
基金
军队中医药服务能力培育与提升专项计划(2021ZY016)。
关键词
舰艇官兵
长远航
睡眠状况
中医体质
偏颇体质
相关性研究
Naval officers and soldiers
Long voyage
Sleep status
Constitution of Traditional Chinese Medicine
Lopsided constitution
Correlation study
