CAJ | 학술논문

目的：探讨部队青年干部睡眠质量及其相关心理因素，为干部的健康干预提供理论依据。方法采用整群随机抽样的方法，对1100名年龄在18~34岁的青年干部进行问卷调查，包括匹兹堡睡眠质量指数（PSQI）、症状自评量表（SCL-90）和流调中心用抑郁量表(CES-D),根据CES-D得分情况将干部分为抑郁组和非抑郁组，以850名士官作为对照组，采用t检验、卡方检验、多元回归等方法对数据进行分析。结果干部睡眠问题的检出率为13.5%，士官为12.1%；干部的总体睡眠状况要差于士官及常模；不经常锻炼、躯体疾病和心理问题是其危险因素。多元逐步回归分析显示，SCL-90各因子中抑郁对睡眠质量的预测作用最大（r=0.552，β=0.387），其次是躯体化（r=0.510，β=0.223），两个因子可解释PSQI总分变异的32.7%；相关分析显示，抑郁因子与主观睡眠质量、入睡时间、睡眠障碍及日间功能障碍的相关性较大（均r>0.3）。干部抑郁程度（11.11±6.62）分低于同龄段男性常模（12.30±10.39）分，高于士官（8.11±6.56）分；抑郁组干部PSQI总量表（6.05±3.13）分高于非抑郁组（3.56±2.69）分及常模（3.23±3.12）分。结论抑郁是青年干部睡眠质量的主要相关因素；经常体育锻炼、提高身体和心理素质、减少抑郁情绪是改善干部睡眠的有效途径。
목적：탐토부대청년간부수면질량급기상관심리인소，위간부적건강간예제공이론의거。방법채용정군수궤추양적방법，대1100명년령재18~34세적청년간부진행문권조사，포괄필자보수면질량지수（PSQI）、증상자평량표（SCL-90）화류조중심용억욱량표(CES-D),근거CES-D득분정황장간부분위억욱조화비억욱조，이850명사관작위대조조，채용t검험、잡방검험、다원회귀등방법대수거진행분석。결과간부수면문제적검출솔위13.5%，사관위12.1%；간부적총체수면상황요차우사관급상모；불경상단련、구체질병화심리문제시기위험인소。다원축보회귀분석현시，SCL-90각인자중억욱대수면질량적예측작용최대（r=0.552，β=0.387），기차시구체화（r=0.510，β=0.223），량개인자가해석PSQI총분변이적32.7%；상관분석현시，억욱인자여주관수면질량、입수시간、수면장애급일간공능장애적상관성교대（균r>0.3）。간부억욱정도（11.11±6.62）분저우동령단남성상모（12.30±10.39）분，고우사관（8.11±6.56）분；억욱조간부PSQI총량표（6.05±3.13）분고우비억욱조（3.56±2.69）분급상모（3.23±3.12）분。결론억욱시청년간부수면질량적주요상관인소；경상체육단련、제고신체화심리소질、감소억욱정서시개선간부수면적유효도경。
Objective To explore sleep quality and related psychological factors among young army cadres to provide theoretical basis for health interventions. Method A total of 1 100 young army cadres aged 18 to 34 were assessed with Pittsburgh sleep quality index (PSQI), Symptom Checklist-90 (SCL-90) and Center for Epidemiologic Studies Depression Scale by cluster random sampling. Based on CES-C scores, cadres were divided into two groups named depression group and non-depression group;850 sergeants were served as the control group. T test, chi-square test and multiple regressions were used in data analysis. Result Sleep problems were found in 13.5% of the cadres and 12.1% sergeants. General status of sleep quality of cadres was worse than sergeants' and norm's. Exercise less, physical disease and psychological problems were the risk factors. Multiple stepwise regression analysis showed that depression factors of SCL-90 had the most significantly predictive effect on sleep quality (r=0.552, Beta=0.387), followed by somatization (r=0.552, Beta=0.223), two factors could explain 32.7% of PSQI scores variation. Correlation analysis showed that depression is closely related to subjective sleep quality, sleep duration, sleep disorder and daytime dysfunction (all r>0.3). Cadres' depression (11.11 ± 6.62) was significantly lower than norm's (12.30 ± 10.39) and higher than sergeants'(8.11 ± 6.56). PSQI scores of depression group (6.05 ± 3.13) were significantly higher than non-depression group's (3.56 ± 2.69) and norm's (3.23 ± 3.12). Conclusion Depression is a major correlation factor of the sleep quality. Regular exercise, improvement of the physical and psychological health quality, and reducing depression are effective ways to improve sleep quality.