摘要目的 了解飞行人员的睡眠状况和情绪状态,探讨睡眠质量和情绪状态之间的关系,为制定有针对性的航空卫生保障措施提供参考依据. 方法 采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index ,PSQI)、焦虑自评量表(self-evaluation of anxiety scale ,SAS)、抑郁自评量表(self-rating depression scale ,SDS)和情绪状态自评量表(profile of mood state ,POMS)对249名飞行人员进行现场匿名问卷调查.比较飞行人员与常模及普通军人之间睡眠质量的差异、以及睡眠质量与情绪状态之间的相关性. 结果 共回收有效问卷238份,有效回收率95 .6%. 238名飞行人员睡眠问题检出率为36 .6%;PSQI总分为(6 .79 ± 3 .06) ,明显高于常模和普通军人(t＝14 .706 、5 .967 , P＜0 .01) ;其焦虑、抑郁得分亦高于国内常模(t＝4 .867 、3 .147 , P＜0 .01) .随着PSQI总分的升高,SAS 、SDS 、紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲劳-惰性、困惑-迷茫得分呈现随着PSQI分值增高而增高的趋势,有力-好动呈现随着PSQI分值增高而降低的趋势.相关性分析显示,PSQI总分与SAS 、SDS 、紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲劳-惰性、困惑-迷茫等负性情绪得分均呈显著正相关(r＝0 .549～0 .665 , P＜0 .01) ,与正性情绪、有力-好动得分呈低度负相关(r＝ －0 .417 , P＜0 .01) . 结论 睡眠质量是反映情绪状态的重要指标.飞行人员睡眠质量低于国内常模和普通军人,其紧张情绪高、应激状态明显.

abstractsObjective To investigate the sleep quality ,emotional state and their relationship for flying personnel so as to provide reference for the targeted aeromedical support. Methods Two hundred and forty-nine flying personnel participated in the anonymous questionnaire surveys ,including Pittsburgh sleep quality index (PSQI) ,self-evaluation of anxiety scale (SAS) ,self-rating depression scale (SDS ) , and profile of mood state (POMS ).Comparisons of sleep quality among flying personnel ,norm and ordinary soldiers were conducted.The correlation between sleep quality and emotional state was analyzed then. Results There were 238 questionnaires returned and the effective rate was 95.6%.The prevalence of sleeping disorders in 238 flying personnel was 36.6%.Their total score of PSQI was (6.79 ± 3.06) ,which was significantly higher than that of norm and ordinary soldiers (t＝ 14.706 ,5.967 , P＜0.01) and their scores of anxiety and depression were higher than those of the domestic norm (t＝4.867 ,3.147 , P＜0.01).In addition ,with the total score of PSQI increased the scores on SAS , SDS , tension-anxiety , depression-dejection , anger-hostility , fatigue-inertia and confusion-bewiderment showed upward trend.But the score on vigor-activity was decreased.Correlation analysis showed that the total score of PSQI was positively correlated with the scores on SAS , SDS , tension-anxiety , depression-dejection , anger-hostility , fatigue-inertia and confusion-bewiderment (r＝0.549-0.665 ,P＜0.01) ,and was negatively correlated with vigor-activity (r＝ －0.417 , P＜ 0.01 ). Conclusions Sleep quality is an important indicator of emotional state. Sleep quality of flying personnel is lower than that of norm and ordinary soldiers and this means the flying personnel are in obviously higher tension and stress state.