三亚市医护人员原发性头痛与睡眠障碍的关系

Relationship between primary headache and sleep disturbance in medical staff in Sanya City

摘要:

研究目的：通过调查三亚市医护人群原发性头痛患病率及头痛特征，探讨三亚市医护人群原发性头痛与睡眠障碍的相互关系，为提高医护人群原发性头痛的防治水平提供依据。研究方法：采用分层随机整群抽样的方法，对海南省三亚市的4所医院的280名医生和365名护士进行调查。采用结构化问卷收集人口统计学数据、职业因素和头痛特征信息，利用匹兹堡睡眠评价量表对医护人员睡眠质量进行量化评分。研究结果：三亚市医护人员头痛患病率为53.3%，原发性头痛患病率50%，其中男性医护人员头痛患病率为43.1%，女性为56.9%。职业因素中夜班次数与睡眠障碍匹兹堡评分进行等级相关系数检验，得出Rho=0.18（P=0.00），提示夜班次数多少与睡眠障碍密切关联（χ2=0.002，P=0.968）。睡眠评分与头痛是否进行等级相关系数检验，得出Rho=0.287（P=0.00），提示睡眠质量与头痛密切相关。采用四格表卡方检验推断睡眠障碍与原发性头痛明显相关（χ2=0.248，P=0.619）。结论：三亚市医护人员群体较中国正常人群有较高的头痛患病率，夜班次数的多寡极大地影响了睡眠质量，睡眠质量好坏与原发性头痛密切相关。因此，科学合理的安排值班可能改善医护人员的睡眠质量，改善医护人员头痛状况。

Abstract:

Objective: To explore the relationship between primary headache and sleep disorder in the medical population in Sanya city, so as to provide evidence for improving the prevention and treatment of primary headache in medical population. Methods: 280 doctors and 365 nurses at four hospitals in Sanya, were surveyed by stratified random cluster sampling.A structured questionnaire was used to collect demographic data, occupational factors and headache characteristics, and the Pittsburgh sleep rating scale was used to quantitatively score the sleep quality of medical staff. Results: The prevalence of headache in medical care in Sanya was 53.3%, the prevalence of primary headache was 50.0%, 43.1% in male medical workers and 56.9% in female.Among occupational factors, the number of night shift was closely related to sleep disorder. The grade correlation coefficient between the number of night shifts and the Pittsburgh Score of Sleep Disorders is closed related (Rho=0.18, P=0.00). The Pittsburgh score and headache were tested for grade correlation coefficient, resulting in Rho=0.287(P=0.00), suggesting that sleep was closely related to headache. There was a significant correlation between sleep disturbance and headache in the medical group（χ2=0.002，P=0.968）. Sleep quality is closely related to primary headache（χ2=0.248，P=0.619）. Conclusion: Medical workers in Sanya city have a higher incidence of headache than the normal people in China. The frequency of night shift greatly affects the sleep quality. The sleep quality is closely related to the primary headache.Therefore, scientific and reasonable arrangement of duty may improve the sleep quality and headache of medical staff.