护士群体怒表达方式与睡眠质量疲劳状况的相关性调查
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摘要
目的:针对目前怒表达方式之机体状态条件缺乏相关研究的现状,从睡眠质量和疲劳状况两个机体状态的主要方面着手,研究怒不同表达时在机体状态方面的差异,探索怒表达方式与睡眠质量疲劳状况的相关性。
方法:对913名护士开展流行病学问卷调查,应用斯皮尔伯格状态-特质怒表达量表(STAXI-2)对个体进行怒表达方式的判别:愤怒(anger-out)、郁怒(anger-in);采用匹兹堡睡眠质量指数量表(PSQI)评定个体睡眠质量;采用疲劳评定量表(FAI)评定受试机体疲劳状况,对数据进行统计分析。
结果:护士群体愤怒组和郁怒组在睡眠质量、疲劳状况存在差异:在睡眠质量方面,护士群体愤怒组在睡眠质量的得分明显高于郁怒组(P<0.05);在疲劳状况方面,护士群体郁怒组在疲劳可能导致的心理后果方面得分高于愤怒组(P<0.05);不同学历、年龄阶段护士群体在睡眠质量、疲劳状况差异不等。怒表达方式与睡眠质量、疲劳状况存在相关性:logistic回归结果提示,愤怒与睡眠障碍因子呈正相关(P<0.05),郁怒与疲劳对休息、睡眠的反应因子呈负相关(P<0.05)。
结论:护士群体怒不同表达时在睡眠质量疲劳状况方面存在明显差异,怒的表达与睡眠质量疲劳状况关系密切。该结论为进一步研究机体状态在怒表达过程中的作用机制奠定基础,为怒致情志病症的防治提供新思路。
Objective: Aimed directly at the research of physiological base for the anger expression style was lack , launch on sleep quality and fatigue which are main of physiological enginery, explore the relavence between sleep quality,fatigue and anger expression style, discuss the distinction of physiological base with different anger expression style.
Methods: 913 nurses were investigated by epidemiology tables,discrininate the style of anger expression with State-Trait Anger Expression Inventory-2(STAXI-2):anger expression-out(AX-O)/ anger expression-in(AX-I),assess sleep quality with Pittsburgh Sleep Quality Index(PSQI), assess economy fatigue with Fatigue Assessment Instrument(FAI),add up the dataand then analyse.
Results: There was difference between nueses AX-O group and AX-I group in sleep quality and fatigue condition : Research to sleep quality shows , There were obviously difference on the score of sleep quality between nueses AX-O group and AX-I group(P<0.05); Research to the fatigue shows that , the nueses AX-I group had obviously higher scores on the mental effect might be caused(P<0.05); There were not the same on the score of sleep quality or fatigue with different Qualifications and Age. There was correlation between Anger Expression Style and Sleep Qaulity/ Fatigue condition: The results of Logistic Regression show that, AX-O group has positive correlation with the Sleep Disordes factor(P<0.05), AX-I group has inverse coeeelation with the Responds to Rest/Sleep composition(P<0.05).
Conclusion: There was difference between nueses AX-O group and AX-I group in sleep quality and fatigue condition , There was correlation between Anger Expression and Sleep Qaulity/ Fatigue condition. The conclusion laied the foundation for the function mechanism of organism condition in anger expression, offer new thinking for the prevention and cure of emotional disorders by anger .
方法:对913名护士开展流行病学问卷调查,应用斯皮尔伯格状态-特质怒表达量表(STAXI-2)对个体进行怒表达方式的判别:愤怒(anger-out)、郁怒(anger-in);采用匹兹堡睡眠质量指数量表(PSQI)评定个体睡眠质量;采用疲劳评定量表(FAI)评定受试机体疲劳状况,对数据进行统计分析。
结果:护士群体愤怒组和郁怒组在睡眠质量、疲劳状况存在差异:在睡眠质量方面,护士群体愤怒组在睡眠质量的得分明显高于郁怒组(P<0.05);在疲劳状况方面,护士群体郁怒组在疲劳可能导致的心理后果方面得分高于愤怒组(P<0.05);不同学历、年龄阶段护士群体在睡眠质量、疲劳状况差异不等。怒表达方式与睡眠质量、疲劳状况存在相关性:logistic回归结果提示,愤怒与睡眠障碍因子呈正相关(P<0.05),郁怒与疲劳对休息、睡眠的反应因子呈负相关(P<0.05)。
结论:护士群体怒不同表达时在睡眠质量疲劳状况方面存在明显差异,怒的表达与睡眠质量疲劳状况关系密切。该结论为进一步研究机体状态在怒表达过程中的作用机制奠定基础,为怒致情志病症的防治提供新思路。
Objective: Aimed directly at the research of physiological base for the anger expression style was lack , launch on sleep quality and fatigue which are main of physiological enginery, explore the relavence between sleep quality,fatigue and anger expression style, discuss the distinction of physiological base with different anger expression style.
Methods: 913 nurses were investigated by epidemiology tables,discrininate the style of anger expression with State-Trait Anger Expression Inventory-2(STAXI-2):anger expression-out(AX-O)/ anger expression-in(AX-I),assess sleep quality with Pittsburgh Sleep Quality Index(PSQI), assess economy fatigue with Fatigue Assessment Instrument(FAI),add up the dataand then analyse.
Results: There was difference between nueses AX-O group and AX-I group in sleep quality and fatigue condition : Research to sleep quality shows , There were obviously difference on the score of sleep quality between nueses AX-O group and AX-I group(P<0.05); Research to the fatigue shows that , the nueses AX-I group had obviously higher scores on the mental effect might be caused(P<0.05); There were not the same on the score of sleep quality or fatigue with different Qualifications and Age. There was correlation between Anger Expression Style and Sleep Qaulity/ Fatigue condition: The results of Logistic Regression show that, AX-O group has positive correlation with the Sleep Disordes factor(P<0.05), AX-I group has inverse coeeelation with the Responds to Rest/Sleep composition(P<0.05).
Conclusion: There was difference between nueses AX-O group and AX-I group in sleep quality and fatigue condition , There was correlation between Anger Expression and Sleep Qaulity/ Fatigue condition. The conclusion laied the foundation for the function mechanism of organism condition in anger expression, offer new thinking for the prevention and cure of emotional disorders by anger .
引文
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[2]杜文东,陈力.医学心理学[M].重庆:重庆大学出版社,1998:126.
[3]任昱,张虹.《内经》“怒”理论钩玄[J].浙江中医学院学报,2004;28(5):11. (期数)
[4]夏卫东,叶卉.内经对“怒”的认识[J].杭州医学高等专科学校学报,2002;5(6):237.
[5]王朝勋,郑洪新,王继伟,等.怒伤肝与神经-内分泌-免疫系统失调探析[J].辽宁中医杂志,1997;24(5):205-206.
[6]陈聪,刘明,严石林,等.孕妇七情背景及七情生活事件的研究[J].现代中西医结合杂志,2006;15(3):277-278.
[7]张伯礼,宋其云,崔秀琼,等.天津地区中医中风病危危险因素及症候调查研究[J].天津中医,2000;17(51):35-37.
[8]祝玉慧,孟迎春,宗飞,等.综合医院住院病历有关情志病证发病因素调查分析“情绪与健康和疾病及其中医药干预”国际学术研讨会暨中医基础理论分会第一届学术年会.2007.
[9]张沁园.怒致病的相关机理探讨[J].吉林中医药,2006;26(5):2-3.
[10] Arsenio WF, Gold J, Adams E.Adolescents' emotion expectancies regarding aggressive and nonaggressive events: connections with behavior problems[J]. Exp Child Psychol.2004 Dec;89(4):338.
[11] Krantz DS, Olson MB, Francis JL. Anger, hostility, and cardiac symptoms in women with suspected coronary artery disease: the Women's Ischemia Syndrome Evaluation (WISE) Study[J].Womens Health (Larchmt).2006 Dec;15(10):1214.
[12] Peters RM, Lumley MA.Relationship of alexithymia to cardiovascular disease risk factors among African Americans[J].Compr Psychiatry.2007 Jan-Feb;48(1):34.
[13] D Rujescu, I Giegling, B Bondy,et al.Association of anger-related traitswith SNPs in the TPH gene[J]. Molecular Psychiatry,2002;7:1023.
[14] Esslen M, Pascual-Marqui RD, Kochi K, et al. Brain areas and time course of emotional processing[J]. NeuroImage. 2004; 21:1189.
[15] Nomura M, Ohira H, Haneda K, et al. Functional association of the amygdala and ventral prefrontal cortex during cognitive evaluation of facial expressions primed by masked angry faces: an event-related fMRI study[J]. NeuroImage. 2004;21:352.
[16]乔明琦,徐旭杰,韩秀琴,等.经前期综合征证候分布规律的流行病学调查研究[J].中国中医基础医学杂志,1997;3(3):31.
[17]乔明琦,张慧云,石忠峰,等.择时造模猕猴经前期“病证表现”及其评价[J].中国中医基础医学杂志, 2002;8(7):59.
[18]王海苹,薛玲,张惠云,等.经前期综合征肝气逆证猕猴模型表情行为及递质水平的变化[J].中药药理与临床,2004;20(3):45.
[19] Spielberger,C.D.State-Trait Anger Expression Inventory: Professional Manual. Odessa[M]. Florida: Psychological Assessment Resources, Inc. 1988,30.
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