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新型冠状病毒肺炎疫情下武汉市居民压力知觉与睡眠质量的关系:心理弹性的调节作用

张连生,  张波,  胡玲

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文章导航 > 中华疾病控制杂志  > 2020 >  24(6): 638-642
张连生, 张波, 胡玲. 新型冠状病毒肺炎疫情下武汉市居民压力知觉与睡眠质量的关系:心理弹性的调节作用[J]. 中华疾病控制杂志, 2020, 24(6): 638-642. doi: 10.16462/j.cnki.zhjbkz.2020.06.004
引用本文: 张连生, 张波, 胡玲. 新型冠状病毒肺炎疫情下武汉市居民压力知觉与睡眠质量的关系:心理弹性的调节作用[J]. 中华疾病控制杂志, 2020, 24(6): 638-642. doi: 10.16462/j.cnki.zhjbkz.2020.06.004
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ZHANG Lian-sheng, ZHANG Bo, HU Ling. The relationship between perceived stress and sleep quality of Wuhan residents during COVID-19 outbreak: psychological resilience as a moderator[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(6): 638-642. doi: 10.16462/j.cnki.zhjbkz.2020.06.004
Citation: ZHANG Lian-sheng, ZHANG Bo, HU Ling. The relationship between perceived stress and sleep quality of Wuhan residents during COVID-19 outbreak: psychological resilience as a moderator[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(6): 638-642. doi: 10.16462/j.cnki.zhjbkz.2020.06.004
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新型冠状病毒肺炎疫情下武汉市居民压力知觉与睡眠质量的关系:心理弹性的调节作用

doi: 10.16462/j.cnki.zhjbkz.2020.06.004
  • 1.

    430065 武汉, 武汉科技大学医学院公共卫生学院流行病与卫生统计系

  • 2.

    430081 武汉, 武汉市洪山区天兴乡卫生院, 武汉科技大学医学院

基金项目: 湖北省教育厅哲学社会科学重点项目(19D020);武汉科技大学人文社会科学高水平培育项目(W201809)
详细信息
    通讯作者:

    胡玲, E-mail:13971574603@yeah.net

  • 中图分类号: R563.1;R181

The relationship between perceived stress and sleep quality of Wuhan residents during COVID-19 outbreak: psychological resilience as a moderator

  • 1.

    School of Public Health, Medical College, Wuhan University of Science and Technology, Wuhan 430065, China

  • 2.

    Tianxing township hospital, Hongshan district, Medical College, Wuhan University of Science and Technology, Wuhan 430081, China

Funds: Key Projects of Philosophy and Social Sciences of Department of Education of Hubei Provincial(19D020); Key Program for Humanities and Social Sciences of Wuhan University of Science and Technology(W201809)
More Information

    摘要
  • 摘要:   目的   了解面临新型冠状病毒肺炎突发疫情时武汉市居民睡眠质量状况, 探讨心理弹性、压力知觉与睡眠质量之间的关系。   方法   2020年2月1―5日利用微信App, 收集到1 178名武汉市居民填写的失眠严重指数量表、压力知觉量表和心理弹性量表数据, 运用分层回归方程模型分析调节作用。   结果   被调查居民睡眠质量总分中位数为3.11(0.93, 7.04)分, 24.62%的被调查居民存在睡眠质量问题。在婚姻状况、压力知觉、心理弹性方面, 居民睡眠质量得分差异有统计学意义(均有P < 0.001)。睡眠质量总分与压力知觉呈正相关(r=0.378, P < 0.001), 与心理弹性呈负相关(r=-0.299, P < 0.001), 心理弹性与压力知觉总分呈负相关(r=-0.563, P < 0.001)。心理弹性在压力知觉和睡眠质量间起调节作用(β=-0.249, P=0.011)。   结论   突发新型冠状病毒肺炎疫情下压力知觉直接影响居民睡眠质量, 心理弹性能减缓压力知觉的负面影响起到保护作用。
    Abstract:   Objective   To examine the situation of sleep quality and to explore the moderate effect of psychological resilience between perceived stress and sleep quality of Wuhan residents during COVID-19 outbreak.   Methods   From February 1 to 5 in 2020, a WeChat survey was established among 1 178 Wuhan residents aged more than 18 years with the insomnia severity index(ISI), perceived stress scale, and 10-item connor-davidson resilience scale. Moderating effect was analyzed with hierarchical regression analysis.   Results   The median of ISI scores was 3.11(0.93, 7.04) among the residents, and 24.62% of the interviewee were suffered from poor sleep quality. There were significant differences between ISI scores and marital status, and perceived stress, and psychological resilience(all P < 0.001). ISI scores were positively correlated with perceived stress(r=0.378, P < 0.001), and negatively correlated with psychological resilience(r =-0.299, P < 0.001). And negative correlation was found between psychological resilience and perceived stress(r =-0.563, P < 0.001). Psychological resilience moderated the relationship between perceived stress and sleep quality(β=-0.249, P=0.001).   Conclusion   The psychological resilience could buffer negative effect of perceived stress on sleep quality, and is a crucial protective factor for improving sleep quality among residents during the COVID-19 outbreak.
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  • 表  1  不同特征居民睡眠质量总分比较[n(%)]

    Table  1.   Comparison of total scores of sleep quality in the different characteristics of residents[n(%)]

    变量 睡眠质量(分) t/χ2值 P值
    好(n=888) 差(n=290)
    性别 1.450 0.228
    女 414(73.80) 147(26.20)
    男 474(76.82) 143(23.18)
    年龄(岁) 7.551 0.109
    18~ 213(73.70) 76(26.30)
    21~ 336(76.36) 104(23.64)
    31~ 225(77.32) 66(22.68)
    41~ 94(76.42) 29(23.58)
    ≥51 20(57.14) 15(42.86)
    婚姻状况 24.224 < 0.001
    未婚 280(78.43) 77(21.57)
    已婚 504(77.66) 145(22.34)
    丧偶 104(60.47) 68(39.53)
    学历 0.634 0.889
    初中及以下 19(76.00) 6(24.00)
    高中 105(73.43) 38(26.57)
    大学 680(75.39) 222(24.61)
    研究生 84(77.78) 24(22.22)
    职业 4.872 0.432
    生产销售 228(72.15) 88(27.85)
    专业技术 209(75.45) 68(24.55)
    行政管理 81(75.00) 27(25.00)
    教师 43(75.44) 14(24.56)
    医生 19(67.86) 9(32.14)
    学生 308(78.57) 84(21.43)
    压力知觉总分(x±s) 14.27±5.65 18.81±5.92 11.749 < 0.001
    心理弹性总分(x±s) 26.87±9.43 23.06±7.58 6.254 < 0.001
    下载: 导出CSV

    表  2  睡眠质量、知觉压力以及心理弹性的相关性

    Table  2.   The correlation of sleep quality, perceived stress and psychological resilience

    项目 睡眠质量总分 压力知觉总分 心理弹性总分
    睡眠质量总分 1.000
    压力知觉总分 0.378 1.000
    心理弹性总分 -0.299 -0.563 1.000
    下载: 导出CSV

    表  3  心理弹性在压力知觉与睡眠质量间调节作用

    Table  3.   The moderated effect of psychological resilience between perceived stress and sleep quality

    自变量 偏回归系数 Sx 标准回归系数 决定系数 F值 P值
    第一层
    压力知觉 0.351 0.029 0.381 0.165 104.645 < 0.001
    心理弹性 -0.103 0.019 -0.132 0.022
    第二层
    压力知觉 0.582 0.081 0.652 0.251 73.289 < 0.001
    心理弹性 -0.124 0.058 -0.204 0.015
    压力知觉×心理弹性 -0.208 0.033 -0.249 0.011
    下载: 导出CSV
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