目的 分析突发呼吸道传染病疫情期间一线工作人员不适症状及睡眠质量。方法 选取某部56名一线工作人员作为研究对象,通过问卷调查统计在污染区工作时,头晕、心慌、呕吐或晕厥等不适症状的发生情况,并将出现不适症状≤2次的29名工作人员设为对照组,将出现不适症状>2次的27名工作人员设为观察组。比较两组人员年龄、BMI、日常锻炼情况、首次发生时的值班时段、睡眠状况,以及睡眠状况和不适症状的相关性。结果 与对照组比较,观察组年龄、BMI、日常锻炼情况、入睡困难频率和实际睡眠时间差异均无统计学意义。与对照组比较,观察组应用药物催眠比例更大(P＜0.05),对睡眠质量的自我评价更低(2.67±1.04 vs 3.24±0.95,P＜0.05)。56名一线工作人员中有39名(69.64%)首次发生不适时处在夜班时段,不适症状出现次数与睡眠质量自评得分呈负相关(r=-0.345,P=0.009)。结论 突发呼吸道传染病疫情期间一线工作人员发生不适症状的状况较为普遍,以夜间为主,可能与任务期间睡眠质量低有关。

Objective To analyze the discomfort and sleep quality of the front-line staff during an emergent respiratory infectious disease so as to provide data for the prevention and control of the epidemic.Methods Fifty-six medical front-line health care providers were selected as the subjects. The incidence of such discomfort as dizziness, palpitation, vomiting or syncope was investigated via a questionnaire. Twenty-nine of them felt unwell twice or less, who were assigned to the control group, while the rest of the staffs who reported discomfort at least twice served as the observation group. The age, BMI, amount of daily physical activity, the time of shift when discomfort occurred for the first time and sleep status were compared between the two groups.Results There was no significant difference in age, BMI, amounts of daily exercise, frequency of difficulty in falling asleep or actual length of sleep between the two groups. Cases of drug hypnosis in the observation group outnumbered those of the control group, and self-evaluation of sleep quality was lower(2.67±1.04 vs 3.24±0.95,P＜0.05). The difference was statistically significant. Among the 56 health care providers, 39 (69.64%) were on night shift when discomfort occurred for the first time, and the frequency of discomfort was negatively correlated with the self-assessment score of sleep quality(r=-0.345,P=0.009).Conclusions Discomfort among the front-line staff during the outbreak of a respiratory infectious disease is common, mainly at night, which may be related to the low quality of sleep.