心理弹性在居民压力知觉与睡眠质量中介及调节作用.docVIP

心理弹性在居民压力知觉与睡眠质量中介及调节作用 刘晓华 刘春琴 田晓红 邹桂元 厉萍 山东大学护理学院 山东大学附属山东省立医院门诊部 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨社区居民心理弹性、压力知觉与睡眠质量之间的关系。方法 采用多阶段抽样方法 ,使用心理弹性量表、压力知觉量表和匹兹堡睡眠质量指数量表对山东省济南市历下区1 471名社区居民进行调查。结果 社区居民睡眠质量得分为(4.73±3.09)分,33.92%的社区居民存在不同程度的睡眠问题;社区居民压力知觉得分为(17.06±5.47)分,心理弹性得分为(26.76±7.05)分;压力知觉与心理弹性呈明显负相关(r=-0.463,P0.01),与睡眠质量总分呈明显正相关(r=0.332,P0.01),心理弹性与睡眠质量总分呈明显负相关(r=-0.346,P0.01)。不同年龄、性别、婚姻状况、职业、患病情况的社区居民睡眠质量得分差异有统计学意义(均P0.05)。分层回归分析显示,心理弹性在社区居民压力知觉和睡眠质量间有部分中介作用,中介效应为0.11,相对中介效应为32.8%;心理弹性在社区居民压力知觉和睡眠质量间起调节作用,心理弹性是睡眠质量的重要保护资源。结论 感知压力既可对睡眠质量产生直接影响,又可通过心理弹性间接影响睡眠质量;心理弹性缓冲压力知觉对睡眠质量的负面影响,对社区居民的睡眠起到保护作用。 关键词： 心理弹性; 压力知觉; 睡眠质量; 社区居民; 收稿日期：2013-12-03 Perceived stress and sleep quality: resilience as a mediator and moderator LIU Xiao-hua LIU Chun-qin TIAN Xiao-hong School of Nursing,Shandong University; Abstract： Objective To investigate influencing factors of sleep quality in residents and to evaluate the protective effect of resilience on the relationship between perceived stress and sleep quality. Methods Totally 1 471 residents aged18 to 60 years in Lixia community of Jinan city of Shandong province were selected and assessed with the Pittsburg Sleep Quality Index Scale( PSQI),the 10-Item Connor-Davidson Resilience Scale,and the 10-Item Perceived Stress Scale. M ediating effect and moderating effect were analyzed with hierarchical regression analysis. Results The average PSQI scores was 4. 73 ± 3. 09 among the residents and 33. 92% of the residents reported poor sleep quality. The average scores of residents were 17. 06 ± 5. 47 for perceived stress and 26. 76 ± 7. 05 for psychological resilience. Perceived stress was significantly negatively correlated with psychological resilience( r =- 0. 463,P 0. 01) and significantly positively correlated with total sleep quality score( r = 0. 332,P 0. 01); psychological resilience was significantly negatively correlated with sleep quality score( r =- 0. 346,P 0. 01).