- 期刊
影響空軍飛行學員睡眠品質相關因素探討
Determinants of sleep quality in R.O.C. Air Force cadets
摘要
背景及目的：擁有良好的睡眠品質可以消除疲勞感、貯存身體所需能量、提高對疾病抵抗力、增加學習記憶。空軍飛行學員於基本組訓練期間需耗費相當大的精神與體力，其壓力、憂鬱、個人生活習慣、環境因子可能會因而影響睡眠品質且這些飛行學員之睡眠品質之研究甚少，如果在訓練期間發生白天嗜睡、判斷力與警覺性降低的現象，可能無法順利結訓，甚至影響飛行訓練安全因此，飛行學員的睡眠品質健康情況非常值得重視，故目的為瞭解空軍飛行學生睡眠品質現況及其可能影響因素。材料方法：本研究採橫斷性研究法，利用結構式問卷於學員於國軍高雄總醫院岡山分院接受航空生理初訓時進行基本資料、睡眠品質、工作壓力及環境、疲勞及憂鬱情形等資料，利用SPSS 20.0進行分析。結果與結論：本研究之飛行學員睡眠品質總分平均為5.17分，整體來說飛行學員睡眠品質不佳，且在工作狀況、疲勞程度、工作支持及憂鬱程度在睡眠品質好壞兩組間有所差異。有抽菸的學官比起沒有抽菸的學官，睡眠品質不良風險會增加73%。另外憂鬱分數每增加一分，睡眠品質不良風險會增加13%。建議幹部及教官多關心學員睡眠品質，特別是有抽菸習慣之學員，另外憂鬱症狀的預防對於影響學員睡眠品質好壞也是相當重要。
並列摘要
Background: Good sleep quality can alleviate fatigue, restore the body's energy, boost the immune system, and improve learning and memory abilities. The rigorous mental and physical demands of basic flying training experienced by Air Force cadets can potentially affect their sleep quality. Stress, depression, poor sleep hygiene may affect sleep quality and contribute to daytime drowsiness, impaired judgment, decreased alertness and even jeopardize flight safety during training. Objective: To assess the sleep quality of Air Force cadets and determinants of sleep quality. Method: A cross-sectional survey was carried out among Air Force cadets undergoing initial aviation physiology training from 2019 to 2020. A structured composite questionnaire was used to collect demographic data, sleep quality (Pittsburg Sleep Quality Index, PSQI), training hours and frequency, fatigue levels (Swedish Occupational Fatigue Inventory, SOFI), work-related stress, depression level (Center for Epidemiology Studies Depression Scale, CES-D), and lifestyle habits. All data were analyzed using SPSS statistics 20.0. Result: A total of 157 completed questionnaires were available for analysis. The average global PSQI scores of 5.17 points suggest that the sleep quality of cadets was poor. Notable differences were observed between the groups experiencing good and poor sleep quality in working conditions, fatigue, work support, and depression levels. Identified determinants of sleep quality included smoking [adjusted odds ratio (aOR): 1.73; 95% confidence interval (CI): 1.02-2.94] and the level of depression. Each score increment in severity of depression increase the probability of poor sleep quality by 13% (aOR: 1.13; 95% CI: 1.04-1.22) Conclusions: It is recommended that instructors give more attention to the sleep quality of cadets, especially those with smoking habits. Equally important is the emphasis on preventing symptoms of depression, given its substantial impact on the sleep quality of cadets.