本文選題：工人 + 睡眠質(zhì)量��； 參考：《廣西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:本課題旨在調(diào)查廣西壯族自治區(qū)某企業(yè)的在職男性工人主動和被動吸煙的現(xiàn)狀,同時測定其體內(nèi)的多環(huán)芳烴代謝物1-羥基芘的含量,并通過睡眠質(zhì)量量表調(diào)查工人的睡眠質(zhì)量,從而比較主動及被動吸煙對其睡眠質(zhì)量的影響。為改善該企業(yè)在職男性工人的睡眠狀況并提高其生活質(zhì)量提供參考,同時為制定控制吸煙法律措施提供科學(xué)依據(jù)。對象和方法:本研究采用的是整群抽樣方法,于2015年7月期間在廣西某市進(jìn)行現(xiàn)場調(diào)查研究。研究招募到1906名男性工人參與者,調(diào)查后,最終得到有效問卷1787份。參與者被收集吸煙情況和被動吸煙情況和人口統(tǒng)計學(xué)信息。通過匹茲堡睡眠質(zhì)量指數(shù)表(PSQI)、心理健康狀況量表(GHQ-12)與家庭關(guān)懷指數(shù)量表(Family APGAR index)信息分析參與者的睡眠質(zhì)量、一般心理健康情況以及家庭功能障礙情況,并用高效液相色譜法測定參與者尿中1-羥基芘的濃度。結(jié)果:該企業(yè)男性工人主動吸煙率為51.37%,被動吸煙率為31.45%。PSQI總分最高是的主動吸煙組,其次是被動吸煙組。從PSQI單個成分來看,主動吸煙組的工人的睡眠質(zhì)量、入睡時間、睡眠時間、日間功能障礙的得分均高于其他兩組(主動吸煙者被動吸煙非吸煙者)。主動吸煙組和被動吸煙組的工人都能通過入睡時間、睡眠時間、日間功能障礙這三個成分增加工人患睡眠障礙的風(fēng)險。其中,風(fēng)險最高的是睡眠時間,被動吸煙組較不吸煙組的風(fēng)險為1.92倍(OR=1.92 95%CI 1.02-3.63),而主動吸煙組的患病風(fēng)險高達(dá)2.64倍(OR=2.64 95%CI 1.46-4.79)。在納入二元logistic回歸分析模型,調(diào)整民族、文化程度、住宅人口、住宅面積、飲酒情況、飲酒頻率、鍛煉情況、午睡頻率、輪班制度、上班天數(shù)、上班時間、上班活動、舒張壓、心理狀況和家庭關(guān)懷之后,結(jié)果顯示,主動吸煙組的睡眠質(zhì)量風(fēng)險仍然比不吸煙組的工人風(fēng)險高出1.41倍(OR=1.41 95%CI 1.05-1.88),被動吸煙組的工人風(fēng)險高出1.34倍(OR=1.34 95%CI 1.00-1.79)。主動吸煙組尿中的1-OHPyr濃度要高于不吸煙組以及被動吸煙組,其中主動吸煙組尿中1-OHPyr濃度約為不吸煙工人的1.4倍(P=0.007)。此外,尿中高濃度的1-OHPyr與總的睡眠質(zhì)量呈正相關(guān)。結(jié)論:本研究發(fā)現(xiàn)主動和被動吸煙均能影響男性工人的睡眠質(zhì)量,其中主動吸煙對男性工人的睡眠質(zhì)量影響更大。吸煙會導(dǎo)致工人尿中1-OHPyr濃度升高,高濃度的1-OHPyr與總的睡眠質(zhì)量相關(guān)。
[Abstract]:Objective: to investigate the active and passive smoking of male workers in an enterprise of Guangxi Zhuang Autonomous region, and to determine the content of 1-hydroxypyrene, a polycyclic aromatic hydrocarbons metabolite.The effects of active and passive smoking on sleep quality of workers were investigated by sleep quality scale.In order to improve the sleeping condition and the quality of life of male workers in this enterprise, it also provides the scientific basis for making legal measures to control smoking.Objects and methods: a cluster sampling method was used in this study, and a field investigation was conducted in a certain city of Guangxi during July 2015.The study recruited 1906 male workers and ended up with 1787 valid questionnaires.Participants were asked to collect information on smoking and passive smoking and demographics.The participants' sleep quality, general mental health and family dysfunction were analyzed by Pittsburgh Sleep quality Index (Pittsburgh Sleep quality Index), Mental Health status scale (GHQ-12) and Family APGAR Index (Family APGAR Index).The concentration of 1-hydroxy pyrene in urine of participants was determined by high performance liquid chromatography.Results: the active smoking rate of male workers in this enterprise was 51.37. The passive smoking rate was the active smoking group with the highest total score of 31.45%.PSQI, followed by the passive smoking group.According to the single component of PSQI, the scores of sleep quality, sleep time, sleep time and daytime dysfunction in active smoking group were higher than those in other two groups.Both active smoking and passive smoking increased the risk of sleep disorders through three components: sleep time, sleep time, and daytime dysfunction.The highest risk was sleep time. The risk of passive smoking was 1.92 times higher than that of non-smoking group (1.92 95%CI 1.02-3.63), while the risk of active smoking was 2.64 times higher than that of non-smoking group (2.64 95%CI 1.46-4.79).In the dual logistic regression analysis model, adjusted nationality, education, residential population, housing area, drinking, drinking frequency, exercise, siesta frequency, shift system, working days, working hours, working activities, diastolic pressure,After psychological status and family care, the results showed that the risk of sleep quality in active smoking group was still 1.41 times higher than that in non-smoking group, and 1.41 95%CI 1.05-1.88 in passive smoking group, and 1.34 times higher in passive smoking group than 1.34 95%CI 1.00-1.79 in passive smoking group.The concentration of 1-OHPyr in urine of active smoking group was higher than that of non smoking group and passive smoking group. The concentration of 1-OHPyr in urine of active smoking group was about 1. 4 times that of non smoking workers.In addition, high concentrations of 1-OHPyr in urine were positively correlated with total sleep quality.Conclusion: both active and passive smoking can affect the sleep quality of male workers, and active smoking has more influence on the sleep quality of male workers.Smoking leads to an increase in the concentration of 1-OHPyr in the urine, and high levels of 1-OHPyr are associated with overall sleep quality.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R163

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