网络首发时间：2015-06-1814:18屮国公共卫生2015.J93-796DOI:10.11847/zgggws2015-31-06-29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盥导山/参考文献关注分享收藏打印摘要：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1471名社区居民进行调査。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和关(r=-0.463,P<0.01)，与睡眠质量总分呈明显正和关(r=0.332,P〈0.01),心理弹性与睡眠质量总分呈明显负相关(r=-0.346,P〈0.01)。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冇统计学意义(均P〈0.05)。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扩作用。关键词：心理弹性;压力知觉;睡眠质量;社区居民;收稿日期：2013-12-03Perceivedstressandsleepquality:resilienceasamediatorandmoderatorLIUXiao-huaLIUChun-qinTIANXiao-hongSchoolofNursing，ShandongUniversity;Abstract：ObjectiveToinvestigateinfluencingfactorsofsleepqualityinresidentsandtoevaluatetheprotectiveeffectofresilienceontherelationshipbetweenperceivedstressandsleepquality.MethodsTotally1471residentsagedl8to60yearsinLixiacommunityofJi’nancityofShandongprovincewereselectedandassessedwiththePittsburgSleepQualityIndexScale(PSQI),the10-ltemConnor-DavidsonResilienceScale,andthe10-ltemPerceivedStressScale.Mediatingeffectandmoderatingeffectwereanalyzedwithhierarchicalregressionanalysis.ResultsTheaveragePSQIscoreswas4.73土3.09amongtheresidentsand33.92%oftheresidentsreportedpoorsleepquality.Theaveragescoresofresidentswere17.06±5.47forperceivedstressand26.76±7.05forpsychologicalresilience.Perceivedstresswassignificantlynegativelycorrelatedwithpsychologicalresilience(r=-0.463,P<0.01)andsignificantlypositivelycorrelatedwithtotalsleepqualityscore(r=0.332,P<0-01);psychologicalresiliencewassignificantlynegativelycorrelatedwithsleepqualityscore(r=-0.346,P<0.01).Thereweresignificantdifferencesinsleepscoresamongtheresidentsofdifferentage,gender,maritalstatus,andoccupation(allP<0.05).Resiliencepartiallymediatedtheeffectofperceivedstressonresidents’sleepproblems,withamediatedeffectvalueof0.11andarelevantmediatedeffectproportionof32.8%;resiliencealsomoderatedtheassociationbetweenperceivedstressandsleepproblemsamongtheresidents.ConclusionPerceivedstresshasbothdirectandindirecteffectviapsychologicalresilienceonsleepqualityandpsychologicalresiliencecouldbuffernegativeeffectofperceivedstressonsleepqualityandisaprotectivefactorforsleepqualityamongcommunityresidents.Keyword：resilience;perceivedstress;sleepquality;communityresident;Received：2013-12-03睡眠不仅是人类基木的生理需要，也是促进个体躯体心理健康的要素。现代社会节奏加快，生活方式改变及信息技术发展使人们更易出现睡眠问题111。国内2010年睡眠调查数据显示失眠发生率高达38.2%拉1。长期失眠给个体身心健康带来诸多负面影响，增加其患病和死亡危险［3-7］。睡眠质量问题己成为重要的社会公井卫生问题。压力知觉是影响睡眠质量的重要危险因...