目的：探讨社区居民压力知觉、睡眠质量和心理健康之间的关系。方法采用多阶段抽样方法，对济南市历下区1471名社区居民采用压力知觉量表、匹兹堡睡眠质量指数量表和凯斯勒心理量表进行调查。结果社区居民心理健康得分为（19．29±6．62）分，有66．2％的社区居民存在不同程度的心理健康问题，不同学历、职业、家庭月收入、患病情况的社区居民心理健康得分差异有统计学意义（t值分别为5．345，2．765，8．245，－2．808；P＜0．05）。社区居民压力知觉量表总分（17．06±5．47）分，睡眠质量指数量表总分（4．73±3．09）分，压力知觉与心理健康、睡眠质量得分呈正相关（ r值分别为0．627，0．332；P＜0．01）；睡眠质量总分与心理健康呈正相关（r＝0．441，P＜0．01）。分层回归分析显示，睡眠质量在社区居民压力知觉和心理健康间有部分中介作用，中介效应为0．15，相对中介效应为24．2％。结论压力知觉既可对心理健康产生直接影响，又可通过睡眠质量间接影响心理健康。睡眠质量缓冲压力知觉对心理健康的负面影响，对社区居民的心理健康起到保护作用。%Objective To explore the correlation between psychological health status and pressure perception , sleep quality of community residents .Methods By multistage sampling method ,1 471 community residents of Lixia District in Ji′nan were surveyed by pressure perception scale , Pittsburgh sleep quality index and Kessler psychological scale .Results The score of psychological health acquired ( 19.29 ±6.62 ) , and 66.2%community residents existed different level psychological health issues , community residents with different educational background , occupation , family monthly income had statistical significance of differences in psychological health (t=5.345,2.765,8.245, -2.808;P <0.05).The total score of community residents pressure perception was (17.06 ±5.47)and the total score of sleep quality index was (4.73 ±3.09);the pressure perception had positive correlation with psychological health and sleep quality (r=0.627,0.332;P<0.01);the total score of sleep quality had positive correlation with psychological health (r =0.441, P <0.01).The hierarchical regression analysis showed the sleep quality played a part of mediation between pressure perception and psychological health , which mediation effect was 0.15, and the relative intermediary effect was 24.2%. Conclusions The pressure perception can impact psychological health directly , and also can indirectly affect psychological by sleep quality . Sleep quality can release pressure perception caused negative effects of psychological health and protect community residents′psychological health .
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