温州市临床医学专业学生睡眠障碍现况及影响因素调查研究

Current status of sleep disturbance and influencing factors among college students in clinical medicine

目的了解临床医学专业学生睡眠障碍现况及影响因素,为有效改善睡眠质量提供参考。方法采用分层整群抽样,对两所医学院校1 336名临床医学专业学生进行Espie睡眠障碍问卷(sleep disturbance questionaire,SDQ)及自编问卷调查。结果临床医学专业学生SDQ总分为(29.12±8.60)分,其中不同性别临床医学专业学生SDQ评分差异无统计学意义(P>0.05),城镇生源医学生问卷评分低于农村临床医学专业学生(t=-3.031,P=0.002)、大三临床医学专业学生问卷评分高于大一、大二年级(F=13.559,P<0.01)。临床医学专业学生睡眠障碍影响因素为:高年级(t=3.314,P<0.01)、人际关系差(t=4.218,P<0.01)、室友关系差(t=3.353,P<0.01)、睡前使用手机或电脑(t=4.203,P<0.01)、手机上网频繁(t=4.311,P<0.01)、网络游戏等电脑使用频繁(t=3.416,P<0.01)、家庭经济差(t=2.363,P=0.018)、对专业不满意(t=2.255,P=0.024)。结论临床医学专业学生睡眠障碍情况受多方面因素的影响,应针对影响因素采取有效的措施,提升临床医学专业学生睡眠质量。

Objective To understand the current status of sleep disturbance among college students in clinical medicine and to discuss its influencing factors,in order to provide reference for improving the sleep quality.Methods A stratified cluster sampling method was used to randomly select 1336 students with clinical medicine major from 2 medical universities to participate in a survey using espie sleep disturbance questionnaire(SDQ)and self-designed questionnaire.Results The overall score of SDQ was(29.12±8.60)with no difference between male and female students(P>0.05).The score of SDQ was significantly lower among students from urban areas than that of those from rural areas(t=-3.031,P=0.002),while was higher in juniors than that in freshmen and sophomores(F=13.559,P<0.01).The major factors for sleep disturbance were found to be students in higher college year(t=3.314,P<0.01),poor interpersonal relationship(t=4.218,P<0.01),poor roommate relationship(t=3.353,P<0.01),mobile phone or computer use before bedtime(t=3.416,P<0.01),frequent use of mobile phone(t=4.322,P<0.01) and playing computer games(t=3.416,P<0.01),low family income(t=2.363,P=0.018)and dissatisfaction with major(t=2.255,P=0.024).Conclusions Sleep disturbance in medical students is affected by many factors and specific intervention should be taken to improve the quality of sleep.