某医学院校女生睡眠质量与月经失调关联性研究

Study on correlation between sleep quality and menstrual disorders in fe⁃male students in a medical college

目的调查抚州某医学院女大学生的睡眠和月经情况,分析女医学生睡眠质量与月经周期的关联。方法采用分层随机整群抽样法抽取抚州某医学院大一至大三1349名女医学生为研究对象进行横断面调查,使用自行设计包括一般资料、月经情况、其他生活习惯等项目的问卷及匹兹堡睡眠质量指数(PSQI)量表,采用Cochran-Mantel-Haenszel χ^(2)检验分层分析睡眠质量与月经失调的关系。结果参与调查的女医学生睡眠质量总分为(5.121±2.453)分,存在睡眠质量问题者占27.1%,月经失调者占35.1%。月经失调组学生PSQI总分数据明显高于月经正常组数据(Z=-3.667,P<0.001)。分别控制年级、饮食习惯、体育锻炼、学习压力等影响因素之后,得出睡眠质量与月经失调之间存在关联性,差异均具有统计学意义(OR值介于1.328~1.410,P均<0.05)。结论女医学生的睡眠障碍与月经失调会相互影响,应积极采取综合性措施进行干预,为其身心健康发展提供保障。

Objective To investigate the sleep and menstrual conditions of female college students in a medical school in Fuzhou City,and to analyze the correlation between sleep quality and menstrual cycle among them.Methods A stratified random cluster sampling method was used to select 1349 female medical students from the first to the third year of a medical school in Fuzhou City as the research objects for a cross⁃sectional survey.The questionnaires were used with self⁃designed general information,menstrual conditions,other lifestyle habits questionnaire,and Pittsburgh Sleep Quality Index(PSQI)Scale.The Cochran⁃Mantel⁃Haenszel χ^(2) test was used to stratify the relationship between sleep quality and menstrual disorders.Results The average total sleep quality score of female medical students was(5.121±2.453),27.1%had sleep quality problems and 35.1%had menstrual disorders.The total PSQI score of the students in the menstrual disorder group was significantly higher than that in the normal menstrual group(Z=-3.667,P<0.001).After controlling for influencing factors,such as grade,eating habits,physical exercises,and study pressure,it was concluded that there was a correlation between sleep quality and menstrual disorders,and the differences were statistically significant(OR=1.328-1.410,all P<0.05).Conclusion The sleep disorder and menstrual disorders of female medical students affect each other,and compre⁃hensive measures should be actively taken to provide protection for their physical and mental health development.