医学院高年级女生睡眠质量与心理健康的分析

Analysis on Sleep Quality and Mental Health of female Seniors in Medical Colleges

目的:了解高年级医学女生的睡眠质量情况及与其心理健康状况的关系,为心理健康教育提供参考。方法:使用匹兹堡睡眠质量指数(PSQI)和症状自评量表(SCL-90),对某医学院249名高年级女生进行睡眠质量及心理健康状况的调查,并进行相关和回归分析。结果:有27.71%的高年级女生有睡眠质量问题;睡眠状况不佳主要体现在日间功能障碍(34.8%)、睡眠时间不足(27.6%)、入睡慢(13.9%)和自感睡眠质量不佳(12.1%)。睡眠质量不同者的心理健康状况有显著差异(P<0.001),睡眠越好心理健康状况也越好(P<0.05)。相关分析表明,PSQI总分与SCL-90总均分间存在相关性(r=0.475);多元逐步回归分析表明,影响睡眠质量的心理症状因子主要为强迫和焦虑,这两个因素可以解释PSQI总分变异的26.5%。结论高年级医学女生的睡眠质量与其心理健康状况存在相关性。

Objective: to comprehend the correlationship between sleep quality and mental health of female seniors in medical colleges.Methods:249 female graduate students were evaluated and analyzed with Symptom Checklist-90(SCL-90) and Pittsburgh Sleep Quality Index (PSQI).Results:27.71% of respondents have sleeping problems which were mainly daytime dysfunction (34.8%),sleep shortage (27.6%),sleep latency (13.9%) and subjective poor sleep quality (12.1%). Mental health remarkably differs in those who have different sleep qualities.(P<0.001). The better the sleep quality is, the better the mental health is (P<0.05).Corresponding analysis shows that the scores of PSQI have positive correlation with the general symptomatic index of SCL-90(r=0.475);by the regression analysis,the obsession and anxiety are major psychological factors contributing to the poor sleep quality.These two factor can also account for 26.5% of the PSQI overall score variation. Conclusion:Sleep quality of female seniors in medical colleges might be related with their mental health status quo.