某医学院校学生睡眠质量调查及其影响因素分析

Study on the status and quality of sleep-related influencing factors in medical college students

目的对某医学院学生的睡眠质量状况进行调查并对其影响因素进行分析。方法以匹兹堡睡眠质量指数(PSQI)、自评抑郁量表(SDS)、自评焦虑量表(SAS)以及自制的医学生睡眠质量影响因素调查表对在校的本科医学生进行分层抽样调查,采用累积比数logistic模型分析医学生睡眠质量的影响因素。结果19.17%的医学生睡眠质量较差。男女间差异无统计学意义(P>0.05),年级间差异有统计学意义(P<0.05)。睡眠质量与焦虑、抑郁的相关性均具有统计学意义(P<0.0001)。医学生睡眠质量的影响因素主要有:担心睡眠、作息不规律、考试因素、应激性事件、同学关系、自评健康状况、宿舍环境、睡觉迟等。结论医学生睡眠质量的影响因素是多方面的,应有针对性地采取多种措施来改善睡眠质量。

Objective To study the status and influencing factors on sleep quality in some medical college students. Methods Stratified sampling, pittsburgh sleep quality index (PSQI), self-evaluation depression scale(SDS), self-evaluation anxiety scale(SAS) and self-developed questionnaire of influencing factors on the quality of sleep in medical college students were used. Cumulative odds logistic model was performed to analyze the related factors on the quality of sleep. Results 19.17 percent of the medical college students showed poor quality of sleep and the difference between genders was not statistically significant ( P > 0.05 ). Statistically significant ( P < 0.05 ) difference was seen among different years of students and correlation was found between sleep quality and depression or anxiety ( P < 0.0001 ). Factors influencing on the quality of sleep in medical college students would include:worry of sleep,irregular work/rest,worry on examination,stress, relationship with classmates,self-evaluated health condition, environments of the dormitory and late to bed. Conclusion Influencing factors were identified and comprehensive measures should be taken to improve the quality of sleep.