山东某高校医学生睡眠质量及其影响因素分析

Cross-sectional Study on Sleep Quality and Risk Factors of Medical Students in Shandong

目的了解医学生的睡眠状况,分析影响睡眠的因素,为医学院校教学管理工作提供依据。方法采用整群随机抽样方法,抽取某高校医学生650名(均为住校生)为研究对象,利用匹兹堡睡眠质量指数(PSQI)为睡眠质量评价工具,结合自制调查问卷进行调查。结果医学生睡眠质量较差者占56.3%,男生较女生差,且存在城乡差异。多因素Logistic回归分析发现,应激事件、心理状态、宿舍环境与睡眠质量显著相关(P值均<0.05),且睡眠质量随年级增高而降低;但是否恋爱、考研、是否经常锻炼身体、月生活开支以及学习成绩等因素与睡眠质量无相关性(P值均>0.05)。结论医学生睡眠质量普遍较差,应通过合理的干预措施提高睡眠质量,以保证医学生身心健康和提高学习效率。

Objective To study the status of sleeping status among medical students, to analyze the influencing factors, and to provide basis for the management. Methods By using cluster random sampling method, 650 boarding students were chosen. They were asked to complete PSQI and a self-designed questionnaire. Results The prevalence of sleeping disorder was 56.3%. There were significant difference between sexes or urban and rural. The multiple Logistic regression revealed that stress events, psychological state, dormitory environment significantly correlated with sleep quality （ P 〈 0.05） , but fall in love or not, preparing for postgraduate, physical exercise, cost of living per month and examination score did not relate with sleep（ P 〉 0.05 ）. Conclusion Comparing with the general adults, the sleep quality of medical college students is relatively bad. These results suggested that sleep insufficiency and sleep disorders is popular among students. Intervention measures should be given so as to improve sleep quality.