南昌市初中生睡眠质量与焦虑情绪关系

Relationship between sleep quality and anxiety in middle school students in Nanchang city

目的探讨江西省南昌市初中生睡眠质量及焦虑情绪现状及两者的关系,为促进初中生健康成长提供依据。方法采用分层整群抽样方法,对950名初中生进行匹兹堡睡眠质量指数（PSQI）及焦虑自评量表（SAS）测评。结果初中生睡眠问题检出率为17.68%,PSQI总均分为（5.22±2.31）分,睡眠质量得分为（0.58±0.82）分,入睡时间为（1.79±1.06）分,睡眠时间为（1.33±0.96）分,睡眠效率为（0.03±0.27）分,睡眠障碍为（0.93±0.68）分,催眠药物为（0.39±0.59）分,日间功能障碍为（0.16±0.38）分;焦虑检出率为31.16%,SAS标准分为（45.94±9.57）分;不同性别初中生睡眠质量及焦虑检出率及得分比较,差异无统计学意义（P〉0.05）,但不同年级初中生睡眠质量及焦虑检出率及得分差异有统计学意义（P〈0.05）;初中生睡眠质量除睡眠障碍成分外,其他6个成分及总分与焦虑相关分析均呈正相关（r=0.04~0.37,P〈0.05）。结论南昌市中学生睡眠问题及焦虑情绪普遍存在,其睡眠问题与焦虑情绪的发生呈正相关。

Objective To investigate the status of sleep quality and anxiety, and the relationship between sleep quality and anxiety among middle school students in Nanchang city and to provide theoretic basis for intervention measures in the students. Methods Totally 950 middle school students were selected with cluster sampling and surveyed with questionnaires including Pittsburgh Sleep Quality Index（PSQI） ,Self-rating Anxiety Scale（SAS） and a self-designed general questionnaire. Results The overall prevalence of sleep problems was 17. 68% in the students. The mean score of PSQI was 5.22 ±2. 31, with subjective sleep quality of 0. 58 ±0. 82,sleep latency of 1.79 ± 1.06,sleep duration of 1.33 ±0. 96 ,habitual sleep efficiency of 0. 03 ± 0. 27, sleep disturbance of 0. 93 ± 0. 68, sleep medication use of 0. 39 ± 0. 59, and daytime dysfunction of 0. 16 ±0. 38 ,respectively. The overall prevalence of anxiety was 31.16% and the standard anxiety score was 45.94 ±9. 57. There were no significant differences in the prevalence and mean score of sleeping problems and anxiety between male and female（P 〉0. 05）, but the prevalence and mean score of sleeping problems and anxiety among the students of different grades were different. There were significant positive correlations between the factors and total score of PSQI and anxiety, expect sleep disturbance （ r = 0. 04 - 0. 37, P 〈 0.05 ）. Conclusion The sleeping problems and anxiety are common in middle school students of Nanchang city, and there is a positive correlation between sleep quality and anxiety.