一、二年级高职护生睡眠质量状况的调查

Investigation of the sleep quality of the higher vocational nursing students

目的调查一年级和二年级高职护生的睡眠质量状况，并分析其原因以采取相应对策。方法在某医学高职院校中进行整群抽样，抽出二年级3个教学班护生222人；一年级3个教学班护生199人。应用匹茨堡睡眠质量指数量表（PSQI）对一年级和二年级高职护生的睡眠质量进行调查。结果高职护生总体睡眠质量较差，二年级护生PSQI总分为（7.19±2.87）分，一年级护生PSQI总分为（8.13±4.50）分。一年级护生入睡时间、催眠药物、日间功能障碍得分分别为（2.08±1.63），（0.22±0.65），（2.27±1.94）分，均高于二年级护生［分别为（1.46±0.90）,（0.09±0.32）,（1.71±1.01）分］，差异均有统计学意义（t值分别为-4.91，-2.47，-3.77；P＜0.05或P＜0.01）；一年级护生睡眠时间得分为（0.80±0.55）分，低于二年级护生（1.04±0.44）分，差异有统计学意义（t=4.91，P＜0.01）。但2个年级护生在睡眠质量、睡眠效率及睡眠障碍3个方面差异无统计学意义（t值分别为2.01，1.69，-1.17；P〉0.05）。结论一年级和二年级高职护生睡眠质量问题较严重，应关注并有效改善护生睡眠质量，以提高护生的整体培养质量。

Objective To explore the sleep quality status of higher vocational nursing students. Methods Used Pittsburgh Sleep Quality Index （PSQI） to measured the sleep quality in 199 nursing students of the first grade and 222 nursing students of the second grade. Results The sleep quality status of higher vocational nursing students was relatively poor,with the PSQI total score of second grade was （7.19 ± 2.87 ） and that of first grade was （8.13 ±4.50）. The scores of sleep time,hypnotic drug and daytime function barrier of first grade were significantly higher than that of the second grade [ （2.08 ± 1.63） vs （ 1.46 ±0.90）, （0.22 ± 0.65） vs （0.09±0.32）,（2.27 ±1.94） vs （1.71 ±1.01）;t = -4.91, -2.47, -3.77,respectively;P 〈 0.05 or P 〈0.01 ]. While no significant difference was found in the sleep quality, sleep efficiency and sleep disorder of two grade students （ P 〉 0.05 ）. Conclusions The sleep quality of three-years higher vocational education students is a serious problem, so it is important to pay attention and take effectively measures to improve the sleep quality of nursing students so as to enhance the overall quality of nursing students training.