高密市初三学生睡眠质量状况及影响因素分析

Quality of sleep and related factors among junior middle school students of grade three in Gaomi city

目的了解山东省高密市初三学生睡眠质量状况并分析其影响因素。方法采用自制相关情况调查表并结合匹兹堡睡眠质量指数(PSQI)对3所中学1 063名在校初三学生进行抽样调查,采用二分类logistic回归分析方法分析睡眠质量的影响因素。结果高密市初三学生睡眠质量均分为(3.30±2.376)分,各因子均分分别为:主观睡眠质量(0.65±0.021)分、入睡时间(0.74±0.024)分、睡眠时间(0.31±0.019)分、睡眠效率(0.20±0.017)分、睡眠障碍(0.65±0.017)分、安眠药物的应用(0.02±0.005)分、日间功能障碍(0.74±0.026)分,其中64人(8.0%)存在睡眠质量问题;多因素分析结果显示,在学校开心是初三学生睡眠质量的保护因素(P=0.000),很少或从不与家人聊天及各种话题是睡眠质量的危险因素,OR值及95%CI分别为2.806(1.129～6.974)、15.498(2.125～113.018)。结论高密市初三学生睡眠质量总体情况较好;学生校园生活和家庭生活是影响其睡眠质量的重要因素,需采取综合措施改善其睡眠质量,以促进其健康成长。

Objective To examine the quality of sleep and its influencing factors among junior middle school students in Gaomi city. Methods A sampling survey was carried out among 1 063 students of grade three in 3 junior middle schools with a self-designed questionnaire and Pittsburgh Sleep Quality Index（PSQI）.Logistic regression was used to analyze related factors of sleep quality. Results The mean PSQI score was 3.30±2.38 and the mean score was 0.65±0.02 for subjective sleep quality,0.74±0.02 for the time to fall asleep,0.31±0.02 for sleep time,0.20±0.02 for sleep efficiency,0.65±0.02 for sleep disorders,0.02±0.01 for sleeping drug application,and 0.74±0.26 for daytime dysfunction,respectively.Among the students,64（8.0%）reported sleep quality problems.Multiple factor analysis results showed that being happy in school（P=0.000）was a protective factor for the students to have good sleep quality.Seldom or never chatting with families were risk factors for good sleep quality,with the odds ratio（OR）of 2.806（95% confidence interval [95%CI]：1.129-6.974）and OR of 15.498（95%CI：2.125-113.018）. Conclusion The general sleep quality is good among junior middle school students of grade three in Gaomi city and campus life and parent-child relationship are important influencing factors for sleep quality of the students.Comprehensive measures should be adopted to improve the sleep quality to promote physical and psychological health of the students.