合肥市普通高中学生高考前睡眠质量多因素分析

Multivariate analysis of sleep quality among the middle school students before entrance examination from Hefei

目的：探讨合肥市普通高中学生高考前睡眠质量及其影响因素。方法：采用随机整群抽样方法,以合肥市177名普通高三学生为调查对象,在高考前2周内采用自制问卷、匹兹堡睡眠质量指数（PSQI）、症状自评量表（SCL-90）、状态-特质焦虑问卷（STAI）测评。结果：PSQI总分为（6.23±2.90）分,睡眠问题检出率为31.3%,其中民办学校学生睡眠问题各评分均高于公办学校（P〈0.05-P〈0.01）。PSQI总分与考试考不好时自己态度、父母态度及躯体化、强迫、焦虑状态、焦虑特质评分均呈正相关关系（P〈0.05-P〈0.01）,与喜欢上学情况呈负相关关系（P〈0.05）。睡眠质量的影响因素包括强迫（β=0.388）、考试考不好时父母态度（β=0.141）、考试考不好时自己态度（β=0.144）、躯体化（β=0.173）。结论：高三学生高考前睡眠质量与多种因素相关,可从多角度干预,促进高三学生的身心健康。

Objective： To explore the sleep quality and its related factors among the middle school students before entrance examination from Hefei. Methods： One hundred and seventy-seven from the middle school students of Hefei were investigated by the self-designed questionnaire using random cluster sampling method before 2 weeks of entrance examination. The Pittsburgh Sleep Quality Index（ PSQI）,Self-reporting Inventory（ SCL-90） and State-Trait Anxiety Inventory（ STAI） of all students were evaluated. Results：Among the students,the detection rate of sleep problems was 31. 2%,the mean score of PSQI was（ 6. 23 ± 2. 90）,and the sleep problems in the private schools were more than those in the public schools（ P〈0.05 to P〈0.01）. The total score of PSQI was positively correlated with the students and parental attitude of test defeat,somatization,obsessive-compulsive symptoms,anxiety state and anxiety trait（ P〈0.05 to P〈0.01）,and negatively correlated with the favorite school situation（ P〈0.05）. The obsessive-compulsive symptoms（ β = 0. 388）,parental attitude of test defeat（ β = 0. 141）,students＇ attitude of test defeat（ β = 0. 144） and somatization（ β =0. 173） were the influencing factors of the sleep quality of the students. Conclusions： Sleep quality of middle school students is related to multiple factors. The effective measures should be taken to improve the physical and mental health of middle school students.