边疆省份医学生睡眠质量与焦虑及抑郁相关性分析

Frontier province medical students sleep quality and anxiety and depression correlation analysis

目的了解昆明医科大学医学生睡眠质量与焦虑及抑郁状况,探讨其相关性。方法通过分层整群抽样方法,采用问卷调查的方式,以匹茨堡睡眠质量指数（PSQI）、焦虑自评量表（SAS）和抑郁自评量表（SDS）评价473名昆明医科大学1~5年级本科医学生的睡眠质量、焦虑和抑郁近况,并通过描述、单因素分析、秩和检验、χ2检验及二分类Logistic回归等方法分析医学生睡眠质量、焦虑及抑郁近况,探讨睡眠质量与焦虑和抑郁的相关性。结果 473名医学生的PSQI总得分平均为（8.19±2.30）分,睡眠障碍率为59.8%（95%CI 55.4%~64.2%）;SAS标准分平均为[43.00（38.00,49.00）],焦虑率为21.8%（95%CI 18.1%~25.5%）;SDS标准分平均为[49.00（43.00,55.00）],抑郁率为36.8%（95%CI32.5%~41.1%）。SAS标准分、SDS标准分与PSQI总分之间呈正相关关系（P〈0.05）。非条件Logistic回归分析结果表明,焦虑（OR=2.967,95%CI 1.639~5.372）、抑郁（OR=2.144,95%CI 1.359~3.382）对睡眠障碍有正效应（P〈0.05）。结论昆明医科大学医学生睡眠障碍率相对较高,尤以女生明显。焦虑、抑郁可能是睡眠障碍的危险因素,应有针对性地采取多渠道、综合性的健康干预措施,改善焦虑和抑郁状况,提高睡眠质量。

Objective To explore sleep quality,anxiety and depression of medical students in Kunming Medical University,to explore the relationship between sleep quality and anxiety and depression. Methods By stratified cluster sampling method, sleep quality, anxiety and depression status of 473 medical students in Kunming Medical University from1~5 year undergraduate were evaluated by questionnaire with Pittsburgh sleep quality index（PSQI）, Self rating Anxiety Scale（SAS）and Depression self rating scale（SDS）. The description,single factor analysis, rank sum test, x2 test and binary logistic regression method were used to explore the relationship between sleep quality,anxiety and depression with medical students. Results The average score of PSQI among 473 medical students was 8.19±2.30, 59.8%（95%CI 55.4%~64.2%） of medical students with sleep disorders, 21.8%（95% CI 18.1% ~25.5%） and 36.8%（95% CI 32.5% ~41.1%） of medical students respectively had anxiety and depression. Anxiety, depression and sleep quality was a significant positive correlation.Unconditioned logistic regression analysis showed that anxiety（OR =2.967, 95% CI 1.639 ~5.372）, depression（OR=2.144, 95% CI 1.359~3.382） had a positive effect on sleep disorders（P0.05）. Conclusion The rate of sleep disorders among medical students in Kunming Medical University is relatively high, especially in girls, anxiety and depression may be a risk factor for sleep disorders, and should be targeted to take multi-channel and comprehensive health interventions,improve anxiety and depression, improve sleep quality.