庆阳市某县4～6年级小学生睡眠状况的调查研究

Investigative Study on Grade 4～6 Pupils' Sleep Status in a County of Qingyang

目的分析镇原县4~6年级小学生睡眠状况及影响因素。方法采用整群分层抽样的方法,抽取该县4~6年级小学生386名,采用《匹兹堡睡眠质量指数(PSQI)自评量表》和《小学生家庭社会环境与睡眠健康问卷》进行问卷调查。结果不同性别小学生的睡眠时间和睡眠效率存在差异(P<0.05),不同年级小学生PSQI总分、入睡时间、睡眠时间和日间功能分布存在差异(P<0.05)。睡眠障碍发生率为38.58%,其中检出率前4位的睡眠障碍症状分别为呼吸不畅(30.88%)、夜惊(30.02%)、入睡困难(26.62%)和身体不适(22.95%)。logistic回归分析显示:是否独立卧室、看电视时间、家人就寝时间、作业负担和父母不良嗜好是影响小学生睡眠质量的主要危险因素。结论该县小学生睡眠质量一般,睡眠障碍检出率高,危险因素较多,应引起学校、家庭和社会的足够重视。

OBJECTIVE Analyze grade 4~6 pupils＇ sleep status and influencing factors in Zhenyuan C county. METHOD Getting 386 grade 4-6 pupils in the county by stratified cluster sampling, to have a questionnaire survey with Pittsburgh Sleep Quality Index and relationship between family ＆ Social environment and pupils＇ sleep health questionnaire. RESULTS There were differences between different gender in sleep time and sleep efficiency（P〈0.05）, there were differences between different grade in total PSQI score, time for falling asleep,sleep time, daytime function distribution（P〈0.05）. Incidence of sleep disorders was 38.58%, among symptoms which first four detection rate were apnea（30.88%）, night terror （30.02%）, difficulty falling asleep（26,62%） and discomfort（22.95%）. There were major risk factors such as bedroom alone or not, TV watching time, family bedtime, homework burden and parent＇s bad hobbies. CONCLUSION Pupils＇ sleep status had general quality in the county, detection rate of sleep disorders was high, involving risk factors were quite many, which fact should get close attention from school, family and society.