高校学生睡眠及相关心身健康现状分析

Analysis on Sleep and Related Mental and Physical Health Status of College Students

目的:研究自感压力、睡眠质量、心脏症状、学历与焦虑抑郁相关性,以期对心理问题引发的不良事件加强早期干预,并提供相应建议与对策。方法:对1159名高校学生进行调研和问卷分析,睡眠、抑郁、焦虑分别采用AIS、PHQ-9和GAD-7量表评定。采用SPSS 23.0软件进行数据分析。结果:共收集有效问卷1159份,其中失眠者357人(30.80%),焦虑者158人(13.63%),抑郁者306人(26.40%),胸痛或胸闷者35人(3.02%)。χ^(2)检验结果显示:高学历(χ^(2)=9.412,P=0.002),自感压力(χ^(2)=102.938,P<0.001),胸痛或胸闷(χ^(2)=20.637,P<0.001)影响高校学生睡眠质量。Logistic回归分析发现,自感压力(OR=4.380,95%CI 2.283~8.403)、失眠(OR=6.481,95%CI 4.357-9.639),胸痛胸闷症状(OR=4.406,95%CI 2.060~9.424)与焦虑相关。自感压力(OR=2.521,95%CI 1.722~3.690)、失眠(OR=5.840,95%CI 4.318~7.899),胸痛胸闷症状(OR=6.635,95%CI 2.795~15.753)也是抑郁危险因素。结论:高校学生失眠、抑郁比例偏高,自感压力、失眠、胸痛或胸闷相关心血管症状是学生焦虑和抑郁的影响因素,应重视高校学生的心身健康,对心血管损害需要提前防范,早期干预。

Objective:To study the correlation between study stress,sleep quality,cardiac symptoms,educational background,and psychological problems of anxiety and depression,to strengthen early intervention for adverse events caused by psychological issues and provide corresponding suggestions and countermeasures.Methods:1159 college students were investigated and analyzed by questionnaire.The sleep,depression,and anxiety were evaluated by AIS,PHQ-9,and GAD-7 scales.SPSS 23.0 software was used for data analysis.Results:A total of 1159 valid questionnaires were collected.There were 357(30.80%)students with insomnia,158(13.63%)students with anxiety,306(26.40%)students with depression,35(3.02%)students with chest pain or chest tightness.The results of χ^(2) test showed that higher education level(χ^(2)=9.412,P=0.002),self-induced pressure(χ^(2)=102.938,P<0.001),chest pain or chest tightness(χ^(2)=20.637,P<0.001)affected the sleep quality of college students.Further logistic regression analysis showed that self-induced stress(OR=4.380,95%CI 2.283-8.403),insomnia(OR=6.481,95% CI 4.357-9.639),chest pain,and chest tightness(OR=4.406,95% CI 2.060-9.424)are associated with anxiety.Self-induced stress(OR=2.521,95%CI 1.722-3.690),insomnia(OR=5.840,95% CI 4.318-7.899),chest pain,and chest tightness(OR=6.635,95%CI 2.795-15.753)were also risk factors for depression.Conclusion:The proportion of insomnia and depression in college students is high.Cardiovascular symptoms related to study pressure,insomnia,chest pain,or chest tightness are the influencing factors of anxiety and depression in college students.Therefore,attention should be paid to college students’mental and physical health,and cardiovascular damage should be prevented in advance and intervened early.