某医学院校学生自评睡眠质量调查分析

目的 调查某医学院校学生睡眠质量情况, 并对产生睡眠障碍的危险因素做出分析。 方法 采取整群抽样的调查方法, 抽取某医学院校A专业学生55名、B专业80名、C专业97名、D专业577名、E专业77名, 共计886名。选用匹兹堡睡眠质量指数(PSQI)调查表和自制调查表进行问卷调查。 结果 (1)886名被调查学生中合格调查问卷共843份, 其中存在睡眠障碍者总计284例(睡眠障碍组), 睡眠障碍发生率为33.7%, PSQI评分(5.48±0.12)分。A专业睡眠障碍发生率为43.4%(23/53)、PSQI评分(6.23±0.48)分, B专业32.9%(23/70)、PSQI评分(4.93±0.44)分, C专业40.4%(36/89)、PSQI评分(5.75±0.34)分, D专业32.4%(183/564)、PSQI评分(5.47±0.14)分, E专业28.4%(19/67)、PSQI评分(5.18±0.40)分, 各专业睡眠障碍发生率差异无统计学意义(P>0.05)。(2)感情压力、周围噪音、躯体疼痛、入校学习后、很少吃夜宵和有时吃夜宵均是发生睡眠障碍的危险因素(OR=0.577、0.611、0.265、0.260、0.547、0.507)。 结论 该医学院校学生睡眠质量不佳, 影响到日间功能状态, 需采取积极、有效措施改善学生睡眠质量, 从而保障其顺利完成课业学习。
Objective To investigate the sleep quality of students from a medical university and to analyze the risk factors of sleep disorders. Methods Students from a medical university were selected with cluster sampling method. A total of 886 students were included in this study: there were 55 Major A students, 80 Major B students, 97 Major C students, 577 Major D students, and 77 Major E students. The students were investigated by Pittsburgh sleep quality index (PSQI) and self-designed physical state questionnaire. Results (1)The number of effective questionnaire was 843 and sleep disorders were found in 284 students, with an incidence of 33.7% and a PSQI score of 5.48±0.12. The incidences of sleep orders and PSQI scores were 43.4% (23/53) and 6.23±0.48 for Major A, 32.9% (23/70) and 4.93±0.44 for Major B, 40.4% (36/89) and 5.75±0.34 for Major C, 32.4% (183/564) and 5.47±0.14 for Major D and 28.4% (19/67) and 5.18±0.40 for Major E, with no significant difference found for different majors (P>0.05). (2)The factors leading to somnipathy included emotional stress, ambient noise, somatic pain, school learning, seldom late-night snack and occasional late-night snack (OR=0.577, 0.611, 0.265, 0.260, 0.547, and 0.507, respectively). Conclusion The students in the involved medical university have a low sleep quality which may affect their physical state during day time. Active measures should be taken to improve students sleep quality so as to insure their study