某高职女医学生睡眠状况调查及相关因素分析

摘要

目的了解某高职在校女医学生的睡眠状况及睡眠质量相关影响因素。方法采用匹兹堡睡眠质量指数（ PSQI ）和自制女大学生睡眠状况调查问卷，对1037名女医学生进行横断面调查研究。结果有24．34％的女医学生睡眠质量差，PSQI总分的平均分为5．74±2．51，PSQI总分已超过了正常人群的（2．67±1．07），不同年级的PSQI总分的差异有统计学意义（F＝1．22，P＜0．05）。女医学生中85．63％的入睡时间为22点至24点；86．50％的学生睡眠时间为6至8小时；89．97％的学生有课堂瞌睡现象；49．57％的学生认为睡眠会影响学习工作，学生自评影响经期睡眠的主要因素为痛经，经期心理反应，经血量多；影响经前期睡眠因素的主要因素为情绪波动46．87％，腹脘胀气30．95％；自评经期后的睡眠质量优于经期前的睡眠质量（χ2＝302．83，P＜0．05）；多因素非条件Logistic回归分析显示影响睡眠的主要因素为年级、睡眠时间规律性、睡眠时间、上网、应激事件和通宵否。结论该高职院校女医学生的睡眠质量差，作息时间不符合科学规律，生活事件及特殊生理时期对睡眠产生影响，该院校在校女医学生的睡眠质量亟待提高。%Objective To understand the sleep status of female medical students in a higher vocational school and related influencing factors.Methods With Pittsburgh Sleep Quality Index ( PSQI ) and a questionnaire focusing on homemade female students sleep condition, a cross-sectional study was conducted among 1 037 female medical students .Results Of female medical students , 24.34%had poor sleep quality, and the average PSQI score was 5.74 ±2.51, which was higher than that of normal population (2.67 ±1.07). There was difference in PSQI score among different grades (F=1.22,P<0.05).Students who slept at 22 to 24 o'clock occupied 85.63%, and 86.50%of students had sleep for 6 to 8 hours.There were 89.97% students having classroom doze phenomenon , and 49.57%student considered that sleep would affect work and study .Selft-assessed factors affecting menstrual sleep included dysmenorrhea , menstrual psychological reactions and large volume of mentrual blood . The major factors affecting premenstrual sleep were feeling fluctuation(46.87%) and abdominal epigastric flatulence (30.95%).Sleep quality after menstruation was assessed to be better than that before menstruation (χ2 =302.83,P <0.05).Multivariate unconditional logistic regression analysis showed that the main factors of affecting sleep quality were grade, regularity of sleep, sleep time, Internet surfing, stressful events and overnight.Conclusion Female medical students in the vocational school have poor quality of sleep , and they do not have a scientific sleep .Life events and special physiological period affect sleep .The sleep quality of female medical students in the institute needs to be improved .