医学生睡眠质量现状及其影响因素分析

摘要

目的:探讨医学生睡眠质量的状况并分析其影响因素,为提高医学生睡眠质量提供基础资料.方法:分层整群抽取临床医学专业本科一至四年级在校生420人作为研究对象,发放问卷420份,最终有400份(95.2%)纳入研究.结果:匹斯堡睡眠质量(PSQI)总评分为(6.05±2.585)分,出现睡眠障碍率为26.5%.男生与女生的PSQI评分差异有统计学意义(P<0.05).二项logistic回归分析结果提示,学业压力、睡前喝浓茶或咖啡和宿舍环境均是影响睡眠质量的主要因素(P<0.05~P<0.01),其OR值及其95%CI值分别是1.907(1.432~2.539)、2.746(1.089~6.925)和2.206(1.631~2.985).结论:医学生睡眠质量受多因素影响,应加强学业压力、睡前喝浓茶或咖啡和宿舍环境等方面的干预,以有效提高医学生睡眠质量.%Objective:To explore the status of sleep quality of medical students and analyze its influencing factors for providing the basic data in improving the sleep quality of medical students. Methods:Four hundred and twenty undergraduates from grade one to four in clinical medicine speciality were selected by stratified sampling. Among 420 students,400 questionnaires(95. 2%) were analyzed. Results:The total average score of Pittsburgh sleep quality index(PSQI) was (6. 05 ± 2. 585). The sleep disorder rate was 26. 5%. The difference of the PSQI score between boy and girl students was statistically significant(P <0. 05). The results of binomial logistic regression analysis showed that the academic pressure,drinking strong tea or coffee before going to bed and dormitory environment were the main influencing factors of the sleep quality(P<0. 05 to P<0. 01),the OR value and 95% CI of which were 1. 907(1. 432 to 2.539),2.746(1. 089 to 6. 925) and 2. 206(1. 631 to 2. 985),respectively. Conclusions:The multi-factors can affect the sleep quality of medical students. Weakening the intervention of the academic pressure,drinking strong tea or coffee before going to bed and dormitory environment can be used to improve the sleep quality of medical students.