新型冠状病毒肺炎期间大学生睡眠质量与焦虑、压力和心理困扰的关系

目的 探讨新冠肺炎疫情期间大学生睡眠质量与焦虑、压力和心理困扰的关系,为突发公共卫生事件期间的睡眠与心理指导提供依据。方法 于2020年2月9—11日采用滚雪球抽样方法,以“微信”APP为传播媒介,在全国进行72 h线上问卷调研。采用t检验、Pearson相关和多元线性回归分析大学生睡眠质量、焦虑、压力与心理困扰之间的关系。结果 共纳入1 865名大学生,平均年龄为（20.70±1.48）岁,男生占33.73%。睡眠质量差、焦虑、压力和心理困扰检出率分别为5.14%、6.81%、2.90%和15.71%。睡眠质量与心理健康及其各维度均呈正相关（P<0.01）。焦虑、压力和心理困扰均为睡眠质量的影响因素（决定系数R²=0.59）。结论 焦虑、压力与心理困扰会加剧大学生睡眠质量差的症状。合理调节突发公共卫生事件中的负性情绪,有利于提高大学生的睡眠质量。

Relationship of anxiety,stress and psychological distress with sleep quality in college students during COVID-19 outbreak

Objective To investigate the relationship of anxiety, stress and psychological distress with sleep quality in college students during COVID-19 outbreak, and provide basis for sleep and psychological guidance during public health emergencies. Methods The snowball sampling method was adopted and the “WeChat” APP was used as the media to conduct 72-hour online survey among college students across the country in February 9-11, 2020. T test, Pearson correlation and multiple linear regression analysis were used to analyze the relationship of anxiety, stress and psychological distress with sleep quality. Results A total of 1 865 college students were included in the study, with an average age of （20.70±1.48） years old, boy students accounted for 33.73%. The detection rates of poor sleep quality, anxiety, stress and psychological distress were 5.14%, 6.81%, 2.90% and 15.71%, respectively. Psychological health and its all dimension were positively correlated with sleep quality. The anxiety, stress and psychological distress were the influencing factors of sleep quality （R²=0.59）. Conclusion The anxiety, stress and psychological distress may aggravate the symptoms of poor sleep quality in college students. Reasonable adjustment of negative emotions in public health emergencies is conducive to improving the sleep quality of college students.