某医学院大一新生睡眠质量与抑郁情绪的关联性研究

目的 探讨医学院校大一新生睡眠质量及其维度与抑郁情绪的关系,为改善医学类大一新生抑郁情绪和制定干预措施提供参考。方法 采用整群抽样的方法,应用匹兹堡睡眠质量指数量表(PSQI)、病人健康问卷抑郁量表(PHQ-9)对珠海市某医学院校669名大一新生进行问卷调查,分析睡眠质量各维度与抑郁情绪的关系。结果 调查对象PSQI平均总分为(4.9±2.2)分,PHQ-9平均总分为(6.0±3.4)分。多因素非条件Logistic回归分析结果显示,影响调查对象抑郁情绪的主要危险因素有女性(OR=1.496,P=0.028)、农村生源地(OR=1.640,P=0.013)、主观睡眠质量差(OR=1.620,P=0.025)、入睡时间长(OR=1.588,P=0.020)、有睡眠障碍(OR=2.260,P=0.001)、存在日间功能障碍(OR=3.292,P<0.001)以及PSQI总分≥6.5(OR=2.157,P=0.008)。结论 医学院校大一新生抑郁情绪发生率偏高,睡眠质量与抑郁情绪的存在相关性,对来自农村的女性学生需重点关注。

Correlation between sleep quality and depression among freshmen in a medical college

Objective To explore the correlation between sleep quality and depression among freshmen in medical colleges, so as to provide references for improving depression of medical freshmen and formulating intervention measures. Methods The Pittsburgh Sleep Quality Index scale (PSQI) and the Patient Health Questionnaire depression scale (PHQ-9) were used to investigate 669 freshmen via cluster sampling in a medical college in Zhuhai City, and the correlation between sleep quality and depression was analyzed. Results The average score of PSQI and PHQ-9 was (4.9±2.2) and (6.0±3.4) respectively. The multivariate logistic regression analysis showed that the main risk factors for depression of the respondents were female (OR=1.496, P=0.028), rural students (OR=1.640, P=0.013), poor subjective sleep quality (OR=1.620, P=0.025), long sleep time (OR=1.588, P=0.020), sleep disorder (OR=2.260, P=0.001), daytime dysfunction (OR=3.292, P<0.001), and PSQI score ≥ 6.5 (OR=2.157, P=0.008). Conclusion The incidence of depression among freshmen in medical colleges is relatively high, and there is a correlation between sleep quality and depression. The female students from rural areas should be paid more attention to.