医学生睡眠质量与焦虑抑郁情绪关系的调查分析

目的探讨医学生睡眠质量与焦虑抑郁情绪的相关性,并对影响睡眠质量的有关因素进行分析。方法以匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)为评价工具,采用分层整群抽样方法,调查某医学高等专科学校1~3年级医学生睡眠障碍的发生率及分布特征。结果医学生睡眠障碍的发生率为14.73%,男生(6.85%)女生(7.88%)间无显著性差异。19.52%的学生有抑郁情绪,男女生分别为8.22%和11.30%(P<0.05)。14.73%的学生存在焦虑,并且10.27%的学生焦虑、抑郁情绪并存。PSQI总分与SAS、SDS得分均呈显著正相关。回归分析表明,影响PSQI总分的因素依次为睡眠效率、睡眠障碍、入睡时间、睡眠质量、日间功能、催眠药物、睡眠时间。结论焦虑、抑郁情绪是影响医学生睡眠质量的重要因素,提高医学生的心理素质,增强其适应环境的能力,对于保持良好的健康状态是十分重要的。

Investigation on the Relationship between Sleep Quality and Anxious Depressive Mood of Medical Students

Objective To discuss the relationship between sleep quality and anxious-depressive mood of medical students and analyze factors affected sleep quality.Methods Pittsburgh Sleep Quality Index(PSQI),Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS) were applied to evaluate sleep quality,anxiety and depression.The prevalence and distribution characteristics of sleep disorders were investigated in Grade 1~3 of medical college students by means of stratified cluster sampling.Results The prevalence of sleep disorders was 14.73%,boys 6.85%,girls 7.88%,there was no significant difference on gender.19.52% have depression and respectively are 8.22% and 11.30%(P<0.05).14.73% students exist anxiety,and 10.27% for both anxiety and depression.Analysis of correlation showed that there was positive correlation among the scores of PSQI and SAS,SDS.Multiple linear regression revealed that main influencing factors of PSQI scores were sleep efficiency,sleep disturbance,sleep latency,sleep quality,daytime dysfunction,use of sleep medication,sleep duration.Conclusion Anxiety and depression are the important attributes that affect the medical student sleep quality.So to improve students' psychological and adaptive abilities would be important to keep good healthy state.