高校护生睡眠质量及与焦虑抑郁情绪的关系研究

目的调查高校护生的睡眠质量和影响因素，研究其与焦虑抑郁情绪的关系；为提高护生的睡眠质量提供依据。方法以睡眠状况自评量表（SRSS）、焦虑自评量表（SAS）以及自评抑郁量表（SDs）为评价工具，调查护生的睡眠质量及焦虑抑郁状况的发生率。结果①护生SRSS总分为23．30±5．658，与中国常模问的差异有统计学意义（Z=2．12，P〈0．05）。性别、担任班委否、恋爱否这3个因素影响护生睡眠质量；②护生的SAS、SDS总分分别为35．00±10．177和27．39±9．171；焦虑、抑郁症状的发生率分别为16．00％和21．00％；⑧相关分析表明，SRSS总分以及觉醒不足、入睡困难、睡眠不稳、早醒、恶梦夜惊和失眠后反应这6个因子的得分与SAS、SDS总分呈显著正相关；④回归分析表明，SRSS的10个因子中，入睡困难和恶梦夜惊被选入SAS回归模型；恶梦夜惊和睡眠不稳被选入SDS回归模型。结论高校护理专业学生的睡眠质量较差，性别、担任班委否、恋爱否以及焦虑抑郁情绪是影响护生睡眠质量的重要因素。

Study on Sleeping Quality of Nursing Students in College and Its Relationship with Anxiety and Depression

Objective To explore the sleeping quality of nursing students and its influencing factors, to learn its relationship with anxiety and depression; and to provide evidence for nursing students＇ sleeping quality improvement. Methods Self--Rating Scale of Sleep （SRSS）, Self--Rating Anxiety Scale （SAS） and Self--Rating Depression Scale （SDS） were applied to evaluate sleeping quality, anxiety and depression of nursing students respectively. Results ①The total sore of SRSS was 23.30± 5. 658, which was significantly higher than the normal model of Chinese （Z= 2.12,P〈0. 01）. The quality of sleep was effected by gender, class leader or not and amativeness or not. ②The total scores of SAS and SDS were 35.00±10. 177 and 27.39±9. 171 respectively. The prevalence rates of anxiety and depression were 16.00 % and 21.00% respectively. ③Total score, as well as the factor scores of awakening inadequacy, difficulty falling asleep, unstable sleep, early awaking, nightmare and post-insomnia reaction of SRSS were significantly positively correlated with total scores of SAS and SDS. ④The analysis of regression indicated that two out of the ten factors of SRSS were contained in SAS Model and SDS Model respectively, difficulty falling asleep and nightmare both included in SAS Model and unstable asleep and nightmare both in SDS Model. Conclusion The sleeping quality of nursing students was serious. Gender, class leader or not, amativeness or not, anxiety and depression were the main influencing factors of sleep quality.