医学生失眠情况及相关因素分析  

AN INVESTIGATION ON PREVALENCE OF INSOMNIA ABOUT MEDICAL STUDENTS AND ANALYSE ITS RELATED FACTORS

作　　者：格桑泽仁[1] 刘力克[2] 韩明 王林江[4] 肖媛媛[2] 李桂香[2] 陈尧菊[2] 

机构地区：[1]四川大学华西药学院,成都610041 [2]四川大学华西公共卫生学院 [3]成都铁路卫生学校 [4]陕西省疾病控制中心

出　　处：《现代预防医学》2005年第8期882-884,889,共4页Modern Preventive Medicine

摘　　要：目的:了解医学生中失眠的现况以及探索其相关因素。方法:采用症状自评量表(SCL-90)、流调中心用抑郁量表(CES-D)及自我接纳问卷(SAQ)对医学生进行问卷调查。按症状自评量表(SCL-90)第44、64和66项3项得分将调查对象分为失眠组和非失眠组,分析两组学生精神心理症状、抑郁倾向和自我接纳等因素的分布。结果:调查对象的失眠率为65.8%;男女学生失眠率差异无统计学意义(χ2=1.843,P=0.175);中专学生失眠率(79.9%)高于本科学生(61.7%),差异有统计学意义(χ2=24.52,P<0.001);随着抑郁程度的增加,失眠率有升高趋势(趋势χ2=80.09,P<0.001);失眠组的症状自评量表(SCL-90)各因子均分皆高于非失眠组,差异有统计学意义(P值均<0.001);失眠组的自我接纳(SAQ)两因子得分均低于非失眠组,差异有统计学意义(P值均<0.001);失眠各症状均分与SCL-90总均分及9因子均分均有较高的正相关(相关系数=0.290~0.614);失眠各症状均分与SAQ各因子得分呈负相关(-0.296^-0.147)。结论:医学生中有失眠症状者较为普遍,失眠学生心理问题较多,应加强心理教育。Objective:To investigate the prevalence of insomnia among medical students and explore its related factors.Methods:All the inquisition objects completed the SCL-90,CES-D and SAQ.All the inquisition objects were divided into insomnia group and normal group according to the scores of the 44th,64th,66th three questions in the SCL-90,then the two groups' distribution of mental state, depression tendential and self-admit were analysed.Results:Among students responded to the investigation,65.8% reported suffering from insomnia. There was no difference in the prevalence rate of insomnia between boys and girls(~2=1.843,P=0.175).The prevalence rate of insomnia was higher for technical school students than for undergraduate students(~2=24.52,P<0.001). The more serious of the depression degree, the higher of the prevalence rate of insomnia(the chi-square tend test ~2=80.09,P<0.001).There were significant differences in SCL-90 scores between the insomnia group and normal group(P<0.001).SAQ analysis revealed that insomnia students had lower scores in self-admit(P<0.001).There were obvious positive correlations between the scores of every insomnia symptom and 9 factors of SCL-90(0.290-0.614),but negative correlations between every insomnia symptom and the 2 factors of SAQ(-0.296-0.147).Conclusions:Insomnia is a common among medical students.Students who have suffered from insomina have more mental problems.They need more help.

关 键 词：医学生 失眠 相关因素 

分 类 号：R749.7[医药卫生—神经病学与精神病学]