非药物综合干预对某大学医学专科学生睡眠质量的影响  

Effects of non-drug comprehensive intervention on sleep quality in medical students

作　　者：郑建盛[1] 陈清[2] 薛新力[1] 连志明[1] 杨丽全[1] 

机构地区：[1]莆田学院医学院基础医学部预防医学教研室,莆田351100 [2]南方医科大学公共卫生与热带医学学院流行病学系

出　　处：《山西医科大学学报》2008年第10期901-905,共5页Journal of Shanxi Medical University

基　　金：莆田学院科研基金资助项目(2006Z010)

摘　　要：目的研究非药物综合干预对医学专科学生睡眠质量的影响,寻求改善学生睡眠质量的最佳途径。方法将96名睡眠质量差(PSQI≥8)医学专科学生随机分为试验组和对照组(各组n=48)。试验组学生采用健康教育、团体心理训练和个体化心理咨询等非药物综合干预14周,对照组学生不予干预措施,干预前后用匹兹堡睡眠质量指数量表(PSQI)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、睡眠卫生习惯量表和身体锻炼等级量表对两组学生进行测量。结果睡眠卫生习惯、身体锻炼、抑郁、焦虑和PSQI总分等指标的测量时间因素与处理因素之间存在交互作用(F=30.718,3.961,8.213,11.263,13.384,P=0.000,0.049,0.005,0.001,0.000);单独效应分析,干预后试验组的睡眠卫生习惯、抑郁和PSQI总分均低于对照组(t=3.491,2.998,3.683,P=0.001,0.003,0.000),身体锻炼得分高于对照组(Z=3.008,P=0.003);Logistic回归分析,干预后睡眠质量改变与睡眠卫生习惯、身体锻炼、抑郁和焦虑等4个变量的改变有关(P=0.002,0.000,0.018,0.017),OR值分别为6.881,0.112,4.431,4.885。结论健康教育、团体心理训练和个体化心理咨询等非药物综合干预是改善医学专科学生睡眠质量的有效途径之一。Objective To explore the influence of non-drug comprehensive intervention on sleep quality of medical students,and to find a best way for improving the sleep quality. Methods A total of 96 medical students with poor sleep quality（PSQI≥8）were randomly divided into two groups： trial group（ n = 48）and control group（ n = 48）. The students were intervened for 14 weeks with non-drag comprehensive intervention including health education, team mental training and individual psychological counseling in trial group, but not given any intervention in control group. Pittsburgh sleep quality index（PSQI）, self-rating depression scale（SDS）, self- rating anxiety scale（SAS）, sleep hygiene practice and physical exercise degree questionnaires were investigated. Results The inter- active effect of the detection time and intervention was significant in sleep healthy hygiene practice, physical exercise, depression, anxiety and PSQI total score（ F = 30. 718,3.961,8. 213,1 i. 263,13. 384, P = 0. 000,0. 049,0. 005,0. 001,0. 000）. Simple effect analysis showed the .scores of sleep hygiene practice, depression and PSQI total score in trial group were lower than in control group after intervention（ t = 3.491,2. 998,3. 683, P = 0. 001,0. 003,0. 000）, but the score of physical exercise was higher than in control group after intervention（ Z - 3. 008, P = 0. 003）. Logistic regression analysis showed that sleep quality was related to sleep hygiene practice, physical exercise, depression and anxiety（ P = 0. 002,0. 000,0. 018,0. 017）, OR - 6. 881,0.112,4. 431,4. 885. Conclusion Non-drug comprehensive intervention such as health education, team mental training and individual psychological counseling is one of the effective ways for improving sleep quality of medical students.

关 键 词：睡眠质量 非药物综合干预 医学生 

分 类 号：R181.24[医药卫生—流行病学] R749.055[医药卫生—公共卫生与预防医学]