医学生生存质量及影响因素分析  

Quality of life and its influential factors among medical university students

作　　者：薛磊[1,2] 岑晗[1] 黄张军[1] 郭真理[3] 戴色莺[1] 邹延峰[1] 潘发明[1] 叶冬青[1] 

机构地区：[1]安徽医科大学公共卫生学院流行病与卫生统计学系,安徽合肥230032 [2]安徽医科大学研究生学院 [3]安徽医科大学附属省立医院

出　　处：《中国公共卫生》2011年第4期513-516,共4页Chinese Journal of Public Health

摘　　要：目的了解医学院校学生的生存质量及其相关影响因素,为采取相应的干预措施提供依据。方法采用分层整群抽样方法抽取安徽医科大学的2 386名在校学生进行生活质量状况及影响因素问卷调查。结果医学生生理领域、心理领域、社会关系领域、环境领域和总的生存质量及健康状况得分分别为(64.59±12.65)、(61.26±14.16)、(62.62±12.85)、(54.12±13.98)和(57.74±18.46)分;各领域及总的生存质量及健康状况得分与常模比较,生理领域和总的生存质量及健康状况得分均低于常模(P<0.05),社会关系和环境领域得分均高于常模(P<0.05),心理领域得分与常模比较差异无统计学意义(P>0.05);多元线性回归分析结果显示,食欲、睡眠、体育锻炼、饮酒、性别、家庭收入等因素对医学生生存质量具有明显影响。多元线性回归分析结果表明,女生、食欲好、睡眠时间长、锻炼次数多、家庭人均月收入多、不吸烟和饮酒、未患病和非近视的医学院校学生的生存质量较高;未担任学生干部或参加社团和经常发生家庭摩擦的医学院校学生的生存质量较低。结论医学院校学生生存质量的主要影响因素为性别、食欲、睡眠时间、锻炼次数、家庭人均月收入、吸烟、饮酒、患病、近视、担任学生干部或参加社团和家庭摩擦。Objective To investigate the quality of life（QOL） and its influential factors among medical undergraduates and postgraduates,and to provide scientific evidence for intervention. Methods With stratified-cluster sampling method,2 386 students in medical university were surveyed with the World Health Organization Quality of Life-Brief（WHOQOL-BREF） and QOL related factors questionnaire. Results The average age of the students was 22.10±3.26 years with 1 162 males（48.7%） and 1224 females（51.3%）.The scores of physiology,psychology,social relationship,environment domain,general QOL,and health status were 64.59±12.65,61.26±14.16,62.62±12.85,54.12±13.98,and 57.74±18.46,respectively.The scores of physiology domain,general QOL and health status of the students were lower than those of the norm（P0.05）.But the scores of social relationship and environment domain were higher than those of the norm（P0.05）.The score of psychology domain of the students was not significantly different from that of the norm（P0.05）.Multiple regression analysis indicated that appetite,sleep,physical exercise,alcohol drinking,gender,family income,and other factors were significant influential factors of QOL among the students.Multiple regression analysis also showed that female students,the students with good appetite,with sufficient sleep,often doing exercise,from a family of high income,without smoking and alcohol drinking,without myopic or other illness had better QOL than other students.The QOL of the students having no leadership in student organization or not attending social association,or having conflict with the family were worse than that of other students. Conclusion Gender,appetite,sleep,physical exercise,family income,smoking,alcohol drinking,disease,myopia,having leadership in student or attending social association,and conflict in the family are the main influential factors of QOL among the students in medical university.

关 键 词：生存质量 医学院校学生 影响因素 

分 类 号：R195[医药卫生—卫生统计学]