江苏某高校大学生睡眠现状及影响因素分析  

Cross-sectional study on current status of sleep quality and associated factors among college students in Jiangsu

作　　者：王战[1] 陈亦扬 盛祺[2] 蔡思洁[2] 华亚芳[2] 许岩[3] 邱健[1] 陆荣柱[1] 

机构地区：[1]江苏大学医学院,镇江212013 [2]江苏大学附属昆山医院呼吸睡眠监测中心 [3]解放军101医院神经内科

出　　处：《中国学校卫生》2014年第7期1025-1027,1030,共4页Chinese Journal of School Health

基　　金：江苏大学大学生实践创新训练项目(201310299074W);江苏大学大学生科研立项项目(12A196)

摘　　要：目的探讨大学生睡眠现状及其影响因素,为实施大学生睡眠障碍综合干预提供科学依据。方法采用整群抽样的方法,以自行设计的睡眠质量影响因素调查表、匹兹堡睡眠质量指数量表(PSQI)和爱泼沃斯嗜睡量表(ESS)为测量工具评定江苏大学1 131名学生的睡眠情况及其影响因素。结果 29.5%的大学生存在睡眠障碍,女生睡眠障碍报告率(31.2%)高于男生(27.4%);大学生白天过度嗜睡(EDS)报告率为15.7%,大一学生(21.1%)明显高于大二(14.6%)和大三(11.5%)学生;Logistic回归分析显示,健康状况、熬夜、睡前长时间上网或玩手机、宿舍环境、情绪低落或心情较差、焦虑情绪等因素是影响大学生睡眠质量的主要因素。结论大学生睡眠质量欠佳,主要影响因素为健康状况、生活习惯、社会心理因素、客观环境等。应采取有针对性的健康教育等干预措施改善在校大学生的睡眠质量。Objective To understand sleep quality status and related factors and to provide scientific basis for comprehen- sive intervention for sleep quality improvement. Methods Pittsburgh sleep quality index （ PSQI ） , the Epworth Sleeping Scale （ESS ） and a self-designed questionnaire was used in this survey. Results About 29.5% university students reported poor sleep quality （ female： 31.2% ; male： 27.4% ）. There were 15.7% of all the participants suffering excessive daytime sleepiness （ EDS） , with freshmen （ 21.1% ） significantly higher than sophomore （ 14.6% ） and junior （ 11.5% ）. PSQI score and ESS score was signifi- cantly correlated（r= 0.279, P〈0.05）. More students with poor sleep quality was found in EDS group （49.4% ） than that of non- EDS group （ 25.8% ）. Furthermore, the main factors affecting students sleep quality were health status, staying up late （ bedtime at 0：00 or later） , surfing the Internet or playing mobile phone for a long time before sleeping, dormitory environment, depression and anxiety. Conclusion Poor sleep quality among university students is highly prevalent, especially among college freshmen. The sleeping habits result from a complex interaction of sociodemographic, behavioral, psychological and health factors. Health promotion and educational programs for students should emphasize the importance of sleep.

关 键 词：睡眠异常 回归分析 横断面研究 学生 

分 类 号：R181.22[医药卫生—流行病学] R395.6[医药卫生—公共卫生与预防医学]