高职临床医学专业学生睡眠质量与身体健康状况相关性分析  

Analysis on the correlation between sleeping quality and physical health of students majoring in clinical medicine in higher vocational education

作　　者：李圣琦 郑宏来 檀倩影[1] 龙淑珍[1] 傅燕虹[2] LI Sheng-qi;ZHENG Hong-lai;TAN Qian-ying;LONG Shu-zhen;FU Yan-hong(Department of Medicine,Guangxi Vocational and Technical College of Health,Nanning,Guangxi,530023,China;People's Hospital of Guangxi Zhuang Autonomous region,Nanning,Guangxi,530021,China)

机构地区：[1]广西卫生职业技术学院医学系,广西南宁530023 [2]广西壮族自治区人民医院,广西南宁530021

出　　处：《蛇志》2020年第1期51-53,56,共4页Journal of Snake

基　　金：2018年度广西医药卫生自筹经费科研课题(编号:Z20180808)。

摘　　要：目的分析高职临床医学专业学生睡眠质量与身体健康状况相关性。方法采取整群抽样方法,以我校2015、2016、2017、2018级1058名高职临床医学专业学生作为研究对象,采用匹兹堡睡眠质量指数量表调查问卷及体检方式收集资料并进行分析。结果1058名学生中,睡眠障碍发生率为88.00%,其中男生与女生的睡眠障碍发生率分别为86.69%和88.65%,差异无统计学意义(P>0.05);不同阶段高职临床医学专业学生的睡眠障碍发生率比较有统计学意义(P<0.01),其中大一、二在校阶段学生睡眠障碍发生率相近,分别为93.31%和93.85%,大三实习阶段学生睡眠障碍发生率最高为98.99%,实习结束后待业阶段的学生睡眠障碍发生率最低为52.51%;多因素Logistic回归分析显示,舒张压、Hb是睡眠障碍的影响因素(B值分别为0.080,-0.025,均P<0.05)。结论高舒张压、低Hb可影响高职临床医学专业学生睡眠质量;加强运动,保证营养摄入,以增加Hb,降低舒张压,有助于降低高职临床医学专业学生睡眠障碍风险。Objective To provide support for future doctors'sleep health by the interaction between sleep quality and physical health of clinical medical students in higher vocational colleges.Methods A total of 1058 higher vocational medical students majoring in clinical medicine in Guangxi Vocational and Technical College of Health in 2015,2016,2017 and 2018 were selected as the research objects.The data were collected by Pittsburgh Sleeping quality Index questionnaire and physical examination.Results 931 cases(88.00%)of sleep disorders were detected in higher vocational students,and the incidence of sleep disorders in males and females was 86.69%and 88.65%(P>0.05).There are differences in the incidence of sleep disorders among different grades.The incidence of sleep disorders in freshmen and sophomores was similar,93.31%and 93.85%,respectively.The highest incidence of sleep disorders was 98.99%in the internship stage.The lowest incidence of sleep disorders after internship was 52.51%.The difference was statistically significant(P<0.01).The results of multivariate Logistic regression analysis showed that BMI,diastolic blood pressure and Hb were the influencing factors of sleep disorder(B values were-0.069,0.080,-0.025,P<0.05).Conclusion High diastolic blood pressure and low Hb can affect the sleep quality of clinical medical students in higher vocational education.Therefore,strengthening nutrition and increasing exercise to increase Hb and decrease diastolic blood pressure are helpful to reduce the risk of sleep disorders for clinical medical students in higher vocational colleges.

关 键 词：医学生 睡眠质量 相关性 

分 类 号：R338.63[医药卫生—人体生理学]