广东省高职医学生寒假延长期间的睡眠和焦虑状况调查  

Investigation on sleep and anxiety status of students in Guangdong vocational medical colleges during extended winter vacation

作　　者：钟小景 陈宇清[1] 梁其生 罗俏玲 钟健东 ZHONG Xiao-jing;CHEN Yu-qing;LIANG Qi-sheng;LUO Qiao-ling;ZHONG Jian-dong(Zhcioqing Medical College,Zhaoqing Guangdong,526020,China;Third Peopled Hospital of Zhaoqing,Zhaoqing Guangdong,526020,China;Guangzhou Health Vocational and,Technical College,Guangzhou Guangdong,510030,China)

机构地区：[1]肇庆医学高等专科学校,广东肇庆526020 [2]肇庆市第三人民医院,广东肇庆526020 [3]广州卫生职业技术学院,广东广州510030

出　　处：《职业与健康》2021年第2期254-257,共4页Occupation and Health

基　　金：肇庆市2019年科技创新指导类项目(190426154164015)。

摘　　要：目的了解广东省高职医学生寒假延长期间的睡眠、焦虑状况,为制定相应的睡眠、心理干预措施提供参考依据。方法于2020年2月通过便利抽样方式,对广东省3个地市的高职医学生进行匹兹堡睡眠质量指数量表(PSQI)和焦虑自评量表(SAS)调查,并对数据进行分析。结果医学生的PSQI和SAS得分符合国内常模。不同地区、年级及寒假延长期间是否在临床实习的医学生PSQI和SAS得分比较,差异均有统计学意义(均P<0.05)。医学生的SAS得分与PSQI总分及7个构成因子得分均呈正相关(r=0.178~0.412,均P<0.01)。影响医学生SAS得分的3个因素为PSQI总分、日间功能障碍及主观睡眠质量。医学生的焦率水平与PSQI得分呈正相关(P<0.05)。结论广东省高职医学教育工作者应重点关注护理专业学生、大一学生和实习生的睡眠质量和焦虑状态,实时跟进学生的学习状态、实习和就业进展,以制定有针对性的健康宣教和心理辅导。Objective To investigate the sleep and anxiety status of students in Guangdong vocational medical colleges during extended winter vacation,provide reference for the development of corresponding sleep and psychological intervention measures.Methods Through convenience sampling,the Pittsburgh Sleep Quality Index(PSQI)and Anxiety Self-rating Scale(SAS)were used to investigate the vocational medical students in three regions of Guangdong Province in February 2020.And the data were analyzed.Results PSQI and SAS scores of medical students accorded with domestic norms.The differences in PSQI and SAS scores were statistically significant among medical students with different regions,grades,and whether they had clinical practice during the extended winter vacation(all P<0.05).SAS scores of medical students were positively correlated with the total PSQI score and the scores of seven components(r=0.178-0.412,all P<0.01).The three factors influencing SAS scores of medical students were total PSQI score,daytime dysfunction and subjective sleep quality.The anxiety level of medical students was positively correlated with PSQI score(P<0.05).Conclusion Higher vocational medical educators in Guangdong Province should focus on the sleep quality and anxiety state of nursing students,freshmen and interns,follow up the learning,practice and employment progress of students in real time,so as to formulate targeted health education and psychological guidance.

关 键 词：高职医学生 寒假 延长 睡眠 焦虑 

分 类 号：R181.37[医药卫生—流行病学]