摘要
目的调查军校首批预选卫生士官的睡眠质量与心理健康状况的相关性,为改善预选卫生士官睡眠状况、推进和保障预选卫生士官教育提供科学可行的建议。方法应用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)与症状自评量表(Symptom Checklist 90,SCL-90)对某军校首批预选卫生士官进行横断面抽样的流行病学调查。结果 23.1%的预选卫生士官存在睡眠质量问题,在7个因子中,得分占前3位的分别是白天功能紊乱、主观质量、睡眠持续性。男学员主观质量、白天功能紊乱表现优于女学员,差异有统计学意义(P<0.05)。不同学历背景学员的主观质量、睡眠潜伏期、睡眠紊乱、白天功能紊乱得分差异具有统计学意义(P<0.05)。除睡眠药物因子外,其余各PSQI因子均与SCL-90各因子存在相关性(P<0.05)。逐步多元回归分析抑郁评分、躯体化评分、人际关系评分、精神病性评分、偏执评分5个自变量对因变量(PSQI总分)均有明显影响(P<0.01)。结论预选卫生士官睡眠质量有待提高,睡眠质量与心理健康呈高度相关。学校有关管理部门应予以重视,并采取一定干预措施以保障预选卫生士官的睡眠质量。
Objective To investigate the relationship between sleep quality and mental health status among the first group of military preliminary medical sergeant students and supply scientific advices to improve their sleep, promote and serve for their education. Methods A total of 528 military preliminary medical sergeant students were selected from a military university by a random sampling method and surveyed by a self-evaluation questionnaire including Pittsburgh sleep quality index （PSQI） and Symptom Checklist 90 （SCL-90）. Results 23. 1% preliminary sergeants had sleep disorder. The top three PSQI factors were subjective sleep quality, daytime dysfunction and sleep duration. Male military students were better than female students in sleep quality and daytime dysfunction （P〈0. 05）. The students of different education backgrounds had significant differences in subjective sleep quality, sleep latency, sleep disturbances and daytime dysfunction scores （P〈0. 05）. Beside use of sleeping medication, all the other＇PSQI factors had strong correlation with the SCL-90 factors. Multiple linear regression analysis Showed that factor depression, somatization, interpersonal sensitivity, schizophrenia, paranoid of SCL-90 had significant effect on PSQI scores. Conclusion The sleepquality of military preliminary medical sergeants needs to be improved. Sleep quality is highly correlated with mental health status. The school management should pay more attention to the sleep quality and take measures to ensure the sleep quality.
出处
《华南国防医学杂志》
CAS
2013年第12期897-900,共4页
Military Medical Journal of South China
基金
上海市卫生局中医专项基金(2010QL048A)
中华医学会医学教育研究项目(2012-XL-24
2012-LXS-29)
第二军医大学大学生创新科研项目(2013063)
关键词
卫生士官
睡眠
心理
相关性
Medical sergeants
Sleep Quality
Psychology
Correlation
