医科大学男护生睡眠质量及心理健康状况研究

目的探讨医科大学男护生睡眠质量及其与心理健康的关系。方法采用症状自评量表(SCL-90)和匹兹堡睡眠质量指数(PSQI)量表对某医科大学2005-2008级105名男护生及同期的105名女护生进行测评。结果(1)以PSQI总分≥8分作为判断睡眠质量问题的界限,19.8%的男护生有睡眠质量问题,睡眠不佳主要体现在日间功能障碍(43.6%)、睡眠质量差(17.8%)和入睡时间长(17.8%)。本、专科男护生和男女护生在PSQI总分上差异均无统计学意义,但本科男护生的日间功能得分显著高于专科生(t=2.066,P0.05),男护生入睡时间得分显著低于同期调查的女护生(t=-2.965,P0.01)。(2)男护生与普通大学男生、医科大学男生的PSQI总分差异均无统计学意义(P0.05),但睡眠时间及睡眠障碍的得分显著高于普通大学男生,入睡时间和睡眠时间的得分显著低于医科大学男生。(3)不同睡眠质量状况的男护生SCL-90均分及各因子得分(除敌意因子外)差异均有统计学意义。(4)男护生SCL-90均分及各因子得分与PSQI总分呈正相关(0.265≤r≤0.513),与PSQI各项目得分中的睡眠效率、睡眠障碍、日间功能等均呈正相关(0.229≤r≤0.482)。结论学校应重视男护生的睡眠质量问题,促进男护生心理健康。

Study of Sleep Quality and Mental Health of Male Students in Nursing School

Objective To study the relationship between sleep quality and mental health of male students in nursing school.Methods The nursing students（n=210,f：m=1：1）from a medical college were investigated by SCL-90 and PSQI.Results（1）PSQI ≥8 was established as a standard for sleep quality assessment,then 19.8% of the male nursing students had sleep problems,including daytime dysfunction（43.6%）,poor sleep quality（17.8%）and staying asleep for a long period（17.8%）.There were no difference in the sex and specialty in the total scores of PSQI（t=2.066,P〈0.05）.The scores of sleep latency of the male nursing students were significantly lower than those of the female students（t=-2.965,P〈0.01）.（2）There were no significant differences among the male nursing students,college students and medical college students in the total scores of PSQI（P〈0.05）.The scores of sleep time and sleep disturbance were significantly higher in the male nursing students than those of college students and lower than those of male students of medical colleges.（3）The difference of the average scores of SCL-90 and the scores of PSQI（except hostility）were observed between the male nursing students with different sleep quality.（4）The average scores and factors＇ scores of PSQI of male nursing students were positively correlated with the total scores of SCL-90（0.265≤r≤0.513）and the scores of sleep efficiency,sleep disturbance,daytime dysfunction（0.229≤r≤0.482）.Conclusion Sleep quality should be improved for good mental health of male students in nursing school.