某医学院校大学生睡眠-觉醒昼夜节律类型与生活质量的相关性

常微微; 常婉玉; 朱丽君; 温丽影; 周梦洁; 常鑫; 童心; 金岳龙

doi:10.16462/j.cnki.zhjbkz.2022.11.014

某医学院校大学生睡眠-觉醒昼夜节律类型与生活质量的相关性

doi: 10.16462/j.cnki.zhjbkz.2022.11.014

1.
241002 芜湖, 皖南医学院公共卫生学院
2.
241002 芜湖, 皖南医学院医学信息学院
3.
41002 芜湖, 皖南医学院医学影像学院

基金项目:

国家级大学生创新创业项目 202010368003

安徽省教育厅卓越公共卫生医师人才教育培养计划 2015zjjh017

详细信息

通讯作者:
金岳龙, E-mail: jinyl0803@wnmc.edu.cn

中图分类号: R181.3
计量
- 文章访问数: 268
- HTML全文浏览量: 191
- PDF下载量: 47
- 被引次数: 0
出版历程
- 收稿日期: 2021-08-08
- 修回日期: 2021-12-16
- 网络出版日期: 2022-12-21
- 刊出日期: 2022-11-10

A study on the correlation between chronotype and quality of life among medical college students

1.
School of Public Health, Wannan Medical College, Wuhu 241002, China
2.
School of Medical Information, Wannan Medical College, Wuhu 241002, China
3.
School of Medical Imaging, Wannan Medical College, Wuhu 241002, China

Funds:

National-level Student Innovation and Entrepreneurship Project 202010368003

Anhui Provincial Education Department Excellence in Public Health Physician Education and Training Program 2015zjjh017

More Information

Corresponding author: JIN Yue-long, E-mail: jinyl0803@wnmc.edu.cn

摘要

摘要: 目的了解医学生的生活质量现况，探讨昼夜节律类型与生活质量的关系，为提高医学院校学生的健康水平提供科学依据。方法采用清晨-夜晚型量表(Morningness-Eveningness Questionnaire 19, MEQ-19)和36题简明健康量表(Short Form 36, SF-36)对某医学院校2 400名医学生进行现场问卷调查。结果医学生生活质量总得分为(75.20±14.54)分。其中，躯体健康(physical component summary, PCS)和心理健康(mental component summary, MCS)得分分别为(81.19 ±15.50)分和(69.21±16.82)分，精神健康维度(mental health, MH)得分最低[(64.61±16.06)分]。多重线性回归分析发现，昼夜节律倾向于夜晚型的医学生PCS (校正后：β=-3.478，t=-5.169，P < 0.001)和MCS(校正后：β=-4.357，t=-6.030，P < 0.001)领域得分低于中间型的医学生。结论医学生的生活质量不高，特别是心理健康领域；睡眠节律倾向于夜晚型的医学生生活质量低，学校应加强对医学生作息时间的管理, 提高他们的生活质量。
- 昼夜节律 /
- 睡眠 /
- 医学生 /
- 生活质量
Abstract: Objective This paper aims to understand the current situation of the quality of life of medical college students and to explore the relationship between chronotype and quality of life, to provide a scientific basis for improving the health level of medical college students. Methods A questionnaire survey was conducted among 2 400 medical students in a medical college using Morningness-Eveningness Questionnaire 19 (MEQ-19) and Short Form 36 (SF-36). Results The total score of quality of life of medical students was (75.20 ±14.54) points, the scores of physical component summary (PCS) and mental component summary (MCS) were (81.19±15.50) points and (69.21±16.82) points, respectively. The score of mental health (MH) was the lowest (64.61±16.06) points. Multiple linear regression analysis showed that the PCS score (after adjustment: β=-3.478, t=-5.169, P < 0.001) and MCS score (after correction: β=-4.357, t=-6.030, P < 0.001) of quality of life among medical students whose sleep rhythm tends to be evening types were lower than that of neutral types. Conclusions The quality of life of medical students is not high, especially in the field of mental health. The quality of life of medical students whose sleep rhythm tends to be evening types is low. The school should strengthen the management of rest time to improve the quality of life among medical students.
- Chronotype /
- Sleep /
- Medical students /
- Quality of life

HTML全文

表 1 医学生生活质量各维度得分与常模比较(x±s)

Table 1. Comparison of medical students' quality of life dimension scores with the norm (x±s)

具体维度	平均得分(n=2 231)	常模^[9] (n=751)
PCS得分(分)	81.19±15.50	79.36±17.00
PF	89.25±16.92	89.01±15.73
RP	80.87±31.38	81.99±31.65
BP	83.81±19.09	80.40±19.79
GH	70.81±18.44	66.03±20.87
MCS得分(分)	69.21±16.82	77.00±17.42
VT	67.27±15.42	71.15±18.09
SF	78.63±16.74	84.60±18.15
RE	66.31±39.73	77.04±35.45
MH	64.61±16.06	75.23±16.69
SF-36总体情况	75.20±14.54	78.18±15.88
注：对比研究中所引用的常模值是Chen等^[9]开展大样本的一般人群健康相关生命质量调查结果。

下载: 导出CSV

表 2 生活质量在不同特征的医学生之间比较(x±s)

Table 2. Comparison of quality of life among medical students with different characteristics (x±s)

变量	例数(n)	PCS得分(分)	t/F值	P值	MCS得分(分)	t/F值	P值
性别			-2.025	0.043		0.056	0.956
男	1 004	80.44 ±16.39			69.23 ±17.29
女	1 227	81.79 ±14.71			69.19 ±16.42
年级			6.991	0.001		7.794	< 0.001
大一	950	82.59 ±14.71 ^a			70.76 ±16.47 ^a
大二	833	79.95 ±16.18 ^b			68.46 ±17.03 ^b
大三	448	80.52 ±15.64 ^b			67.30 ±16.88 ^b
近半学期在班级成绩			16.735	< 0.001		13.259	< 0.001
上等	1 119	81.95 ±14.40 ^a			69.67 ±16.36 ^a
中等	817	81.88 ±15.94 ^a			70.23 ±16.81 ^a
下等	295	76.36 ±17.37 ^b			64.58 ±17.83 ^b
学习负担			17.819	< 0.001		48.329	< 0.001
轻度	1 050	83.25 ±14.57 ^a			72.58 ±16.03 ^a
中度	159	79.31 ±17.71 ^b			70.68 ±16.16 ^b
重度	1 022	79.36 ±15.81 ^b			65.51 ±16.96 ^b
吸烟			2.971	0.004		1.783	0.075
否	2 157	81.41 ±15.31			69.32 ±16.80
是	74	74.66 ±19.35			65.78 ±16.92
饮酒			3.654	< 0.001		2.261	0.024
否	2 097	81.57 ±15.12			69.41 ±16.70
是	134	75.23 ±19.71			66.02 ±18.25
昼夜节律类型			18.646	< 0.001		28.421	< 0.001
夜晚型	1 335	79.58 ±15.93 ^a			67.07 ±17.04 ^a
中间型	846	83.45 ±14.53 ^b			72.21 ±15.89 ^b
清晨型	50	85.75 ±14.19 ^b			75.41 ±17.00 ^b
注：^{a, b}P < 0.05；^{b, b}P < 0.05。

下载: 导出CSV

表 3 医学生昼夜节律类型与生活质量的多重线性回归分析

Table 3. Multiple linear regression analysis of circadian rhythm type and quality of life among medical students

变量	模型1					模型2					均值^a	标准误^a
变量	β值	s_x值	Beta值	t值	P值	β值	s_x值	Beta值	t值	P值	均值^a	标准误^a
PCS得分
中间型											83.207	0.524
夜晚型	-3.870	0.676	-0.122	-5.726	< 0.001	-3.478	0.673	-0.110	-5.169	< 0.001	79.730	0.416
清晨型	2.301	2.238	0.022	1.028	0.304	2.637	2.208	0.025	1.194	0.232	85.844	2.145
MCS得分
中间型											71.728	0.563
夜晚型	-5.147	0.730	-0.150	-7.050	< 0.001	-4.357	0.722	-0.127	-6.030	< 0.001	67.372	0.447
清晨型	3.201	2.418	0.028	1.324	0.186	3.733	2.371	0.033	1.514	0.116	75.461	2.303
注：模型1：未校正因素；模型2：校正性别、年龄、最近半学期在班级成绩、学习负担、吸烟和饮酒；^a协方差分析调整上述变量之后的PCS和MCS的数值。

下载: 导出CSV

参考文献(17)

[1]	The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization[J]. Soc Sci Med, 1995, 41(10): 1403-1409. DOI: 10.1016/0277-9536(95)00112-K.
[2]	Qiu Y, Yao M, Guo Y, et al. Health-related quality of life of medical students in a chinese university: a cross-sectional study[J]. Int J Environ Res Public Health, 2019, 16(24): 5165. DOI: 10.3390/ijerph16245165.
[3]	Roenneberg T, Kuehnle T, Juda M, et al. Epidemiology of the human circadian clock[J]. Sleep Med Rev, 2008, 11(6): 429-438. DOI: 10.1016/j.smrv.2007.07.005.
[4]	Vzer A, Yücens B. Chronotype and depressive symptoms in healthy subjects: the mediating role of hopelessness and subjective sleep quality[J]. Chronobiol Int, 2020, 37(8): 1173-1180. DOI: 10.1080/07420528.2020.1775629.
[5]	Kong G, Smith AE, McMahon TJ, et al. Pubertal status, sensation-seeking, impulsivity, and substance use in high school-aged boys and girls[J]. J Addict Med, 2013, 7(2): 116-121. DOI: 10.1097/ADM.0b013e31828230ca.
[6]	张斌, 郝彦利, 荣润国. 清晨型与夜晚型评定量表的信度与效度[J]. 中华行为医学与脑科学杂志, 2006, 15(9): 856-858. DOI: 10.3760/cma.j.issn.1674-6554.2006.09.044. Zhang B, Hao YL, Rong RG. The reliability and validity of Chinese version morningness/eveningness questionnaire[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2006, 15(9): 856-858. DOI: 10.3760/cma.j.issn.1674-6554.2006.09.044.
[7]	易伶俐, 陶煜杰, 杨霞, 等. 大学新生网络成瘾、睡眠质量及日周期类型的现况调查[J]. 中华精神科杂志, 2021, 54(2): 132-137. DOI: 10.3760/cma.j.cn113661-20200717-00338. Yi LL, Tao YJ, Yang X, et al. Internet addiction, sleep quality, and sleep-wake chronotype among first-year undergraduate students[J]. Chin J Psychian, 2021, 54(2): 132-137. DOI: 10.3760/cma.j.cn113661-20200717-00338.
[8]	李鲁, 王红妹, 沈毅. SF-36健康调查量表中文版的研制及其性能测试[J]. 中华预防医学杂志, 2002, 36(2): 109-113. DOI: 10.3760/j:issn:0253-9624.2002.02.011. Li L, Wang HM, Shen Y. Development and psychometric tests of a Chinese version of the SF-36 Health Survey Scales[J]. Chin J Prev Med, 2002, 36(2): 109-113. DOI: 10.3760/j:issn:0253-9624.2002.02.011.
[9]	Chen H, Cohen P, Kasen S, et al. Construction and validation of a quality of life instrument for young adults[J]. Qual Life Res, 2004, 13(4): 747-759. DOI: 10.1023/B:QURE.0000021700.42478.ab.
[10]	李娟, 刘伟, 于邦林, 等. 大学生睡眠质量与生活质量的典型相关分析[J]. 安徽医科大学学报, 2019, 54(6): 942-945. DOI: 10.19405/j.cnki.issn1000-1492.2019.06.022. Li J, Liu W, Yu BL, et al. Canonical correlation analysis on sleep quality and quality of life among college students[J]. Acta Universitatis Medicinalis Anhui, 2019, 54(6): 942-945. DOI: 10.19405/j.cnki.issn1000-1492.2019.06.022.
[11]	赫玉芳, 宁春雪, 姚佩欣, 等. 基于因子分析法的吉林省医学生就业压力影响因素分析[J]. 医学与社会, 2021, 34(4): 27-31. DOI: 10.13723/j.yxysh.2021.04.006. He YF, Ning CX, Yao PX, et al. Factor analysis of influencing factors of employment pressure of medical students in jilin province[J]. Med Society, 2021, 34(4): 27-31. DOI: 10.13723/j.yxysh.2021.04.006.
[12]	Amaral MO, de Almeida Garrido AJ, de Figueiredo Pereira C. Quality of life, sleepiness and depressive symptoms in adolescents with insomnia: a cross-sectional study[J]. Aten Primaria, 2017, 49(1): 35-41. DOI: 10.1016/j.aprim.2016.03.004.
[13]	Zamanian Z, Nikeghbal K, Khajehnasiri F. Influence of sleep on quality of life among hospital nurses[J]. Electron Physician, 2016, 8(1): 1811-1816. DOI: 10.19082/1811.
[14]	Teoh AN, Kaur S, Mohd Shukri NH, et al. Psychological state during pregnancy is associated with sleep quality: preliminary findings from MY-CARE cohort study[J]. Chronobiol Int, 2021, 38(7): 959-970. DOI: 10.1080/07420528.2021.1902338.
[15]	Silva VM, Magalhaes JEM, Duarte LL. Quality of sleep and anxiety are related to circadian preference in university students[J]. PLoS One, 2020, 15(9): e0238514. DOI: 10.1371/journal.pone.0238514.
[16]	许浩迪, 张璐, 孙晋斌, 等. 大学生日周期类型与网络成瘾的关系[J]. 中华行为医学与脑科学杂志, 2018, 27(11): 1035-1038. DOI: 10.3760/cma.j.issn.1674-6554.2018.11.016. Xu HD, Zhang L, Sun JB, et al. Relationship between circadian typology and internet addiction in college students[J]. Chin J Behav Med Brain Sci, 2018, 27(11): 1035-1038. DOI: 10.3760/cma.j.issn.1674-6554.2018.11.016.
[17]	Walsh NA, Repa LM, Garland SN. Mindful larks and lonely owls: the relationshipbetween chronotype, mental health, sleep quality, and social support in young adults[J]. J Sleep Res, 2022, 31(1): e13442. DOI: 10.1111/jsr.13442.