摘要
目的 探讨新型冠状病毒(新冠)感染疫情后大学生睡眠问题和心理健康现状及其相关因素.方法 2023年9-10月期间采取方便抽样法抽取广东省某高校在读大学生进行问卷调查,采用非参数秩和检验、Spearman相关性分析、多元线性逐步回归方法分析探讨大学生睡眠问题与心理健康的关系.结果 本研究回收有效问卷共1 488份,其中男大学生占41.5%,女大学生占58.5%,74.9%的大学生报告新冠感染史,报告失眠、噩梦困扰、焦虑和抑郁的大学生分别为34.2%、42.8%、31.9%和48.2%.焦虑与失眠、噩梦困扰、抑郁均显著正相关(r=0.39,0.52,0.52,均P<0.01),失眠、噩梦困扰和抑郁正向预测焦虑(拟合系数R2=0.51,β=0.32,0.30,0.50,均P<0.001).结论 新冠疫情后,大学生睡眠和心理健康问题检出率较高,失眠、噩梦困扰和抑郁加剧焦虑的严重性.高校和有关部门应重视大学生的睡眠、心理健康状况及相关影响因素,以提高大学生群体的睡眠质量、促进心理健康.
Abstract
Objective To investigate the status and related factors of sleep disturbances and mental health among university students in the post-COVID-19 epidemic era.Methods During September and October 2023,a convenience sampling method was used to survey students at a university in Guangdong Province.Non-parametric rank sum test,Spear-man correlation analysis,and multiple linear stepwise regression analysis were employed to investigate the relationship be-tween sleep disturbances and mental health among the students.Results A total of 1 488 valid questionnaires were col-lected in this study,with male students comprising 41.5%and female students comprising 58.5%.Among them,74.9%re-ported a history of COVID-19 infection,and 34.2%,42.8%,31.9%,and 48.2%reported experiencing insomnia,nightmare distress,anxiety,and depression,respectively.Significant positive correlations were observed between anxiety and insom-nia,nightmare distress,and depression(r=0.39,0.52,and 0.52,all P<0.01).Insomnia,nightmare distress,and depression positively predicted anxiety(adjusted R2=0.51,β=0.32,0.30,and 0.50,all P<0.001).Conclusions In the post-COVID-19 epidemic era,a heightened incidence of sleep disturbances and mental health problems has been observed among uni-versity students.Insomnia,nightmare distress,and depression exacerbate the severity of anxiety.It is imperative for univer-sities and relevant authorities to prioritize the sleep and mental health status of university students,along with the associ-ated influencing factors,to enhance sleep quality and promote mental health.