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医学生失眠亚型及影响因素分析

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目的 了解医学生失眠的潜在类别,并分析失眠亚型的相关因素.方法 采用便利抽样法,2022年6-7月选取新乡市某医学院4 425名医学生为调查对象,采用一般资料调查量表、失眠严重指数问卷、抑郁筛查量表、压力知觉量表对其进行调查,使用潜在剖面分析的方法了解医学生失眠亚型,利用回归混合模型分析各类别的预测因素.结果 医学生的失眠严重程度得分[M(P25,P75)]为1(10,4)分,失眠人数共356人(8.05%),其中轻度失眠319人,中度失眠33人,重度失眠4人,失眠亚型分为"无失眠组""不稳定型早醒失眠""早醒型稳定趋势性失眠"和"入睡困难型稳定性失眠"4种潜在类别,性别、年级、年龄、专业、抑郁、压力对不同亚型均有预测作用(均P<0.05).结论 医学生失眠亚型可分为4种潜在类别,其影响因素不同,未来可根据不同亚型及其影响因素开展针对性的干预措施,减少医学生失眠问题的发生率,促进其身心健康成长.
Analysis on insomnia subtypes and influencing factors among medical students
Objective To understand the potential categories of insomnia among medical students,analyze the factors associated with insomnia subtypes.Methods The convenience sampling method was used to select 4 425 medical students from a medical university in Xinxiang City from June to July 2022,and they were surveyed using the general information survey scale,insomnia severity index questionnaire,depression screening scale,and stress perception scale.The latent profile analysis was used to explore the subtypes of insomnia in the medical students.The mixed regression model was used to analyze predictive factors for each category.Results The medical students'insomnia severity score of M(P25,P75)was 1(0,4)points.There were 356(8.05%)people with insomnia,of which 319 were mild insomnia,33 were moderate insomnia,and 4 were severe insomnia.The subtypes were divided into four potential categories,namely"no insomnia group","unstable early wakefulness insomnia","early wakefulness stable trend insomnia",and"difficulty in falling asleep stable insomnia".The gender,grade,age,major,depression,and stress had a predictive effect on the different subtypes(all P<0.05).Conclusion The insomnia subtypes of medical students can be divided into four potential categories with different influencing factors,and targeted interventions can be carried out according to the different subtypes and their influencing factors in the future to reduce the incidence of insomnia among medical students and promote their healthy physical and mental growth.

Medical studentsInsomnia subtypesPotential profile analysisInfluencing factors

刘荣勋、高雨彤、孙丽君、位彦鸽、朱丽丽

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新乡医学院心理学院,河南新乡 453000

新乡医学院护理学院,河南新乡 453000

新乡医学院第二附属医院早期干预二科,河南新乡 453000

医学生 失眠亚型 潜在剖面分析 影响因素

2021年河南省高等教育教学改革研究与实践项目(学位与研究生教育)河南省教育科学规划2023年度一般课题

2021SJGLX189Y2023YB0135

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(14)
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