| 赵佳玉,杨佳铭,罗文秀,任真,刘畅,李雅洁,肖云,罗家明.医学生偏头痛患者睡眠时间不足的发生率及影响因素分析[J].四川精神卫生杂志,2022,35(6):556-560.Zhao Jiayu,Yang Jiaming,Luo Wenxiu,Ren Zhen,Liu Chang,Li Yajie,Xiao Yun,Luo Jiaming,Prevalence rate and influencing factors of sleep insufficiency in medical students with migraine[J].SICHUAN MENTAL HEALTH,2022,35(6):556-560 |
| 医学生偏头痛患者睡眠时间不足的发生率及影响因素分析 |
| Prevalence rate and influencing factors of sleep insufficiency in medical students with migraine |
| 投稿时间：2022-05-14 |
| DOI：10.11886/scjsws20220514001 |
| 中文关键词: 偏头痛 睡眠 医学生 焦虑 抑郁 |
| 英文关键词:Migraine Sleep Medical students Anxiety Depression |
| 基金项目:南充市市校科技战略合作专项（项目名称：南充市高校学生偏头痛和紧张性头痛监测和随访体系建立及其生活质量和学习能力相关因素分析，项目编号：NSMC20170420） |
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| 中文摘要: |
| 目的 调查医学生偏头痛患者睡眠时间不足的发生率及影响因素，为改善睡眠质量提供参考。方法 采用整群抽样方法，于2018年7月-2019年7月选取川北医学院在校医学生中符合《国际头痛疾病分类（第3版）》（ICHD-3）偏头痛诊断标准的546名患者为研究对象，并根据每夜睡眠时间是否>6 h分为睡眠时间充足组（n=367）与睡眠时间不足组（n=179）。收集医学生一般人口学资料及临床资料，采用匹兹堡睡眠质量指数量表（PSQI）评定睡眠情况，采用汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表24项版（HAMD-24）评定焦虑抑郁情况，采用视觉模拟评分法（VAS）和头痛影响测试量表（HIT-6）评定头痛严重程度及其对日常生活的影响。采用Logistic回归分析探索偏头痛患者睡眠时间不足的影响因素。结果 在546名医学生偏头痛患者中，有179人（32.78%）存在睡眠时间不足。睡眠时间不足组和睡眠时间充足组的年龄（t=2.107）、头痛频率（Z=-2.972）、焦虑状态（χ2=14.053）、抑郁状态（χ2=10.773）、PSQI评分（t=-13.247）及睡眠质量（χ2=94.754）差异均有统计学意义（P?0.05或0.01）。相关分析显示，偏头痛患者睡眠时间与年龄呈负相关（r=-0.100，P<0.01），与头痛频率、焦虑状态、抑郁状态呈正相关（r=0.135、0.169、0.139，P均<0.01）。多因素Logistic回归分析显示，年龄（OR=0.860，95% CI：0.743~0.996，P=0.045）、头痛频率（OR=1.051，95% CI：1.006~1.098，P=0.026）、抑郁状态（OR=1.712，95% CI：1.024~2.861，P=0.040）是医学生偏头痛患者睡眠时间不足的影响因素。结论 医学生偏头痛患者睡眠时间不足的发生率较高，头痛频率高和抑郁状态是其危险因素，年龄是保护因素。 |
| 英文摘要: |
| Objective To investigate the prevalence rate and influencing factors of sleep insufficiency in medical students with migraine， and to provide a reference for alleviating the sleep problems in medical students.Methods From July 2018 to July 2019， a random cluster sampling method was implemented to choose 546 medical students who met the diagnostic criteria of the International Classification of Headache Disorders， third edition （ICHD-3） for migraine in North Sichuan Medical College. Students were divided into sleep sufficiency group （n=367） and sleep insufficiency group （n=179） based on whether the nightly sleep duration was more than 6 hours. General demographic and clinical data of medical students were collected. Pittsburgh Sleep Quality Index （PSQI） was used to assess the sleep quality. Hamilton Anxiety Scale （HAMA） and Hamilton Depression Scale-24 item （HAMD-24） were used to evaluate the anxiety and depression states. Visual Analogue Scale （VAS） was adopted to assess the pain degree， and the 6-item Headache Impact Test Questionnaire （HIT-6） was applied to evaluate the impact of headache on daily life. Then Logistic regression analysis was conducted to screen the influencing factors of sleep insufficiency in medical students with migraine.Results Among 546 medical students with migraine， 179（32.78%） had sleep insufficiency. There were significant differences in age （t=2.107）， frequency of headache attacks （Z=-2.972）， anxiety status （χ2=14.053）， depression status （χ2=10.773）， total score of PSQI （t=-13.247） and sleep quality （χ2=94.754） between sleep sufficiency group and sleep insufficiency group （P<0.05 or 0.01）. Correlation analysis showed that sleep duration in migraine patients was negatively correlated with age （r=-0.100， P<0.01）， and positively correlated with frequency of headache attacks， anxiety status， and depression status （r=0.135， 0.169， 0.139， P<0.01）. Multivariate Logistic regression analysis denoted that age （OR=0.860， 95% CI： 0.743~0.996， P=0.045）， frequency of headache attacks （OR=1.051， 95% CI： 1.006~1.098， P=0.026） and depression status （OR=1.712， 95% CI： 1.024~2.861， P=0.040） were influencing factors of sleep insufficiency in medical students with migraine.Conclusion Medical students with migraine suffer a high prevalence rate of sleep insufficiency， moreover， the frequency of headache attack and depression status are risk factors， and age is a protective factor for sleep insufficiency in medical students with migraine. |
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