某校1300名高中女生睡眠问题与痛经、应激水平的关联性研究

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摘要目的了解高中女生睡眠问题的现状,分析痛经和应激水平共同作用对睡眠问题的影响。方法通过整群抽样方式在镇江中学选取高中3个年级20个班1 283名女生为研究对象,了解其睡眠问题、痛经情况、应激水平等,通过卡方检验比较不同组间睡眠问题、痛经和应激水平检出率的差异,利用logistic回归模型分析应激水平和痛经共同对睡眠问题的影响。结果睡眠问题的检出率为20.1%,痛经增加了睡眠问题发生的风险[OR(95%CI)=2.42(1.77-3.31)]。应激水平的升高,也增加了睡眠问题的发生风险[OR(95%CI)=7.23(4.47-11.69)]。logistic回归分析显示,与无痛经且低应激水平相比,有痛经且高应激水平会明显增加睡眠问题的发生风险[OR(95%CI)=12.32(6.71-22.63)]。结论痛经和高应激水平是睡眠问题的重要影响因素,缓解痛经症状和高应激水平,对改善高中女生睡眠有重要作用。　

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	陈静
	万宇辉
	徐静

关键词 ：睡眠问题, 痛经, 应激水平, 高中女生

Abstract：Objective To investigate the current situation of sleep problems in senior high school girls, and to analyze the effects of dysmenorrhea and stress levels on sleep problems. Methods A total of 1 283 girls in 20 classes of three grades of senior high school were selected from Zhenjiang Middle School by cluster sampling to understand their sleep problems, dysmenorrhea and stress levels, and the differences in the detection rates of sleep problems, dysmenorrhea, and stress levels between/among different groups were compared by chi-square test, and the effects of stress level and dysmenorrhea on sleep problems were analyzed by logistic regression model. Results The detection rate of sleep problems was 20.1%, and dysmenorrhea increased the risk of sleep problems . Increased levels of stress also increased the risk of sleep problems . Logistic regression analysis showed that dysmenorrhea with high-stress levels significantly increased the risk of sleep problems compared with low-stress levels without dysmenorrhea . Conclusions Dysmenorrhea and high-stress level are important factors affecting sleep problems. Relieving dysmenorrhea symptoms and high-stress level plays an important role in improving the sleep of senior high school girls.

Key words： Sleep problems Dysmenorrhea Stress level Senior high school girl

收稿日期: 2023-02-20

ZTFLH:

R338.63

基金资助:国家自然科学基金项目(82073576);镇江市妇产疾病临床医学研究中心开放课题(SS2022003-KFD03)

作者简介: 陈静(1990—),女,安徽安庆人,主治医师,硕士研究生学历,从事青春期发育与女性健康工作。

引用本文:

陈静,万宇辉,徐静. 某校1300名高中女生睡眠问题与痛经、应激水平的关联性研究[J]. 中国校医, 2024, 38(1): 19-22.
CHEN Jing, WAN Yuhui, XU Jing. Study on association between sleep problems and dysmenorrhea and stress levels among 1 300 senior high school girls in a school. Chinese Journal of School Doctor, 2024, 38(1): 19-22.

链接本文:

https://www.zgxyzz.org.cn/CN/ 或 https://www.zgxyzz.org.cn/CN/Y2024/V38/I1/19

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