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目的探讨重庆市主城区4～6年级小学生睡眠质量状况及影响因素,为预防和干预提供科学依据。方法分层抽取重庆市主城3个区9所小学(重点、普通及农民工小学各3所)的1 523名4～6年级在校小学生为研究对象,采用匹兹堡睡眠质量指数(PSQI)问卷及自设一般情况问卷进行调查。结果小学生睡眠问题检出率为26.2%,不同层次学校小学生睡眠质量总体情况、睡眠效率、睡眠时间、入睡时间差异均有统计学意义(P<0.05);小学生夜间平均睡眠(9.32±0.81)h,居前3位的睡眠障碍是夜间易醒或早醒(8.1%)、入睡困难(5.3%)、感觉热(5.1%);4.7%的小学生每周至少有3次感到困倦,2.2%白天常感精力不足;Logistic回归分析显示,学生年级、上学期间每天看电视时间、父亲的不良嗜好数目、儿童成长过程中的健康状况差是儿童睡眠质量的主要影响因素。结论重庆市主城区小学生睡眠问题检出率较高,睡眠时间短于我国规定的同年龄段儿童正常睡眠时间,且已影响到小学生的日间功能,应引起重视。
Objective To explore the status of sleep quality and its influencing factors among Pupils in grades 4 to 6 in Chongqing urban area and to provide scientific basis for prevention and intervention. Methods A total of 1 523 primary schoolchildren from grades 4 to 6 in 9 primary schools (3 key schools, 3 primary schools and 3 rural migrant workers primary schools) in Chongqing’s main city were stratified and stratified for the study. The Pittsburgh Sleep Quality Index (PSQI) questionnaire And set up a general survey of the questionnaire. Results The detection rate of sleep problems among primary school students was 26.2%. The overall quality of sleep quality, sleep efficiency, sleep time and sleep time of pupils in different levels were significantly different (P <0.05). The nighttime average sleep rate of pupils was (9.32 ± 0.81) h (8.1%), difficulty falling asleep (5.3%) and feeling hot (5.1%); 4.7% of primary school students felt drowsiness at least 3 times a week, while 2.2% of daytime Often lack of energy; Logistic regression analysis showed that students grade, go to school every day watching TV time, the number of bad habits of the father, the poor health of children during growth is the main factor affecting children’s sleep quality. Conclusion The detection rate of sleep problems among primary school students in main urban area of Chongqing is higher than that of normal sleeping time of children of the same age in our country and the daytime function of primary school students has been affected.