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 and correlates of insufficient sleep duration in medical students with migraine
投稿时间:2022-05-14  修订日期:2022-11-08
DOI:
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: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)
作者单位地址
赵佳玉 川北医学院附属医院 四川省南充市顺庆区茂源南路1号
杨佳铭 川北医学院附属医院 
罗文秀 川北医学院附属医院 
任真 川北医学院 
刘畅 川北医学院 
李雅洁 川北医学院 
肖云 川北医学院 
罗家明 川北医学院 四川省南充市顺庆区涪江路234号
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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发生率及影响因素,为改善睡眠问题提供参考 。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。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。睡眠时间≤6 h为睡眠时间不足组,>6 h为睡眠时间充足组。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,睡眠时间不足(≤6 h)有179人(32.78%)。睡眠时间不足组(179例)和睡眠时间充足组(367例)在年龄(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 医学生偏头痛患者中睡眠时间不足发生率较高,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 and influencing factors of insufficient sleep duration in medical students with migraine, and provide a reference for improving sleep problems. Methods Using a random cluster sampling method enrolled 546 medical students who met the diagnostic criteria of the International Classification of Headache Disorders, third edition (ICHD-3) for migraine from July 2018 to July 2019 in North Sichuan Medical College. General demographic and clinical data of medical students were collected, and the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep, the Hamilton Anxiety Scale(HAMA) and the Hamilton Depression Scale-24 item (HAMD-24) were used to assess anxiety and depression, and the Visual Analogue Scale (VAS) and the 6-item Headache Impact Test Questionnaire (HIT-6) were used to assess headache severity and impact on daily life. Sleep time ≤6 h was the insufficient sleep duration group, and >6 h was the sufficient sleep duration group. Logistic regression analysis was used to explore the influencing factors of insufficient sleep duration in migraine patients. Results Among 546 medical students with migraine, 179 (32.78%) had insufficient sleep duration(≤6h). The differences between the group with insufficient sleep duration(n=179) and sufficient sleep duration(n=367) were statistically significant (P<0.05 or 0.01) in terms of age (t=2.107), headache frequency (Z=-2.972), anxiety (χ2=14.053), depression (χ2=10.773), total PSQI score (t=-13.247), and sleep quality (χ2=94.754). Correlation analysis showed that sleep duration in migraine patients was negatively correlated with age (r=-0.100, P<0.01) and positively correlated with headache frequency, anxiety, and depression (r=0.135, 0.169, 0.139, P<0.01). Multivariate logistic regression analysis showed that age (OR=0.860, 95% CI: 0.743~0.996, P=0.045), headache frequency (OR=1.051, 95% CI: 1.006~1.098, P=0.026), depression (OR=1.712, 95% CI: 1.024~2.861, P=0.040) were influential factors for insufficient sleep duration in migraine patients. Conclusion High prevalence of insufficient sleep duration among medical students with migraine, high headache frequency and depression as risk factors, and age as a protective factor.
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