国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (22): 3865-3869.DOI: 10.3760/cma.j.cn441417-20250527-22033

• 调查报告 • 上一篇    下一篇

滨州市滨城区中小学生睡眠状况及其影响因素

刘彦弟1  李营营2  霍颖倩1  李东阳1  郭澳1  马文彬1   

  1. 1滨州医学院附属医院神经内科,滨州  256600;2滨州医学院附属医院儿童呼吸科, 滨州  256600
  • 收稿日期:2025-05-27 出版日期:2025-11-01 发布日期:2025-11-21
  • 通讯作者: 马文彬, Email:mawbin@163.com
  • 基金资助:
    山东省医药卫生科技发展计划(2019WS328)

Sleep status of primary and secondary school students in Bincheng District, Binzhou City and its influencing factors

Liu Yandi1, Li Yingying2, Huo Yingqian1, Li Dongyang1, Guo Ao1, Ma Wenbin1   

  1. 1 Department of Neurology, Binzhou Medical University Hospital, Binzhou 256600, China; 2 Department of Children's Respiratory, Binzhou Medical University Hospital, Binzhou 256600, China
  • Received:2025-05-27 Online:2025-11-01 Published:2025-11-21
  • Contact: Ma Wenbin, Email:mawbin@163.com
  • Supported by:
    Shandong Provincial Medical and Health Science and Technology Development Plan (2019WS328)

摘要: 目的 了解滨州市滨城区中小学生睡眠现状并分析其影响因素,为改善中小学生睡眠质量提供对策。方法 本调查于2023年5月至6月,采用分层抽样方法抽取滨州市滨城区面向534名中小学生作为调查对象,利用自编电子问卷对中小学生睡眠情况进行调查,采用多因素的logistic回归方法分析中小学生睡眠时间的影响因素。结果 14.79%的小学生睡眠时长少于8 h,40.96%的初中生睡眠时长少于7 h,52.26%的高中生睡眠时长少于6 h。小学生入睡时间主要集中在21:00-22:00(47.47%)和22:00-23:00(38.52%);初、高学生入睡时间主要在22:00-23:00(35.74%)和23:00-24:00(19.13%),小学生晨起时间集中在06:30-07:00(61.48%),初、高中学生集中在05:30-06:00(54.15%),不同学龄段学生入睡及晨起时间差异具有统计学差异(P<0.05)。中小学生最突出的睡眠相关心理问题是晨起困难(35.77%);其次为白日困倦(14.79%),注意力差(14.05%),记忆力差(11.61%),焦虑(10.67%),抑郁(8.05%)。多因素logistic回归分析结果显示发现,入睡时间晚(OR=4.205,95%CI:1.608~10.997)和家距离学校远(OR=1.946,95%CI:1.108~3.419)会影响小学生的睡眠时间(P<0.05)。入睡时间晚(OR=7.106,95%CI:3.718~13.578)会影响初、高中学生的睡眠时间(P<0.05)。结论 滨州市中小学生大多数存在睡眠时间不足,部分学生存在睡眠相关心理问题,入睡时间晚是影响睡眠时间的危险因素。建议相关部门应重视并加强儿童睡眠健康教育,家校共育,切实改善中小学生睡眠质量。

关键词: 中小学生, 睡眠, 时间, 心理问题, 影响因素

Abstract:

Objective To understand the sleep status of primary and secondary school students in the Bincheng District of Binzhou City and analyze its influencing factors, and oprovide countermeasures for improving the sleep quality of primary and secondary school students. Methods This survey was conducted from May to June 2023. A stratified sampling method was adopted to select 534 primary and secondary school students in the Bincheng District of Binzhou City as the survey objects. A self-designed electronic questionnaire was used to investigate the sleep status of primary and secondary school students. Results 14.79% of primary school students sleeped less than 8 hours, 40.96 percent of middle school students between the than 7 hours, and 52.26 percent of high school students between the less than 6 hours. The sleeping time of primary school students mainly concentrated in 21:00-22:00 (47.47%) and 22:00-23:00 (38.52%). The sleeping time of junior and senior students was mainly 22:00-23:00 (35.74%) and 23:00-24:00 (19.13%), the waking time of primary school students mainly 06:30-07:00 (61.48%), and that of junior and senior high school students 05:30-06:00 (54.15%). There were significant differences in the time of falling asleep and getting up in the morning between the students of different school ages (P<0.05). The most prominent sleep-related psychological problems of primary and secondary school students were morning difficulty (35.77%); It was followed by daytime sleepiness (14.79%), poor attention (14.05%), poor memory (11.61%), anxiety (10.67%), and depression (8.05%). Multivariate logistic regression analysis showed that late bedtime (OR=4.205, 95%CI: 1.608~10.997) and distance from home to school (OR=1.946, 95%CI: 1.108-3.419) affected the sleep time of primary school students (P<0.05). Late sleep time (OR=7.106, 95%CI: 3.718~13.578) affected the sleep time of middle and high school students (P<0.05). Conclusions The majority of primary and middle school students in Binzhou City have insufficient sleep time, some of them have sleep-related psychological problems and late sleep time is a risk factor affecting sleep time. It is suggested that relevant departments should pay attention to and strengthen children's sleep health education, home-school co-education, and effectively improve the sleep quality of primary and secondary school students.

Key words: Primary and secondary school students, Sleep, Time, Psychological problems, Influencing factors