护理专业学生睡眠障碍与学业成绩关系的性别差异：一项横断面研究。

Gender differences in the relationships between sleep disturbances and academic performance among nursing students: A cross-sectional study.

机构信息

School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Nursing Department, Faculty of Health Science, University of Muhammadiyah Malang, Indonesia.

School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.

出版信息

Nurse Educ Today. 2020 Feb;85:104270. doi: 10.1016/j.nedt.2019.104270. Epub 2019 Nov 14.

DOI:10.1016/j.nedt.2019.104270

PMID:31786485

Abstract

BACKGROUND

Sleep disturbances, such as insomnia, excessive daytime sleepiness, and poor-quality sleep, are common among nursing students and are closely linked with academic performance.

OBJECTIVES

To examine the prevalence of sleep disturbances and academic performances in male and female nursing students and to determine gender-specific effects on the relationship between sleep disturbances and academic performance.

DESIGN

A cross-sectional study design was adopted.

SETTINGS

This study was conducted in a school of nursing in Indonesia.

PARTICIPANTS

A total of 492 undergraduate students (103 males and 389 females) were included.

METHODS

Data pertaining to the biosociodemographic characteristics, Pittsburgh Sleep Quality Index, Insomnia Severity Index, Epworth Sleepiness Scale, Morningness-Eveningness Questionnaire, and Beck Depression Inventory were collected from July 1, 2018 to September 30, 2018. Academic performance was measured using grade point average of the academic year 2017-2018. A multivariate logistic regression model was used for data analyses.

RESULTS

The prevalence of poor sleep quality, insomnia, and daytime sleepiness was 66.0%, 45.6%, and 24.3%, respectively, in male nursing students and 71.5%, 52.4%, and 28.8%, respectively, in female nursing students. For circadian rhythm preferences, 66% male and 51.7% female nursing students were categorized as intermediate- and morning-type people, respectively. Insomnia was the only variable among sleep disturbances that significantly correlated with the risk of poor academic performance in female nursing students even after adjustment of covariates.

CONCLUSIONS

Sleep disturbances were highly prevalent among female and male nursing students, and insomnia was substantially associated with poor academic performance in female nursing students. Identifying sleep disturbances among nursing students and designing effective interventions to specifically target them are required to improve academic performance of female nursing students.

摘要

背景

睡眠障碍，如失眠、白天过度嗜睡和睡眠质量差，在护理学生中很常见，且与学业成绩密切相关。

目的

调查男、女护理学生睡眠障碍和学业成绩的发生率，并确定睡眠障碍与学业成绩之间的关系是否存在性别特异性影响。

设计

采用横断面研究设计。

地点

本研究在印度尼西亚一所护理学校进行。

参与者

共纳入 492 名本科学生（男 103 名，女 389 名）。

方法

于 2018 年 7 月 1 日至 9 月 30 日收集了与生物社会学特征、匹兹堡睡眠质量指数、失眠严重程度指数、Epworth 嗜睡量表、Morningness-Eveningness 问卷和贝克抑郁量表相关的数据，以及 2017-2018 学年的平均绩点。采用多元逻辑回归模型进行数据分析。

结果

男护理学生中睡眠质量差、失眠和白天嗜睡的发生率分别为 66.0%、45.6%和 24.3%，女护理学生中发生率分别为 71.5%、52.4%和 28.8%。在昼夜节律偏好方面，66%的男护理学生和 51.7%的女护理学生被归类为中间型和早型。失眠是唯一与女护理学生学业成绩不佳风险相关的睡眠障碍变量，即使在调整了协变量后也是如此。