本研究主要目的在於瞭解國中生網路使用、肌肉骨骼不適與睡眠品質的現況，並探討其相關因素。以金門縣國中學生為研究對象，透過分層集束抽樣，以自編式結構問卷蒐集資料，完成354份有效問卷。使用羅吉斯複迴歸分析。研究結果如下：
一、 受測國中生每週上網時間約24小時，主要是透過手機上網。
二、 52.54%的學生有肌肉骨骼不適，30.51%的學生睡眠品質不佳。
三、 國中生學業表現、家庭完整狀況、家庭經濟狀況與睡眠品質呈顯著相關。學生上網總時數、網路成癮程度與肌肉骨骼不適程度呈顯著相關，而學生網路成癮程度、肌肉骨骼不適程度也與睡眠品質呈顯著相關。
四、 羅吉斯複迴歸結果顯示，國中生為女生，學業表現越差，網路成癮程度越高，肌肉骨骼不適程度越高則越有可能發生睡眠品質不佳的情形。
建議政府、學校、家長與醫療人員提升學生對網路成癮的風險感知及適當網路使用與健康睡眠的效能，預防健康危害如肌肉骨骼不適等。

The purpose of this study was to examine the relationships between Internet use, musculoskeletal disorders, and sleep quality among junior high school students in Kinmen County. Stratified cluster random sampling method was used. A total of 354 students completed the self-administered questionnaire. The results were as follows.
1. Participant students spent an average of 24 hours online per week, while students used Internet was mainly through smartphones.
2. Fifty-three percent of students had musculoskeletal disorders, while 31% students had poor sleep quality.
3. Students’ academic performance, family status, and household income were associated with sleep quality. In addition, students’ Internet addiction was associated with musculoskeletal disorders, while students’ Internet addiction and musculoskeletal disorders were associated with sleep quality.
4. Multiple logistic regression results showed that students who were female, had poor academic performance, had higher Internet addiction, and had higher musculoskeletal disorders were more likely to have poor sleep quality.
It is suggested that governments, schools, parents, and health professionals could increase students’ risk perception of Internet addiction and enhance proper Internet use and healthy sleep efficacy to prevent health risks such as musculoskeletal disorders.

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