目的 验证中国幼儿睡眠状况评估量表(TSAS)的信度和效度,建立全国常模和界值。方法 2021年5—12月采用多阶段随机抽样,选取我国7省(直辖市)14市城乡地区的2 816例12～35个月幼儿的看护人进行调查。采用内部一致性信度、分半信度和验证性因子分析对量表的信度效度进行验证,制定百分位常模(P5、P15、P50、P85和P95),分别以超过P85、P97作为量表总分判断睡眠不良、睡眠异常的界值。结果 TSAS的Cronbach′s α系数为0.73,分半信度为0.81,因子结构模型稳定,具有较好的信度和效度。建立了量表总分的年龄百分位常模。量表总分大于40分为睡眠不良,大于45分为睡眠异常。结论 TSAS具有稳定的信度和效度,构建的全国性常模和界值为量表的推广和应用提供客观依据。
Abstract
Objective To verify the reliability and validity of Chinese Toddler Sleep Assessment Scale(TSAS), and to establish national norm and cut-off score. Methods Using multistage random sampling, totally 2 816 urban and rural caregivers whose child aged 12 to 35 months were selected in 14 cities of 7 provinces from May to December 2021. The internal consistency reliability, split-half reliability and confirmatory factor analysis were used to verify the reliability and validity of the scale. The percentile norm(P5, P15, P50, P85 and P95) was established, and the total TSAS scores exceeding P85 and P97 were determined as the cut-offs for identifying poor sleep and abnormal sleep. Results The Cronbach′s α coefficients of TSAS was 0.73, the split-half reliability was 0.81, and the factor structure models were stable, which showed good reliability and validity. The age norm of TSAS was established. The total score >40 indicated poor sleep, and > 45 indicated abnormal sleep. Conclusions TSAS has stable reliability and validity. The established norm and cut-off can provide Objective reference for its promotion and application.
关键词
幼儿睡眠状况评估量表 /
睡眠不良 /
睡眠异常 /
常模 /
幼儿
Key words
Toddler Sleep Assessment Scale /
poor sleep /
abnormal sleep /
norm /
toddler
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参考文献
[1] World Health Organization, United Nations Children′s Fund, World Bank Group. Nurturing care for early childhood development:a framework for helping children survive and thrive to transform health and human potential[EB/OL]. 2018. 2022-05-09. https://www.who.int/maternal_child_adolescent/child/nurturing-care-framework/en.
[2] Ophoff D, Slaats MA, Boudewyns A, et al. Sleep disorders during childhood:A practical review[J]. Eur J Pediatr, 2018, 177(2):1-8.
[3] Hoyniak CP, Bates JE, Staples AD, et al. Child sleep and socioeconomic context in the development of cognitive abilities in early childhood[J]. Child Dev, 2019, 90(5):1718-1737.
[4] Tham EK, Schneider N, Broekman BF. Infant sleep and its relation with cognition and growth:a narrative review[J]. Nat Sci Sleep, 2017, 9:135-149.
[5] 冯围围, 潘晓平, 王惠珊, 等. 中国婴儿睡眠状况评估量表的编制与评价研究[J].中国儿童保健杂志, 2021, 29(5):468-472.
Feng WW, Pan XP, Wang HS, et al. Development and evaluation of the Chinese Infants Sleep Assessment Scales[J].Chin J Child Health Care, 2021,29(5):468-472.
[6] 冯围围, 张悦, 王惠珊, 等. 中国幼儿睡眠状况评估量表的编制与评价研究[J]. 中国儿童保健杂志, 2021, 29(12):1295-1299.
Feng WW, Zhang Y, Wang HS, et al. Development and evaluation of the Chinese Toddler Sleep Assessment Scale[J].Chin J Child Health Care, 2021,29(12):1295-1299.
[7] 李晓松.卫生统计学[M].8版.北京:人民卫生出版社,2017:288-289.
Li XS. Health statistics[M].8th Ed. Beijing:People′s Medical Publishing House,2017:288-289.
[8] 赵铁牛,王泓午,刘桂芬.验证性因子分析及应用[J].中国卫生统计,2010,27(6):608-609.
Zhao TN,Wang HW,Liu GF.Confirmatory factor analysis and its application[J].Chin J Health Statistics,2010,27(6):608-609.
[9] 谢亮亮,严双琴,曹慧,等. 视屏暴露和户外活动与幼儿睡眠的关联研究[J]. 中国儿童保健杂志,2022,30(5):566-569.
Xie LL,Yan SQ,Cao H,et al. Association of screen exposure, outdoor activities and sleep among children[J].Chin J Child Health Care,2022,30(5):566-569.
[10] Yu XT,Sadeh A,Lam HS,et al. Parental behaviors and sleep/wake patterns of infants and toddlers in Hong Kong, China[J].World J Pediatr,2017,13(5):496-502.
[11] 余敏, 何海燕, 宁曼. 芜湖市0～3岁儿童睡眠情况及影响因素调查分析[J]. 中国妇幼卫生杂志,2019,10(5):30-33,40.
Yu M, He HY,Ning M. Investigation and analysis on sleep status and influencing factors of children aged 0-3 years in Wuhu city[J]. Chin J Women and Children Health,2019,10(5):30-33,40.
[12] 冯围围, 张悦, 潘晓平, 等. 中国6市城乡3岁以下婴幼儿睡眠时间现状调查[J].中国妇幼健康研究,2022,33(1):1-6.
Feng WW,Zhang Y,Pan XP,et al. Investigation on sleep duration of Chinese children under 3 years old in urban and rural areas of 6 cities in China[J].Chin J Women and Child Health Research,2022,33(1):1-6.
[13] 孙振球,徐勇勇. 医学统计学[M]. 4版.北京:人民卫生出版社, 2014:19.
Sun ZQ,Xu YY. Medical statistics[M]. 4th ed. Beijing:People′s Medical Publishing House,2014:19.
[14] American Academy of Sleep Medicine, 睡眠障碍国际分类[M]. 高和译.3版.北京:人民卫生出版社, 2017:31-34.
American Academy of Sleep Medicine.International classification of sleep disorders[M].3rd ed.Gao H.Beijing:People′s Medical Publishing House,2017:31-34.
[15] 黄春柳,刘晓萍,覃兴龙,等. 儿童阻塞性睡眠呼吸暂停低通气综合征社会认知及就医状况调查[J]. 当代护士(中旬刊),2018,25(1):159-160.
Huang CL, Liu XP, Qin XL, et al. Investigation of social cognition and medical treatment in children with obstructive sleep apnea-hypopnea syndrome[J]. Today Nurse(Midday), 2018, 25(1):159-160.
[16] 中华人民共和国国家卫生和计划生育委员会. 0～5岁儿童睡眠卫生指南[S]. 2017.
National Health and Family Planning Commission of the People′s Republic of China.Guideline for sleep hygiene among children aged 0～5 years[S]. 2017.
基金
中央财政专项中国妇幼健康促进项目(131031113000200002)
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