中国婴儿睡眠状况评估量表的信效度验证及全国常模构建

doi:10.11852/zgetbjzz2022-0641

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (10): 1073-1077.DOI: 10.11852/zgetbjzz2022-0641

中国婴儿睡眠状况评估量表的信效度验证及全国常模构建

冯围围¹, 王惠珊¹, 张彤², 杨玉凤³, 许志飞⁴, 潘晓平¹, 王广海⁵, 徐韬¹, 中国婴幼儿睡眠状况评估量表常模制定工作协作组⁶

1.中国疾病预防控制中心妇幼保健中心,北京 100081;
2.首都儿科研究所;
3.西安交通大学第二附属医院;
4.国家儿童医学中心首都医科大学附属北京儿童医院;
5.上海交通大学医学院附属上海儿童医学中心;
6.中国婴幼儿睡眠状况评估量表常模制定工作协作组

收稿日期:2022-05-22 修回日期:2022-07-25 发布日期:2022-10-14 出版日期:2022-10-10
通讯作者: 徐韬,E-mail:xutao6622@chinawch.org.cn
作者简介:冯围围(1988-),女,助理研究员,主要研究方向为儿童保健。
基金资助:
中央财政专项中国妇幼健康促进项目(131031113000200002)

Reliability, validity and norms of the ChineseInfants Sleep Assessment Scales

FENG Wei-wei^*, WANG Hui-shan, ZHANG Tong, YANG Yu-feng, XU Zhi-fei, PAN Xiao-ping, WANG Guang-hai, XU Tao, Working Group on Norms Establishment of Chinese Infants and Todders Sleep Assessment Scales

^*National Center for Women and Children's Health, China CDC, Beijing 100081, China

Received:2022-05-22 Revised:2022-07-25 Online:2022-10-10 Published:2022-10-14
Contact: XU Tao, E-mail:xutao6622@chinawch.org.cn

摘要/Abstract

摘要： 目的验证中国婴儿睡眠状况评估量表(ISAS)的信度效度,建立全国常模、睡眠不良和睡眠异常的界值。方法采用多阶段随机抽样,选取我国7省14市城乡地区的5 855例婴儿(其中0～3个月2 943例,4～11个月2 912例)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,分别以超过P₈₅、P₉₅作为量表总分判断睡眠不良、睡眠异常的界值。结果 ISAS(0～3个月)和ISAS(4～11个月)Cronbach's α系数分别为0.68、0.69,分半信度为0.78、0.75,因子结构模型稳定,具有较好的信度和效度。建立了ISAS(0～3个月)的年龄常模以及ISAS(4～11个月)分性别的年龄常模。两个量表总分的睡眠不良界值分别是31、32,睡眠异常界值分别是34、35。结论两个量表具有稳定的信度和效度,构建的常模和界值可用于量化评估婴儿睡眠状况,为ISAS的推广和应用提供量化依据。

关键词: 睡眠, 量表, 效度, 信度, 常模, 婴儿

Abstract: Objective To verify the reliability and validity of the Chinese Infants Sleep Assessment Scales (ISAS), and to establish national norms and cut-off scores of poor sleep and abnormal sleep. Methods Using multistage random sampling, an investigation was conducted among 5 855 urban and rural infants' caregivers (including 2 943 infants aged 0 to 3 months and 2 912 infants aged 4 to 11 months) from 14 cities in 7 provinces. The internal consistency reliability, split-half reliability and confirmatory factor analysis were used to verify the reliability and validity of the scales. Then the percentile norms were established, and the total ISAS scores exceeding P₈₅ and P₉₅ were used as the cut-offs for identifying poor sleep and abnormal sleep. Results The Cronbach's α coefficients of ISAS (for infants aged 0 to 3 months) and ISAS (for infants aged 4 to 11 months) were 0.68 and 0.69, the split-half reliability were 0.78 and 0.75, respectively. The factor structure models were stable, which showed good reliability and validity. The age norm of ISAS (for infants aged 0 to 3 months) and the gender-specific age norm of ISAS (for infants aged 4 to 11 months) were established. The cut-off values of ISAS score for poor sleep were 31 and 32 in the two scales, respectively, which were 34 and 35 for abnormal sleep, respectively. Conclusions ISAS (for infants aged 0 to 3 months) and ISAS (for infants aged 4 to 11 months) have stable reliability and validity. Their norms and cut-offs can be used to quantitatively evaluate infants' sleep, in order to provide an quantitative basis for their promotion and application.

Key words: sleep, scale, validity, reliability, norm, infant

中图分类号:

R174

冯围围, 王惠珊, 张彤, 杨玉凤, 许志飞, 潘晓平, 王广海, 徐韬, 中国婴幼儿睡眠状况评估量表常模制定工作协作组. 中国婴儿睡眠状况评估量表的信效度验证及全国常模构建[J]. 中国儿童保健杂志, 2022, 30(10): 1073-1077.

FENG Wei-wei, WANG Hui-shan, ZHANG Tong, YANG Yu-feng, XU Zhi-fei, PAN Xiao-ping, WANG Guang-hai, XU Tao, Working Group on Norms Establishment of Chinese Infants and Todders Sleep Assessment Scales. Reliability, validity and norms of the ChineseInfants Sleep Assessment Scales[J]. Chinese Journal of Child Health Care, 2022, 30(10): 1073-1077.

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中国婴儿睡眠状况评估量表的信效度验证及全国常模构建

Reliability, validity and norms of the ChineseInfants Sleep Assessment Scales

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