学龄前儿童睡床方式与睡眠质量的关系研究  

Study on the association between sleep arrangements and sleep quality in preschool children

作　　者：郭媚瑶 谢传波 赵晓丽 廖艳[3] 顾莉萍[3] 高建慧[3] 李秀红[1] 文孝忠 GUO Mei-yao;XIE Chuan-bo;ZHAO Xiao-li;LIAO Yan;GU Li-ping;GAO Jian-hui;LI Xiu-hong;WEN Xiao-zhong(Department of Maternal and Child Health ,School of Public Health ,Sun Yat-Sen University ,Guangzhou,Guangdong,510080,China;State Key Laboratory of Oncology in South China ,Collaborative Innovation Center for Cancer Medicine Sun Yat-Sen University Cancer Center,Guangzhou ,Guangdong 510060,China;Bo'ai Hospital in Zhongshan ,Zhongshan , Guangdong 528403,China;Division of Behavior Medicine,Department of Pediatrics,State University of New York at Buffalo ,NY 14214,USA)

机构地区：[1]中山大学公共卫生学院妇幼卫生系,广东广州510080 [2]中山大学肿瘤防治中心、华南肿瘤学国家重点实验室、肿瘤医学协同创新中心,广东广州510060 [3]中山市博爱医院,广东中山528403 [4]纽约州立大学布法罗分校儿科系行为医学教研室,美国纽约州布法罗市NY14214

出　　处：《中国儿童保健杂志》2019年第1期37-41,共5页Chinese Journal of Child Health Care

基　　金：国家自然科学基金项目(81673197)

摘　　要：目的了解学龄前儿童睡床方式与睡眠质量的关系,为提高其睡眠质量提供理论参考。方法2017年3月-2018年2月以珠三角地区139名4~6岁儿童为研究对象,采用自编的基本情况调查表了解儿童的睡床方式(即与家人同床、与家人同房不同床及单独睡眠),采用儿童睡眠习惯问卷(CSHQ,分值越高表示存在睡眠问题越严重)调查其睡眠质量,采用χ^2检验、方差分析及多因素回归进行数据统计分析。结果和与家人同床睡眠的儿童比,与家人同房不同床睡眠的儿童(β=-3.23)就寝习惯问题得分低,单独睡眠的儿童(β=-2.06)就寝习惯问题得分低,单独睡眠的儿童睡眠持续时间问题(β=0.98)得分高,夜醒(β=0.51)问题得分高,而睡眠焦虑(β=-1.20)问题得分低。以实际计算的夜间及日间平均睡眠时间为结局,与家人同房不同床、单独睡眠的儿童和与家人同床睡眠的儿童比较,差异无统计学意义(P>0.05)。结论和与家人同床睡眠的儿童比,单独睡眠的儿童就寝习惯及睡眠焦虑问题更少,但增加其睡眠持续时间及夜醒问题,而与家人同房不同床睡眠的儿童就寝习惯问题更少。Objective To examine the association between sleep arrangements and sleep quality in preschool children,in order to provide scientific evidence to guide parenting practices of child sleep arrangement. Methods Totally 139 chil-dren aged 4-6 years were enrolled in this study from March 2017 to February 2018.The self-designed questionnaire andthe Children′s Sleep Habits Questionnaire(CSHQ)were used to measure the sleep quality.Chi-square test,one-way ANO-VA and multiple linear regression models were used to examine whether sleep quality was affected by sleep arrangement.Results Compared with children who slept in the same bed with their family members,children who slept in the same roomwith their family members but in a different bed(β=-3.23)and slept alone(β=-2.06)had lower bedtime resistance.Children who slept alone had more problems with sleep duration(β=0.98)and night waking(β=0.51),but less sleep anxi-ety(β=-1.20)than children who slept in the same bed with their family members.In addition,children who slept in thesame room with their family but in different beds and slept alone had similar night and day sleeping durations with childrenwho slept with their family members. Conclusions Compared with children who slept with their family members,childrenwho slept alone have lower bedtime resistance and sleep anxiety,but have more problems with sleep duration and night waking.Children who slept with their family members but in different bed have lower bedtime resistance.

关 键 词：学龄前儿童 睡床方式 同床睡眠 睡眠问题 

分 类 号：R179[医药卫生—妇幼卫生保健]