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 Chinese Infants Sleep Assessment Scales

作　　者：冯围围[1] 王惠珊[1] 张彤 杨玉凤[3] 许志飞[4] 潘晓平[1] 王广海 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 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)

机构地区：[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

出　　处：《中国儿童保健杂志》2022年第10期1073-1077,共5页Chinese Journal of Child Health Care

基　　金：中央财政专项中国妇幼健康促进项目(131031113000200002)。

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5855例婴儿(其中0~3个月2943例,4~11个月2912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P_(85)、P_(95)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'sα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。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 5855 urban and rural infants'caregivers(including 2943 infants aged 0 to 3 months and 2912 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 P_(85) and P_(95) were used as the cut-offs for identifying poor sleep and abnormal sleep.Results The Cronbach'sαcoefficients 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.

关 键 词：睡眠 量表 效度 信度 常模 婴儿 

分 类 号：R174[医药卫生—妇幼卫生保健]