中文版学龄前儿童睡眠障碍量表的信效度检验  

Reliability and Validation of a Chinese Version of the Sleep Disturbance Scale for Children in Preschoolers

作　　者：陈先睿 林晓霞[2] 徐萍 陈燕惠[2] 陈珊[2] 姚拥华[4] CHEN Xianrui;LIN Xiaoxia;XU Ping;CHEN Yanhui;CHEN Shan;YAO Yonghua(Xiamen Rehabilitation Hospital,Xiamen 361003,China;Department of Pediatrics,Fujian Medical University Union Hospital/Fujian Key Clinical Specialty/Neuropsychological Research Center,Fuzhou 350001,China;Fujian Family Planning Association,Fuzhou 350001,China;Department of Pediatrics,the First Affiliated Hospital of Xiamen University/Pediatric Key Laboratory of Xiamen/Institute of Pediatrics,School of Medicine,Xiamen University,Xiamen 361003,China)

机构地区：[1]福建省厦门市康复医院,361003 [2]福建医科大学附属协和医院儿科福建省临床重点专科福建医科大学神经心理研究中心,福建省福州市350001 [3]福建省计划生育协会,福建省福州市350001 [4]厦门大学附属第一医院儿科厦门市儿科重点实验室厦门大学医学院儿童医学研究所,福建省厦门市361003

出　　处：《中国全科医学》2023年第3期313-320,共8页Chinese General Practice

基　　金：国家重点研发计划项目(2016YFC1306204);福建省科技创新联合基金项目(2018Y9056)。

摘　　要：背景目前我国对学龄前儿童的睡眠障碍研究较少,且缺乏较为有效的量表进行筛查评估。目的评价儿童睡眠障碍量表(SDSC)在中国学龄前儿童中的信度和效度,为拓展SDSC的学龄前儿童应用提供参考依据。方法于2021年6-11月,通过福建省计划生育协会组织网络,采用便利抽样法,在福建省福州市、泉州市、龙岩市、三明市、南平市分别抽取城市和农村各1个社区的学龄前儿童进行问卷调查。通过课题研究专家组多次讨论,对SDSC条目进行了修改、筛选和评价论证,形成的中文版学龄前SDSC共23个条目、6个维度,通过项目分析、信度分析、效度分析、探索性因子分析、验证性因子分析考评量表的信效度。结果共发放调查问卷402份,回收有效问卷370份,有效回收率为92.04%。据中文版学龄前SDSC总分,采用临界比值法将27%作为分割线,前27%为高分组(n=106,≥49分)、后27%为低分组(n=113,≤37分),两组各条目得分比较,差异有统计学意义(P<0.05)。中文版学龄前SDSC的Cronbach'sα系数为0.86;中文版学龄前SDSC的评定者间一致性水平为0.87,I-CVI均>0.78,Kappa值均>0.74,S-CVI/UA为0.87,S-CVI/Ave为0.98;中文版学龄前SDSC KMO=0.85,Bartlett's球形检验χ^(2)=3013.30,P<0.001。采用主成分法共提取出7个特征根>1的公因子,可解释总变异的65.125%;采用原量表6公因子结构可解释总变异的60.539%,各条目的因子负荷为0.34~0.85。验证性因子分析显示,χ^(2)/DF=2.66,CFI=0.84,TLI=0.81,SRMR=0.08,RMESA=0.08。结论中文版学龄前SDSC问卷具有良好的信效度和适用性,能够全面、详细地评估学龄前儿童的睡眠障碍,有利于临床医生早期筛查评估学龄前儿童的睡眠相关问题。Background There are less studies on sleep disturbance and limited effective screening and assessment scales for sleep disturbance in Chinese preschoolers.Objective To assess the reliability and validity of the Chinese version of Sleep Disturbance Scale for Children(SDSC-C)in Chinese preschoolers,providing evidence for expanding the application of SDSC in preschoolers.Methods By use of convenience sampling,preschool children(3-5 years old)were selected as survey participants for testing the psychometrics of the draft of the SDSC-C from one urban community and one rural community in each of five cities(Fuzhou,Quanzhou,Longyan,Sanming and Nanping)of Fujian Province from June to November 2021 with the assistance of the Fujian Family Planning Association Network,and their parents were selected as their agents to complete the questionnaire survey.Then its items were modified,screened and evaluated by an expert group,after that,the draft was developed into a formal version consisting of six domains and 23 items.The reliability and validity of the scale were assessed by item analysis,reliability analysis,validity analysis,exploratory factor analysis,and confirmatory factor analysis.Results The survey obtained a response rate of 92.04%(370/402).The high-score group〔n=106,ranked the top 27%in terms of total score of SDSC-C(≥49 points)〕and low-score group〔n=113,ranked the bottom 27%in terms of total score of SDSC-C(≤37 points)〕divided by critical ratio method had significant differences in the score of each item of the SDSC-C(P<0.05).The Cronbach'sαof the scale was 0.86,with 0.87 of estimating interrater agreement.The I-CVI for each item was>0.78,with kappa values were>0.74.The S-CVI/UA was 0.87 and S-CVI/Ave was 0.98.For SDSC-C,KMO=0.85,results of Bartlett's test of sphericity wereχ^(2)=3013.30,P<0.001.By principal component analysis,7 factors with an engivalue>1 were extracted,explaining 65.125%of the total variance.However,a six-factor solution(i.e.six types of sleep disorder)based on parent-reported sleep

关 键 词：睡眠障碍 儿童 中文版 儿童睡眠障碍量表 儿童 学龄前 筛查 信效度检验 

分 类 号：R277.7[医药卫生—中医学]