福建省南平市延平区学龄前儿童睡眠状况调查及与情绪行为问题的相关性研究  

An investigate on sleep status among preschool children in Yanping District of Nanping City of Fujian Province and its correlation with emotional-behavioral problems

作　　者：詹李彬[1] 刘明杰[1] ZHAN Libin;LIU Mingjie(Department of Pediatrics,Nanping First Hospital of Fujian Province,Nanping,Fujian,353000)

机构地区：[1]福建省南平市第一医院儿科,福建南平353000

出　　处：《实用临床医药杂志》2024年第20期119-123,共5页Journal of Clinical Medicine in Practice

基　　金：福建省南平市自然科学基金项目(N2023J023)。

摘　　要：目的了解福建省南平市延平区学龄前儿童的睡眠状况及情绪行为问题,并分析二者的相关性。方法选取500名学龄前儿童作为调查对象,通过儿童睡眠习惯问卷(CSHQ)、长处和困难问卷(SDQ)评估受试儿童的睡眠状况和情绪行为问题;同时收集儿童的一般资料,对比不同人口社会学特征儿童的睡眠状况及情绪行为问题,并分析睡眠状况与情绪行为问题的相关性。结果学龄前儿童的睡眠异常、情绪行为异常检出率分别为15.00%和14.80%。男童的情绪行为异常检出率高于女童,差异有统计学意义(P<0.05)。不同年龄、出生体质量、是否独生子女、出生方式、是否早产、母亲妊娠年龄、父亲受教育程度、睡眠环境、共睡情况儿童的睡眠异常及情绪行为异常检出率比较,差异均无统计学意义(P>0.05)。儿童的睡眠异常检出率、情绪行为异常检出率均随着母亲受教育程度的提高而降低,随着每日屏幕暴露时间的增加而升高,差异有统计学意义(P<0.05)。与SDQ各维度(品行问题、同伴问题、情感症状、活动过度、亲社会行为)得分及总分正常/边缘儿童相比,各维度得分及总分异常儿童的睡眠异常发生率更高,差异有统计学意义(P<0.05)。多因素分析显示,睡眠异常是学龄前儿童发生品行问题、同伴问题、情感症状、活动过度、亲社会行为得分及困难总分异常的危险因素(P<0.05)。结论南平市延平区学龄前儿童的睡眠状态总体较好,但仍存在不少睡眠问题。睡眠异常会增加儿童情绪行为问题的发生风险,屏幕暴露时间过长可能增加儿童睡眠异常及情绪行为异常发生风险。Objective To investigate the sleep status and emotional-behavioral problems among preschool children in Yanping District of Nanping City in Fujian Province,and analyze the correlation between sleep status and emotional-behavioral problems.Methods A total of 500 preschool children were selected as subjects of this study.The Children′s Sleep Habits Questionnaire(CSHQ)and the Strengths and Difficulties Questionnaire(SDQ)were used to evaluate the sleep status and emotional-behavioral problems of the children.Additionally,general information about the children was collected.Comparisons were made between children with different demographic and sociological characteristics in terms of their sleep status and emotional-behavioral problems,and the correlations between sleep status and emotional-behavioral problems were analyzed.Results The detection rates of sleep disorders and emotional-behavioral problems among preschool children were 15.00%and 14.80%respectively.The detection rate of emotional-behavioral problems was significantly higher in boys than in girls(P<0.05).No significant differences were found in the detection rates of sleep disorders and emotional-behavioral problems among children of different ages,birth weights,whether they were only children,birth methods,whether they were premature,maternal pregnancy ages,father′s education level,sleep environments,or co-sleeping situations(P>0.05).Both the detection rates of sleep disorders and emotional-behavioral problems significantly decreased with the improvement of mother′s education level and increased with the increase in daily screen exposure time(P<0.05).Compared with children with normal/borderline scores on each dimension(conduct problems,peer problems,emotional symptoms,hyperactivity,prosocial behavior)and total scores of SDQ,children with abnormal scores on each dimension and total scores had significantly higher incidences of sleep disorders(P<0.05).Multivariate analysis showed that sleep disorders were the risk factors for the scores of occurrence

关 键 词：学龄前儿童 睡眠状况 情绪行为问题 相关性 

分 类 号：R338.63[医药卫生—人体生理学] R729[医药卫生—基础医学] R338.2