鼾症儿童睡眠障碍量表研制及评价

发布时间：2018-01-23 18:07

本文关键词： 睡眠障碍量表儿童信度效度　出处：《中国实用儿科杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的研究制订适合鼾症儿童睡眠障碍状况调查的量表,应用于临床。方法选择2015年1月至12月就诊于首都医科大学附属北京儿童医院睡眠中心的存在夜间打鼾或张口呼吸症状持续2个月及以上的3~14岁儿童1017例,根据量表制订规范,结合儿童常见睡眠障碍理论知识,查阅文献后形成条目池,再由专家组对条目池进行修正及删除,形成初量表。采用因子分析法筛选出40个条目作为最终量表,再进行信度、效度考核。结果鼾症儿童睡眠呼吸障碍量表由5个维度、40个条目组成。信度方面,本量表总克朗巴赫系数(Cronbach’αcoefficient)为0.7373,其余各维度的克朗巴赫系数分别为夜间打鼾相关症状0.5789、睡眠伴随症状及相关疾病情况0.6769、日间嗜睡相关症状0.6038、行为相关症状0.7983、他人对儿童嗜睡的评价0.8354。结构效度方面,验证性因子分析显示60%的条目其标准化系数载荷0.4,可接受。结论鼾症儿童睡眠障碍量表信度较好,效度可接受。
[Abstract]:Objective to develop a suitable scale for the investigation of sleep disorders in snoring children. Methods from January 2015 to December, patients aged 314 with nocturnal snoring or respiratory symptoms lasting 2 months or more were selected from sleep center of Beijing Children's Hospital affiliated to Capital Medical University. 1017 children. According to the norms of the scale, combined with the theoretical knowledge of common sleep disorders in children, the article pool was formed after consulting the literature, and then the item pool was revised and deleted by the expert group. Using factor analysis to screen out 40 items as the final scale, and then to assess the reliability and validity. Results snoring children sleep apnea disorder scale from 5 dimensions. In terms of reliability of 40 items, the total Cronbach's coefficient (Cronbach's 伪 cofficient) was 0.7373. The cornbach coefficient of the other dimensions was 0.5789 for nocturnal snoring symptoms, 0.6769 for sleep associated symptoms and related diseases, and 0.6038 for daytime sleepiness. Behavioral symptoms 0.7983, others' evaluation of sleepiness in children 0.8354.Structure validity, confirmatory factor analysis showed that 60% items had a standardized coefficient load of 0.4. Conclusion the sleep disorder scale of snoring children has good reliability and acceptable validity.
【作者单位】：首都医科大学附属北京儿童医院儿童耳鼻咽喉头颈外科疾病北京市重点实验室;首都医科大学附属北京儿童医院呼吸科;首都医科大学附属北京儿童医院临床流行病与循证医学中心;首都医科大学附属北京儿童医院耳鼻咽喉头颈外科;
【基金】：北京市科技计划课题资助项目(Z131100006813044) 首都卫生发展科研专项资助项目(首发2014-1-2091)
【分类号】：R766
【正文快照】： 在儿童睡眠呼吸障碍中,最常见的类型为阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea syndrome,OSAS),其是指以呼吸暂停或低通气为表现的睡眠呼吸障碍疾病,其特点是睡眠中间断性上呼吸道部分或完全梗阻。患病率为0~5.7%[1-2],主要临床表现为睡眠打鼾、张口呼吸、憋气、

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