摘要
目的采用项目反应理论对儿童睡眠问卷进行项目分析,评价儿童睡眠问卷在国内的适用性。方法 2015年5—7月采用多阶段分层整群随机抽样方法,随机抽取了北京市西城、朝阳、昌平、顺义、房山、怀柔和门头沟共7个区县的25所幼儿园和中小学学校,共计11 420例儿童。采用儿童睡眠问卷调查其睡眠情况,该问卷主要包含与儿童睡眠呼吸障碍相关的4个维度,即呼吸、睡眠、行为、其他。统计分析采用基于二参数Logistic模型的项目反应理论,计算各条目的区分度和难度参数,并绘制项目反应特征曲线。结果大多数条目具有较好的区分度,但"睡觉偶尔尿床"和"是否超重"的区分度明显低于其他条目(区分度参数估计值分别为0.441和0.124),且难度参数均较大(分别为4.378和6.172)。测验信息量结果提示删除这两个条目后,问卷提供的信息量几乎没有变化。结论儿童睡眠问卷在评价儿童睡眠障碍中可以提供较好的初筛效果,但国内应用可以考虑对其进行简化。
Objective To evaluate the application of Pediatric Sleep Questionnaire(PSQ)by item analysis using item response theory.Methods Data were obtained from the survey of children at the age of 3-14 years from 7 districts in Beijing from May to July 2015.By using multi-stage stratified cluster random sampling method,a total of 11 420 children from 25 kindergartens,primary and middle schools were selected in 7 districts(Xicheng,Chaoyang,Changping,Shunyi,Fangshan,Huairou and Mentougou).All the parents of children were recruited to complete the PSQ,which consists of four dimensions related to sleep disordered breathing in children:breathing,sleep,behavior and others.The item response theory with two-parameter Logistic model was used to conduct item analysis to calculate the discrimination and difficulty of every item and draw item characteristics curve.Results The analysis of two-parameter Logistic model showed that most of the items had a good discrimination,but the items of“Does your child occasionally wet the bed”and“Is your child overweight”had a significant lower discrimination parameter(0.441 and 0.124,respectively)and a higher difficulty parameter(4.378 and 6.172,respectively).The test information function showed almost the same curves of the questionnaire with or without the two items.Conclusion A simplified version of PSQ is recommended in Chinese children,although a good evaluation effect in the screening of children's sleep disorder is found.
作者
邰隽
许志飞
李晓丹
杜江南
王桂香
马军
胡佩瑾
阎小妍
张杰
张亚梅
刘原虎
赵靖
郑莉
陈俊
冯国双
倪鑫
TAI Jun;XU Zhi-fei;LI Xiao-dan;DU Jiang-nan;WANG Gui-xiang;MA Jun;HU Pei-jin;YAN Xiao-yan;ZHANG Jie;ZHANG Ya-mei;LIU Yuan-hu;ZHAO Jing;ZHENG Li;CHEN Jun;FENG Guo-shuang;NI Xin(Department of Otorhinolaryngology Head and Neck Surgery,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;Department of Respiratory Medicine,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;Intitute of Child and Adolescent Health of Peking University,Beijing 100083,China;Peking University Clinical Research Institute,Beijing 100083,China;Department of Academic Research,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;Clinical Epidemiology and Evidence-Based Medicine Center,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China)
出处
《中国全科医学》
CAS
北大核心
2018年第23期2844-2848,共5页
Chinese General Practice
基金
国家重点研发计划项目(2017YFC0112502)
北京市科委培育项目(Z161100000116050)
首都卫生发展科研专项项目(2018-1-2091)
