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目的将儿童睡眠习惯问卷(CSHQ)引入国内,评价其在健康学龄儿童中应用的信度和效度,为类似研究提供比较成熟的工具。方法采用分级整群抽样,对我国9城市、55所小学的一到六年级20 457名学龄儿童进行了问卷调查,调查内容包括:儿童家庭、个人基本情况(采用自制问卷),睡眠习惯和睡眠问题(采用 CSHQ)。结果中文版 CSHQ 总问卷内部一致性 Cronbach’s α系数为0.73,各层面 Cronbach’s α系数为0.42～0.69;总问卷的平行信度组内相关系数(ICCs)为0.89,各层面的平行信度 ICCs 范围为0.83～0.92;总问卷的重测信度 ICCs 为0.85,各个层面的 ICCs 范围为0.60～0.88;对 CSHQ 的8个层面进行因子分析,共提取到3个公因子,能解释总变异的58.63%,在相应层面的因子负荷均大于0.5,提示该问卷结构与理论模型基本一致。结论 CSHQ 中文版具有较好的信度和效度,可用于我国学龄儿童睡眠状况研究。
Objective To introduce the questionnaire about children’s sleep habits (CSHQ) into China to evaluate the reliability and validity of CSHQ in children with healthy school age and provide more mature tools for similar studies. Methods A total of 20 457 school-age children from the first grade to the sixth grade in 9 cities and 9 primary schools in our country were surveyed with grading cluster sampling. The survey included: basic information on children’s families and individuals (using self-made questionnaire), sleep habits and sleep Problem (using CSHQ). Results The Cronbach’s alpha coefficient was 0.73 and the Cronbach’s alpha coefficient was 0.42-0.69. The ICC of the total questionnaire was 0.89, and the parallel reliability ICCs of all levels were 0.83 ~ 0.92. The ICCs of the total questionnaire were 0.85 and the range of ICCs was 0.60 ~ 0.88. Factor analysis was performed on 8 levels of CSHQ, and 3 common factors were extracted, accounting for 58.63% , And the factor loadings at the corresponding levels are all above 0.5, suggesting that the structure of the questionnaire is basically consistent with the theoretical model. Conclusion CSHQ Chinese version has good reliability and validity, which can be used for sleep study of school-age children in our country.