中国全科医学 ›› 2018, Vol. 21 ›› Issue (23): 2844-2848.DOI: 10.12114/j.issn.1007-9572.2018.00.129

所属专题: 睡眠问题专题研究

• 专题研究 • 上一篇    下一篇

基于项目反应理论的儿童睡眠问卷项目分析

邰隽1,许志飞2,李晓丹1,杜江南1,王桂香1,马军3,胡佩瑾3,阎小妍4,张杰1,张亚梅1,刘原虎1,赵靖1,郑莉1,陈俊5,冯国双6,倪鑫1*   

  1. 1.100045北京市,首都医科大学附属北京儿童医院耳鼻咽喉头颈外科 2.100045北京市,首都医科大学附属北京儿童医院呼吸科 3.100083北京市,北京大学儿童青少年卫生研究所 4.100083北京市,北京大学临床研究所 5.100045北京市,首都医科大学附属北京儿童医院科研处 6.100045北京市,首都医科大学附属北京儿童医院临床流行病学与循证医学中心
    *通信作者:倪鑫,主任医师;E-mail:nixin@bch.com.cn
  • 出版日期:2018-08-15 发布日期:2018-08-15
  • 基金资助:
    基金项目: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)

The Item Analysis of Pediatric Sleep Questionnaire Based on the Item Response Theory #br#

TAI Jun1,XU Zhi-fei2,LI Xiao-dan1,DU Jiang-nan1,WANG Gui-xiang1,MA Jun3,HU Pei-jin3,YAN Xiao-yan4,ZHANG Jie1,ZHANG Ya-mei1,LIU Yuan-hu1,ZHAO Jing1,ZHENG Li1,CHEN Jun5,FENG Guo-shuang6,NI Xin1*   

  1. 1.Department of Otorhinolaryngology Head and Neck Surgery,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China
    2.Department of Respiratory Medicine,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China
    3.Intitute of Child and Adolescent Health of Peking University,Beijing 100083,China
    4.Peking University Clinical Research Institute,Beijing 100083,China
    5.Department of Academic Research,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China
    6.Clinical Epidemiology and Evidence-Based Medicine Center,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China
    *Corresponding author:NI Xin,Chief physician;E-mail:nixin@bch.com.cn
  • Published:2018-08-15 Online:2018-08-15

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。

关键词: 睡眠, 问卷调查, 项目反应理论, Logistic模型

Abstract: 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.

Key words: Sleep, Questionnaires, Item response theory, Logistic models