CAJ | 학술논문

目的比较研究对象对常用的3种睡眠时间评估方法(手表式活动记录仪、睡眠日记及睡眠问卷)的依从性,并同时研究睡眠问卷与睡眠日记在评估各睡眠时间相关参数上与手表式活动记录仪的一致性.方法选择上海市卢湾区两所小学一年级学生为研究对象.入组学生佩戴手表式活动记录仪的同时,家长同步填写睡眠日记,调查最后一天家长完成睡眠问卷填写,调查为期7d.结果 45名儿童参与本次调查,睡眠问卷完成率为100％(45名),手表式活动记录仪为93.3％(42名),睡眠日记为86.7％(39名).有36名同时完成3种方法的评估.其中男童20名,女童16名,平均年龄为(7.26±0.42)岁.睡眠日记与手表式活动记录仪在评估各睡眠时间相关参数时呈现较好的一致性,其中评估平时及周末睡眠时间分别高估26 min及25 min.睡眠问卷与手表式活动记录仪的一致性较差,其评估平时及周末睡眠时间分别高估37 min及38 min.结论睡眠日记与睡眠问卷在依从性及准确性上各有利弊,儿童睡眠研究时应根据研究目的及范围合理选择,并充分考虑各自的局限性.
목적 비교연구대상대상용적3충수면시간평고방법(수표식활동기록의、수면일기급수면문권)적의종성,병동시연구수면문권여수면일기재평고각수면시간상관삼수상여수표식활동기록의적일치성.방법 선택상해시로만구량소소학일년급학생위연구대상.입조학생패대수표식활동기록의적동시,가장동보전사수면일기,조사최후일천가장완성수면문권전사,조사위기7d.결과 45명인동삼여본차조사,수면문권완성솔위100％(45명),수표식활동기록의위93.3％(42명),수면일기위86.7％(39명).유36명동시완성3충방법적평고.기중남동20명,녀동16명,평균년령위(7.26±0.42)세.수면일기여수표식활동기록의재평고각수면시간상관삼수시정현교호적일치성,기중평고평시급주말수면시간분별고고26 min급25 min.수면문권여수표식활동기록의적일치성교차,기평고평시급주말수면시간분별고고37 min급38 min.결론 수면일기여수면문권재의종성급준학성상각유리폐,인동수면연구시응근거연구목적급범위합리선택,병충분고필각자적국한성.
Objective To compare the compliance of using Actiwatch,parent report of sleep diary and sleep questionnaire in school age children,and to further evaluate agreement rates between actigraphy,diary,and questionnaire for children's sleep patterns.Method Two primary schools in Luwan District were selected and first grade students without obvious physical and mental illnesses or sleep disorders were enrolled in the study. Each student was home-monitored with an Actiwatch for 7 days,meanwhile parents were asked to complete a detailed sleep diary during the Actiwatch monitoring days. Sleep questionnaires were distributed to their parents who were asked to fill in these on the last monitoring day. Result Fortyfive children participated in the study,36 children completed sleep assessments by all the three methods,and among them 20 were boys and 16 were girls.The mean age of those children was (7.26 ±0.42) years.The completion rate of questionnaire was 100％,of diary was 86.7％ (39/45) and of Actiwatch was 93.3％ (42/45).The completion rate between sleep diary and sleep questionnaire was significantly different ( P ＜0.05). The satisfactory agreement between Actiwatch and sleep diary was reached with sleep diary overestimating weekday and weekend sleep duration by 26 minutes and 25 minutes respectively. The agreement rates between Actiwatch and questionnaire was insufficient for all variables with sleep questionnaire overestimating weekday and weekend sleep duration by 37 minutes and 38 minutes respectively. Conclusion Sleep questionnaire is an easy and high compliance method for evaluating children's sleep pattern while sleep diary showed high agreement with Actiwatch. Using either of these methods for evaluating children's sleep pattern should be judged by research aim and sample size,and limitation of those methods should be considered when they are used in practice.