CAJ | 학술논문

目的：了解杭州市学龄前儿童的日间功能、睡眠质量及其相关性。方法采取整群抽样的方法抽取杭州市5所幼儿园儿童共930例，采用一般情况问卷、儿童睡眠习惯问卷（CSHQ）及幼儿日间功能问卷收集资料，分析不同年龄、性别儿童的睡眠质量，及不同睡眠质量的儿童的日间功能表现。结果共914例3~6岁儿童纳入分析。42.0%（384/914）儿童存在睡眠质量不良，其中3~岁组儿童睡眠不良发生率明显高于其他年龄组（P＜0.05），无性别差异（P＞0.05）。日间功能总得分随年龄增长逐渐下降，不同年龄组之间差异有统计学意义（P＜0.01）。白天倦怠、难以完成工作情况在不同年龄组之间差异有统计学意义（P＜0.01），负性情绪及明显多动情况在各年龄组之间差异无统计学意义（P＞0.05）。睡眠质量良好组日间功能总得分及各分项得分均低于睡眠质量不良组，两组在总得分及完成工作上差异有统计学意义（均P＜0.05）。结论睡眠质量不良的学龄前儿童的日间功能较差，主要表现为白天难以完成工作。
목적：료해항주시학령전인동적일간공능、수면질량급기상관성。방법채취정군추양적방법추취항주시5소유인완인동공930례，채용일반정황문권、인동수면습관문권（CSHQ）급유인일간공능문권수집자료，분석불동년령、성별인동적수면질량，급불동수면질량적인동적일간공능표현。결과공914례3~6세인동납입분석。42.0%（384/914）인동존재수면질량불량，기중3~세조인동수면불량발생솔명현고우기타년령조（P＜0.05），무성별차이（P＞0.05）。일간공능총득분수년령증장축점하강，불동년령조지간차이유통계학의의（P＜0.01）。백천권태、난이완성공작정황재불동년령조지간차이유통계학의의（P＜0.01），부성정서급명현다동정황재각년령조지간차이무통계학의의（P＞0.05）。수면질량량호조일간공능총득분급각분항득분균저우수면질량불량조，량조재총득분급완성공작상차이유통계학의의（균P＜0.05）。결론수면질량불량적학령전인동적일간공능교차，주요표현위백천난이완성공작。
Objective To investigate the daytime functioning, sleep quality of preschool children in Hangzhou City and their relationship. Methods Total y 930 children of 3~6 age from 5 kindergartens in Hangzhou were selected by stratified cluster sampling. The general home background questionnaire, Children's Sleep Habits Questionnaire(CSHQ), and the toddler's daytime functioning questionnaire were used to col ect data for analysis. The sleep quality was compared between different age and gen-der groups. The daytime functioning was compared between groups with or without good sleep quality. Results The data of 914 children were available for analysis. 42%(384/914) of the children had poor sleep quality. The percentage of children in age group 3~<4 without good sleep quality was significantly higher than other 2 groups (P<0.05). There's no gender difference in 3 groups (P>0.05). The total scores of daytime functioning were gradual y decreased with the ages (P<0.01). The sub items of day tired-ness and difficult to accomplish tasks were significantly different among 3 groups (P<0.01). No significant differences of negative mood and high activity were found among 3 groups (P>0.05). The daytime functioning scores of total and the sub items were lower in children without good sleep quality than those with good sleep quality (P<0.05). Conclusion The daytime functioning of children with poor sleep quality is less desirable than that of children with good sleep quality, mainly in difficulty to accomplish tasks in daytime.