中国幼儿睡眠状况评估量表的验证及全国常模构建

目的 验证中国幼儿睡眠状况评估量表(TSAS)的信度和效度，建立全国常模和界值。方法 2021年5—12月采用多阶段随机抽样，选取我国7省(直辖市)14市城乡地区的2 816例12～35个月幼儿的看护人进行调查。采用内部一致性信度、分半信度和验证性因子分析对量表的信度效度进行验证，制定百分位常模(P₅、P₁₅、P₅₀、P₈₅和P₉₅),分别以超过P₈₅、P₉₇作为量表总分判断睡眠不良、睡眠异常的界值。结果 TSAS的Cronbach′s α系数为0.73,分半信度为0.81,因子结构模型稳定，具有较好的信度和效度。建立了量表总分的年龄百分位常模。量表总分大于40分为睡眠不良，大于45分为睡眠异常。结论 TSAS具有稳定的信度和效度，构建的全国性常模和界值为量表的推广和应用提供客观依据。

Validation and norms of the Chinese Toddler Sleep Assessment Scale

Objective To verify the reliability and validity of Chinese Toddler Sleep Assessment Scale(TSAS), and to establish national norm and cut-off score. Methods Using multistage random sampling, totally 2 816 urban and rural caregivers whose child aged 12 to 35 months were selected in 14 cities of 7 provinces from May to December 2021. The internal consistency reliability, split-half reliability and confirmatory factor analysis were used to verify the reliability and validity of the scale. The percentile norm(P₅, P₁₅, P₅₀, P₈₅ and P₉₅) was established, and the total TSAS scores exceeding P₈₅ and P₉₇ were determined as the cut-offs for identifying poor sleep and abnormal sleep. Results The Cronbach′s α coefficients of TSAS was 0.73, the split-half reliability was 0.81, and the factor structure models were stable, which showed good reliability and validity. The age norm of TSAS was established. The total score >40 indicated poor sleep, and > 45 indicated abnormal sleep. Conclusions TSAS has stable reliability and validity. The established norm and cut-off can provide Objective reference for its promotion and application.