中文版理查兹—坎贝尔睡眠量表在住院老年患者中的信效度评价

陈丽霞; 纪代红; 白春杰; 刘恒; 李建华; 崔丽

doi:10.3760/cma.j.issn.1674-2907.2019.10.008

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中华现代护理杂志

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ENGLISH ABSTRACT

中文版理查兹—坎贝尔睡眠量表在住院老年患者中的信效度评价

作者及单位信息

出版日期： 2019 -04 -06 ·

DOI： 10.3760/cma.j.issn.1674-2907.2019.10.008

Reliability and validity of the Chinese version of Richards-Campbell Sleep Questionnaire in elderly inpatients

Authors Info & Affiliations

Chen Lixia

Nursing Department, Affiliated Zhongshan Hospital of Dalian University, Dalian 116000, China

Ji Daihong

Nursing Department, Affiliated Zhongshan Hospital of Dalian University, Dalian 116000, China

Bai Chunjie

School of Nursing, Dalian University, Dalian 116000, China

Liu Heng

School of Nursing, Dalian University, Dalian 116000, China

Li Jianhua

Nursing Department, Affiliated Zhongshan Hospital of Dalian University, Dalian 116000, China

Cui Li

Nursing Department, Affiliated Zhongshan Hospital of Dalian University, Dalian 116000, China

Published： 2019 -04 -06 ·

DOI： 10.3760/cma.j.issn.1674-2907.2019.10.008

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摘要

目的应用中文版理查兹—坎贝尔睡眠量表（RCSQ）调查某三级甲等医院老年患者的睡眠质量，以评价该量表在老年住院患者中的信度和效度。

方法采用目的抽样法，选取2017年10月—2018年7月于辽宁省大连市某三级甲等医院住院的老年患者155例，采用一般资料调查表、中文版RCSQ量表对其进行调查，选取住院时间超过1周的30例患者进行重测信度的测量。通过内部一致性、重测信度、折半信度、结构效度，检验问卷的信效度。

结果RCSQ量表总量表的Cronbach's α系数为0.898，折半信度为0.837，各条目与总分之间的相关系数0.805~0.909（ P<0.01）；重测信度各条目间的相关性为0.362~0.884 （ P<0.05），总分间的相关性为0.671 （ P<0.05）；探索性因子分析共提取1个公因子，累计方差贡献率71.541%， KMO值为0.875，Bartlett值为460.834 （ P<0.01）；验证性因子分析显示，模型拟合度良好。

结论中文版RCSQ量表用于住院老年患者的睡眠质量评价具有良好的信度与效度，可作为该人群睡眠研究或筛查的工具。

关键词：老年人;睡眠;理查兹—坎贝尔睡眠量表;信度;效度;住院患者

ABSTRACT

ObjectiveTo evaluate the sleep quality of elderly patients at a ClassⅢ Grade A hospital in Beijing with the Chinese version of Richards-Campbell Sleep Questionnaire (RCSQ) and to assess the reliability and validity of the questionnaire in elderly inpatients.

MethodsFrom October 2017 to July 2018, we selected 155 elderly inpatients at a Class Ⅲ Grade A hospital in Dalian of Liaoning Province by purposive sampling. All of the patients were investigated with the general information questionnaire and the Chinese version of RCSQ. We assessed the test-retest reliability in 30 patients with hospital stay more than one week. Reliability and validity of the questionnaire were tested by the internal consistency, test-retest reliability, split-half reliability and construct validity.

ResultsThe Cronbach's α and split-half reliability of the total questionnaire were 0.898 and 0.837 respectively. The correlation coefficients between items and the total score ranged from 0.805 to 0.909 ( P<0.01) . The item correlations of test-retest reliability ranged from 0.362 to 0.884 ( P<0.05) with 0.671 for the correlation in total scores ( P<0.05) . Exploratory factor analysis extracted one common factor with 71.541% for the cumulative variance contribution, 0.875 for the KMO value and 460.834 for the Bartlett value ( P<0.01) . Confirmatory factor analysis showed that the model fitted well.

ConclusionsThe Chinese version of RCSQ has good reliability and validity in assessing sleep quality for elderly inpatients which can be an instrument for sleep research or screening in this population.

KEYWORDS： Aged;Sleep;Richards-Campbell sleep questionnaire;Reliability;Validity;Inpatients

Corresponding author: Ji Daihong, Email: mocdef.3ab61321.dneirfruoy

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All articles published represent the opinions of the authors, and do not reflect the official policy of the Chinese Medical Association or the Editorial Board, unless this is clearly specified.

引用本文

陈丽霞,纪代红,白春杰,等. 中文版理查兹—坎贝尔睡眠量表在住院老年患者中的信效度评价[J]. 中华现代护理杂志,2019,25(10)：1223-1227.

DOI:10.3760/cma.j.issn.1674-2907.2019.10.008

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版权归中华医学会所有。

未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计。

除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。

老龄化已成为全球面临的重要社会问题，随着老年人数量的不断增加，住院患者中年龄≥60岁的人群也成一定比例上升。与成年人相比，老年人会出现与年龄相关的睡眠改变，包括睡眠周期频繁、慢波睡眠减少，进而睡眠断裂和早醒 ^{[
1
]}。已有的流行病学调查表明，在老年人群中失眠发生率为5%~8% ^{[
2
]}。住院老年患者加上睡眠习惯、环境等变化，使得睡眠障碍问题更为明显 ^{[
3
,

4
]}。影响睡眠的因素包括疼痛、不舒适、需要上厕所、焦虑、噪音等 ^{[
5
]}。睡眠障碍不仅影响患者的身体状况，还会导致不良的健康结局 ^{[
6
]}。早期评估与识别睡眠障碍患者，对疾病诊断、治疗与护理具有重要意义 ^{[
7
]}。住院患者应用的睡眠评估工具有多导睡眠仪、体外记录仪、自我报告、照护者观察、匹兹堡睡眠质量指数量表（Pittsburgh Sleep Quality Index，PSQI）等 ^{[
8
,

9
]}。大多数学者采用PSQI量表来测量老年住院患者睡眠现状或与其他变量的相关研究 ^{[
10
,

11
]}，但该评估工具测量周期较长，条目过于冗长等，并不完全契合住院老年患者的特点。理查兹—坎贝尔睡眠量表（Richards-Campbell Sleep Questionnaire，RCSQ）是2000年美国Richards等编制的主观睡眠测评量表 ^{[
12
]}，于2016年译成中文，在中国ICU患者中应用，初步验证其信度和效度 ^{[
13
]}。该量表简单有效，方便使用，已在德国、中国、西班牙等多个国家ICU患者中进行应用并显示具有良好的信效度 ^{[
12
,

13
,

14
,

15
]}。但是，RCSQ量表缺乏异质性人群中的信效度研究，尚未在住院老年患者群体中应用。本研究旨在调查检验RCSQ量表在住院老年患者群体中的信度与效度，为进一步开展我国住院老年患者睡眠质量的研究提供依据。

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摘要
参考文献

参考文献

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Suzuki K , Miyamoto M , Hirata K . Sleep disorders in the elderly：Diagnosis and Management[J]. J Gen Fam Med， 2017，18（2）：61-71. DOI： 10.1002/jgf2.27 .