徐方忠1,*, 娄乐2,
( 1、浙江理工大学理学院,杭州 310000; 2、浙江理工大学理学院; )
摘要: 目的:探讨浙江省学前儿童睡眠行为以及其与儿童行为问题关系。方法:用分层随机抽样方法在全省抽取5个城市11个县3~6岁儿童1865名,采用自编的17项儿童睡眠行为问卷以及Achenbach儿童行为量表(CBCL)家长卷进行调查,发出问卷1865份,有效问卷1732份(有效率92.9%)。结果:CBCL问卷结果显示,学前儿童行为问题阳性率为13.2%,所调查的17项儿童睡眠行为中,出现率最高的为夜间不愿盖被子(83%),其次为梦呓、磨牙和流口水,均为53%,17项睡眠行为中有12项行为与行为问题有显著关系(-0.042< r <-0.167,p<0.05),相关程度最高的睡眠行为是夜间不愿盖被子(r=-0.167,p=0.00),其次为入睡困难(r=-0.041,p=0.00),再次为遗尿(r=-0.118,p=0.00)。Logistic回归分析显示:不能正常睡觉、夜间不愿盖被子、睡眠呼吸暂停、张口呼吸、夜惊、遗尿、梦游、入睡困难,都成为儿童行为问题的影响因素。结论:儿童睡眠行为与其行为问题有密切关系。
关键词: 学前儿童 睡眠行为 行为问题
XU Fangzhong1,*, LOU le2,
( 1、Zhe Jiang Sci-Tech Uniersity,Hang Zhou; 2、Zhe Jiang Sci-Tech University; )
Abstract: Objective: to explore preschool children's sleep behavior of Zhejiang province and its relationship with children's behavioral problems. Method: using stratified random sampling method to extract 1865 3 ~ 6 years old children from five cities and 11 counties in the province, adopts the questionnaire of 17 children sleep behavior and Achenbach child behavior scale (CBCL)parents volume investigation, send out 1865 questionnaires, 1732 effective questionnaires were took back,the effective rate was 92.9%. results: according to the results of preschool children's behavior problems, the CBCL questionnaire positive rate was 13.2. In the survey of 17 children sleep behavior, the highest rate behavior was don't cover with quilt at night(83%), followed by talking, grinding and drooling, The rate of them was 53%, 12 behaviors have significant relationship between behavior and behavior problems (0.042 < r < 0.167, p < 0.05), the highest degree in related sleep behavior is don't cover with quilt at night(r = 0.167, p = 0.167), followed by difficulty in falling asleep (r = 0.041, p = 0.041), and again for urinary incontinence (r = 0.118, p = 0.118). Logistic regression analysis showed that: can't normal sleep, don't want to cover with quilt at night, sleep apnea, mouth breathing, night terrors, enuresis, sleepwalking, difficulty in falling asleep, become the influence factors of children's behavioral problems. Conclusion: there is a close relationship between children sleep behavior and behavior problems.
Keywords: Child psychology; Sleep behavior; Behavioral problems
作者简介: 徐方忠(1967-),男,主任医师,临床心理学
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