Jenkins C D, Stanton B A, Niemcryk S J, Rose R M
Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston 77550.
J Clin Epidemiol. 1988;41(4):313-21. doi: 10.1016/0895-4356(88)90138-2.
Problems in sleeping are widely prevalent in modern society and are often one of the presenting complaints of patients consulting physicians. In addition, there is scattered epidemiologic evidence and considerable clinical support that disturbed or inadequate sleep may be a risk factor for clinical emergence of cardiovascular disease and for total mortality. The role of sleep problems both as a precursor and as a sequela of disease states could be better delineated in large groups by the availability of a brief, reliable and standardized scale for sleep disturbance. Such a scale could also be used to evaluate the impact of different therapies upon sleep problems. This paper presents data from two study populations responding to three and four item self-report scales. From 9 to 12% of air traffic controllers reported various sleep problems to have occurred on half or more of the days during the prior month, whereas 12-22% of patients 6 months after cardiac surgery reported such frequent sleep problems. Utilizing data from the 6 and 12 month follow-ups, test-retest reliability of the three-item scale in cardiac surgery patients was found to be 0.59. Internal consistency coefficients for the three and four-item scales were 0.63 and 0.79 respectively.
睡眠问题在现代社会广泛存在，并且常常是患者咨询医生时提出的主诉之一。此外，有零散的流行病学证据以及大量临床证据表明，睡眠紊乱或不足可能是心血管疾病临床发病及全因死亡率的一个危险因素。通过提供一个简短、可靠且标准化的睡眠障碍量表，在大规模人群中可以更好地界定睡眠问题作为疾病状态的先兆和后遗症的作用。这样一个量表还可用于评估不同治疗方法对睡眠问题的影响。本文呈现了来自两个研究人群对三项和四项自报告量表的应答数据。9%至12%的空中交通管制员报告称，在前一个月中，有一半或更多天数出现了各种睡眠问题，而心脏手术后6个月的患者中有12%至22%报告称经常出现此类睡眠问题。利用6个月和12个月随访的数据，发现三项量表在心脏手术患者中的重测信度为0.59。三项和四项量表的内部一致性系数分别为0.63和0.79。
