睡眠量表的效度分析及其在網路上的應用

Validation of the Sleep Quality Scale and its Application on Internet

以台灣版的睡眠品質自填量表，分析其：(1)測量信效度；(2)評估睡眠品質良窳的分界點；與(3)製作網路KIDMAP的睡眠品質診斷分析表。以試題反應理論的Rasch分析，建立睡眠品質的常模樣本，俾讓民眾在網路上自我評估檢測其健康狀況，提供民眾就醫之參考。測量Cronbach’α信度為0.79，效度檢測內聚及偏誤均方誤量皆介於0.5與1.5間，量表9題的加總分數大於6分為睡眠有問題，網路KIDMAP診斷分析圖，可以提供更多的訊息，即刻檢測出睡眠品質的不合理異常特徵。網路KIDMAP診斷分析，可以對醫療臨床上的許多自我評估量表，提供一個示範分析的途徑；對於網路諮商與電子商務系統的建立，也提供未來發展上的借鏡。

Objectives: In order to effectively help persons examine their insomnia, we planed to assess psychometric properties of sleep quality for Taiwanese version on (1) validation, (2) determination of cut-off point to identify insomnia, and (3)KIDMAP to disclose self-assessing sleep quality. Methods: We adopted Rasch analysis with Winsteps computer software to build up a norm-reference of the self-assessing insomnia on internet for further medical consultation. Results: The measurement of the sleep quality scale for Taiwanese version had an overall reliability coefficient of 0.79 for all subjects. A summed score of greater than 6 was yielded by k-means procedure of cluster analysis. KIDMAP diagnosis could provide examinees with an objective and sufficient diagram to identify their quality of sleep at an early stage.Conclusions: A newly-innovated KIDMAP diagram of self-assessment medical scales for quality-of-sleep diagnosis may be an effective screening approach used as an e-commerce tool in future.