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Sleep disruption in caregivers of pediatric stem cell recipients

Kristen Coleman1,2, Laura Flesch1,2, Lisa Petiniot1

  • 1Division of Bone Marrow Transplant and Immune Deficiency, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Pediatric Blood & Cancer
|January 20, 2018
PubMed

Insights

Hospitalized children undergoing hematopoietic stem cell transplant (HSCT) disrupt caregiver sleep. Most caregivers reported poor sleep quality and insufficient sleep duration, highlighting the need for interventions.

Area of Science:

  • Pediatric Hematology
  • Sleep Medicine
  • Caregiver Support

Background:

  • Parental/caregiver sleep disruption is a significant concern during pediatric hospitalization.
  • Hospital environments can exacerbate sleep disturbances for caregivers of critically ill children.

Purpose of the Study:

  • To quantitatively and qualitatively evaluate sleep patterns in parents/caregivers of children undergoing hematopoietic stem cell transplant (HSCT).
  • To assess the frequency of nighttime room entries for patients undergoing HSCT.

Main Methods:

  • Cross-sectional study involving 17 parents/caregivers and 189 patient nights.
  • Quantitative sleep assessment and qualitative interviews with caregivers.
  • Objective recording of patient room entries.

Main Results:

  • 71% of caregivers experienced significant sleep disturbance and reported poor sleep quality.
  • 88% of caregivers slept less than 6 hours per night, with 82% awakening at least four times nightly.
  • Patient rooms were entered a median of 12 times per night.

Conclusions:

  • Caregivers of children undergoing HSCT experience substantial sleep disruption.
  • Frequent nighttime awakenings and environmental disturbances contribute to poor sleep.
  • Further research and interventions are needed to improve caregiver sleep during pediatric HSCT hospitalization.

Keywords:
caregivershematopoietic stem cell transplantpediatricssleep

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