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Published on: October 2, 2019
Analyzing sleep status in children with acute leukemia
Lu Xi1, Guangsheng Wu2, Xinke Du3
1Department of Hematology and Oncology, The Children's Hospital of Zhejiang University School of Medicine, Zhejiang Pediatric Leukemia Diagnosis and Treatment Technology Center, National Pediatric Health and Disease Clinical Medical Research Center, Hangzhou, 310000, Zhejiang, China.
Insights
Sleep disorders are common in children with acute leukemia, affecting nearly half of those studied. Parental behaviors and airway issues like adenoid hypertrophy significantly influence these sleep problems, increasing parental stress.
Area of Science:
- Pediatric Oncology
- Sleep Medicine
- Child Psychology
Background:
- Quality sleep is crucial for children's physical and mental well-being.
- Acute leukemia and its treatment can significantly impact a child's health.
- Sleep disorders are a potential complication in children undergoing cancer treatment.
Purpose of the Study:
- To investigate the prevalence of sleep disorders in children diagnosed with acute leukemia.
- To identify factors associated with sleep disturbances in this pediatric population.
- To explore the relationship between sleep disorders and parental stress.
Main Methods:
- A cross-sectional study involving 173 children with acute leukemia undergoing chemotherapy.
- Data collection using general questionnaires, the Children's Sleep Disorders Scale, and the Parenting Stress Index-short form.
- Statistical analysis including single- and multi-factor regression to identify influencing factors.
Main Results:
- Sleep disorders were identified in 45.66% of children with acute leukemia.
- Factors associated with sleep disorders included parental scolding and adenoid hypertrophy.
- Children experiencing sleep disorders reported higher levels of parental stress compared to those without.
Conclusions:
- Sleep disorders are prevalent in children with acute leukemia, linked to airway conditions and parental behaviors.
- Addressing sleep quality is vital for the recovery and well-being of these children.
- Interventions should focus on improving sleep hygiene and providing parental support and education.
Background:
Quality sleep is essential for physical and mental health. We aimed to analyze sleep disorders in children with acute leukemia and explore associated factors.
Methods:
General data and sleep disorders in children with acute leukemia during chemotherapy were collected by general questionnaires, Children's Sleep Disorders Scale and the Parenting Stress Index-short form.
Results:
In total, 173 valid questionnaires were collected. The total Sleep Disorder Scale score > 39 is considered a sleep disorder, while sleep disorders accounted for 45.66% (79/173). In the cohort, 167 children had acute lymphoblastic leukemia, with 40.12% (67/167) having sleep disorders, while six children had acute non-lymphoblastic leukemia, with 50.00% (3/6) having sleep disorders. Single- and multi-factor regression analyses of age, gender, number of children in the family, and time spent using electronic devices showed that factors influencing sleep disorders in these children were mainly parental scolding and adenoid hypertrophy. Children with sleep disorders had more parental stress than those without sleep disorders (P < 0.05).
Conclusions:
The high incidence of sleep disorders in children with acute leukemia is related to airway conditions and parental behaviors. Sleep disorders in children can increase parenting stress. Factors potentially affecting sleep quality should be addressed as early as possible, while parental education should be strengthened to better facilitate the physical and psychological recovery of their children.
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