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Comparison of sleep quality between outpatient and hospitalized children with respiratory tract dysfunction
Ali Abdul Kareem Mizal1, Asmahan Qasim Mohammed2
1Department of Pediatric Nursing, College of Nursing, University of Baghdad, Iraq.
Insights
Children with respiratory tract dysfunction experience poorer sleep quality in outpatient settings compared to hospitalized environments. This highlights challenges in sleep onset and maintenance for these young patients outside of hospital care.
Area of Science:
- Pediatric Sleep Medicine
- Respiratory Health
- Quality of Life Studies
Background:
- Sleep quality is crucial for child development and recovery.
- Respiratory tract dysfunction can significantly impact sleep patterns in children.
- Understanding environmental influences on sleep is vital for effective pediatric care.
Purpose of the Study:
- To compare the impact of hospitalized versus outpatient settings on sleep quality in children with respiratory tract dysfunction.
- To identify specific sleep disturbances experienced by these children in different care environments.
Main Methods:
- A descriptive correlational study involving 250 children with respiratory tract dysfunction.
- Data collected from hospitalized (n=125) and outpatient (n=125) settings.
- Utilized a validated questionnaire assessing sociodemographics, clinical diagnosis, and sleep quality.
Main Results:
- Children in outpatient settings reported significantly more negative effects on sleep quality compared to those hospitalized.
- The mean sleep quality score in outpatient settings was M ± SD = 1.322 ± 0.1522.
- Outpatient settings were associated with greater difficulties in falling asleep and waking up.
Conclusions:
- Sleep quality in children with respiratory tract dysfunction is generally average in both settings.
- Outpatient environments present greater challenges to sleep onset and maintenance for these children.
- Healthcare providers should consider environmental factors affecting sleep in pediatric respiratory care.
Objectives:
The main objective of the study to compare the effect of hospitalized and outpatient settings on quality of sleep in children with respiratory tract dysfunction.
Methodology:
A descriptive correlational study was carried out at Dhi-Qar Health Directorate pediatric hospitals. The period of the study was from the November 19, 2023 to March 10, 2024. Purposive sample (non-probability) of 250 children (male and female). A total of (125) children were chosen from the children whose admitted to the hospitals, and a total of (125) children were chosen from the outpatient settings. The study instrument consisted of three parts: the sociodemographic sheet, clinical diagnosis sheet, and sleep quality scale. The questionnaire was modified according to experts' recommendation to use it for children with respiratory tract dysfunction. The questionnaire was evaluated by a panel of 15 experts from diverse medical and nursing professions. Both descriptive and inferential statistics were used to analyze the data.
Results:
The study findings that effect outpatient settings have more effect from hospitalized settings on quality of sleep in children with respiratory tract dysfunction (M ± SD = 1.322 ± 0.1522).
Conclusion:
A study showed that the quality of sleep in children with respiratory tract dysfunction was generally average, whether in hospitalized or outpatient settings, outpatient settings had greater difficulties falling asleep and waking than children in hospitalized.
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