住院儿童的睡眠障碍:一个警钟
Pia Burger1,2, Lindsay M H Steur1, Jorinde A W Polderman3
1Department of Pediatrics, Emma Children's Hospital, Amsterdam UMC, Amsterdam, The Netherlands.
European journal of pediatrics
|July 3, 2024
概括
住院儿童由于疼痛,环境和护理习惯,睡眠质量较差. 需要进行干预措施,以改善儿童患者的睡眠,以改善儿童患者的健康恢复.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 医院环境研究 环境研究
- 儿童健康研究 儿童健康研究
背景情况:
- 睡眠对于健康恢复至关重要,但在住院儿童中经常受到干扰.
- 疾病不适,噪音和护理日常等因素会对睡眠质量和数量产生负面影响.
- 了解这些干扰是改善儿科患者治疗结果的关键.
研究的目的:
- 评估影响住院儿童睡眠质量和数量的因素.
- 为了比较住院期间儿童的睡眠模式与出院后在家的睡眠模式.
- 确定影响医院环境中睡眠的关键决定因素.
主要方法:
- 一项前性观察性研究,涉及1至12岁的儿童,这些儿童被录取到高等教育中心.
- 睡眠参数 (总睡眠时间,睡眠开始延迟,睡眠开始后醒来) 通过动图和睡眠日记进行测量.
- 使用PROMIS问卷评估主观睡眠质量;用于分析的回归和混合线性模型.
主要成果:
- 父母报告的睡眠质量在医院较低,总睡眠时间减少,睡眠开始后醒来时间增加.
- 动图学证实总睡眠时间缩短,但睡眠效率更好,在医院醒来次数更少.
- 关键的睡眠决定因素包括疼痛,以前的入院,慢性疾病和环境/员工/疾病因素.
结论:
- 与家庭睡眠相比,住院显著影响儿童的睡眠质量和数量.
- 与治疗,医院环境和工作人员相关的干扰是主要的罪祸首.
- 简单的干预措施有可能改善睡眠质量,并尽量减少住院儿童的干扰.
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