评估住院青少年的睡眠挑战
Abigail R Strang1, Daniela Uribe1, David Rappaport2
1Department of Pediatrics, Division of Pediatric Pulmonology, Sidney Kimmel Medical College of Thomas Jefferson University/Nemours Children's Health, Wilmington, USA.
Cureus
|July 29, 2024
概括
住院的青少年因警报和噪音而经历睡眠障碍,频繁的生命体征检查增加了白天的嗜睡. 减少夜间监测可能会改善儿科患者的睡眠质量.
科学领域:
- 儿科医院医药 儿科医院医药
- 睡眠科学 睡眠科学
- 患者体验 患者体验
背景情况:
- 睡眠质量对于儿科康复至关重要.
- 医院环境可能会扰乱患者的睡眠.
- 了解非重症监护室 (ICU) 设置中的睡眠障碍很重要.
研究的目的:
- 描述睡眠质量和识别ICU以外的住院青少年的睡眠障碍.
- 评估临床监测频率对白天嗜睡的影响.
主要方法:
- 一项基于调查的研究,涉及45名儿科患者 (8-17岁) 在ICU外住院3天以上.
- 使用睡眠日记,爱普沃思儿童和青少年睡眠度量 (ESS-CHAD) 和住院患者睡眠障碍物问卷.
- 使用描述性和比较性统计数据,与白天嗜睡相关联的夜间临床监测频率.
主要成果:
- 大多数参与者 (79%) 报告说睡眠不错,平均睡眠时间正常,ESS-CHAD分数正常.
- 设备报警,生命体征监测和噪音被确定为主要的睡眠干扰因素.
- 增加生命体征检查的频率 (每4小时对每一个轮班) 与明显更高的白天嗜睡相关 (p=0.04).
结论:
- 虽然许多住院的年轻人报告睡眠充足,但很大一部分的睡眠质量受损,白天嗜睡增加.
- 频繁的生命体征监测和环境噪音是睡眠障碍的重要因素.
- 在临床稳定的儿科患者中,减少夜间生命体征监测的频率,可以提高睡眠质量,减少白天的嗜睡.
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