行为睡眠干预对患有注意力缺陷多动症儿童睡眠问题的有效性:随机对照试验
Ahmed Hashem El-Monshed1,2, Ahmed Loutfy3,4, Haitham El-Boraie5
1Department of Nursing, College of Health and Sport Sciences, University of Bahrain, Manama, Bahrain.
概括
行为睡眠干预显著改善了睡眠质量,生活质量,并减少了儿童的多动症症状. 这种方法提供了一种有价值的策略,可以提高ADHD儿童的幸福感和情绪调节.
科学领域:
- 儿科心理学 儿科心理学
- 睡眠医学 睡眠医学
- 神经发育障碍 神经发育障碍
背景情况:
- 注意缺陷多动症 (ADHD) 影响全球5%的儿童,其特点是注意力不集中,多动和冲动.
- 在70%的ADHD儿童中,睡眠问题非常普遍,恶化了心理社会结果.
- 有效的干预措施对于管理ADHD和相关睡眠障碍至关重要.
研究的目的:
- 评估ADHD儿童行为睡眠干预措施的有效性.
- 评估睡眠质量,生活质量 (QoL) 和ADHD症状严重程度的改善.
- 确定干预对儿童多动症心理社会挑战的影响.
主要方法:
- 在2022年6月至2023年4月期间进行了一项随机对照试验.
- 干预组 (n=47) 接受了混合面对面和Zoom行为睡眠计划.
- 对照组 (n=45) 接受了标准的护理. 标准化问卷 (CSHQ,PedsQL,ADHD-RS-IV) 用于数据收集.
主要成果:
- 干预组的睡眠质量显著改善 (CSHQ,p ≤0.001,ES=1.913).干预组的睡眠质量明显改善 (CSHQ,p ≤0.001,ES=1.913).
- 生活质量 (PedsQL,p ≤0.001,ES=1.862) 显著改善.
- 显著减少了ADHD症状的严重程度 (ADHD-RS-IV,p ≤0.001,ES=1.548).
结论:
- 行为睡眠干预措施在改善睡眠,生活质量和减少儿童ADHD症状方面是有效的.
- 个性化护理对于优化儿童多动症治疗结果至关重要.
- 将这些干预措施纳入护理实践可以提高整体福祉和情绪调节.
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