PDF(Pubmed)
Abstract：
OBJECTIVE: Quantify and describe screen time (screen type, child engagement, adult co-viewing) in eight critically ill children and determine its association with sleep duration before (parent report) and during (actigraphy) a 24-h period in the PICU.
METHODS: Exploratory secondary analysis of 24-h video and actigraphy recordings in eight children 1-4 years old in the PICU. Videos were coded for screen time using Noldus Observer XT® software. Screen time was compared to American Academy of Pediatrics recommendations (0 h/day <2 years, ≤1 h/day 2-5 years). Parents completed the Brief Infant Sleep Questionnaire-Revised-Short Form (BISQ-R-SF) to understand children\'s pre-hospital sleep. Actigraphy was used to measure PICU sleep duration. Associations between screen time and sleep were determined with bivariate analyses.
RESULTS: Average age was 23.1 months (SD = 9.7). Daily screen time was 10.7 h (SD = 7), ranging from 2.4 to 21.4 h. Children (15.1% of sampling intervals) and adults (16.3%) spent little time actively engaged with screen media. BISQ-R-SF scores ranged from 48.9 to 97.7. Children had an average of 7.9 (SD = 1.2) night shift (19:00-6:59) sleep hours. Screen time was associated with worse pre-hospital sleep quality and duration with large effect sizes (rs= -0.7 to -1) and fewer nighttime sleep hours with a medium effect size (rs= -0.5).
CONCLUSIONS: All children exceeded screen time recommendations. Screen time was associated with worse pre-hospital sleep quality and duration, and decreased PICU sleep duration. Large-scale studies are needed to explore PICU screen time and sleep disruption.
CONCLUSIONS: Clinicians should model developmentally appropriate screen media use in PICU.
METHODS: Exploratory secondary analysis of 24-h video and actigraphy recordings in eight children 1-4 years old in the PICU. Videos were coded for screen time using Noldus Observer XT® software. Screen time was compared to American Academy of Pediatrics recommendations (0 h/day <2 years, ≤1 h/day 2-5 years). Parents completed the Brief Infant Sleep Questionnaire-Revised-Short Form (BISQ-R-SF) to understand children\'s pre-hospital sleep. Actigraphy was used to measure PICU sleep duration. Associations between screen time and sleep were determined with bivariate analyses.
RESULTS: Average age was 23.1 months (SD = 9.7). Daily screen time was 10.7 h (SD = 7), ranging from 2.4 to 21.4 h. Children (15.1% of sampling intervals) and adults (16.3%) spent little time actively engaged with screen media. BISQ-R-SF scores ranged from 48.9 to 97.7. Children had an average of 7.9 (SD = 1.2) night shift (19:00-6:59) sleep hours. Screen time was associated with worse pre-hospital sleep quality and duration with large effect sizes (rs= -0.7 to -1) and fewer nighttime sleep hours with a medium effect size (rs= -0.5).
CONCLUSIONS: All children exceeded screen time recommendations. Screen time was associated with worse pre-hospital sleep quality and duration, and decreased PICU sleep duration. Large-scale studies are needed to explore PICU screen time and sleep disruption.
CONCLUSIONS: Clinicians should model developmentally appropriate screen media use in PICU.
摘要：
目标：量化和描述屏幕时间(屏幕类型，儿童订婚,成人共同观察）在8名危重病儿童中，并确定其与PICU中24小时期间（父母报告）和（体动记录）睡眠持续时间的关联。
方法：对PICU中8名1-4岁儿童的24小时视频和活动记录进行探索性二次分析。使用NoldusObserverXT®软件对视频进行屏幕时间编码。将屏幕时间与美国儿科学会的建议进行比较（0小时/天<2年，≤1小时/天2-5年)。父母填写了简短的婴儿睡眠问卷修订后的简短表格（BISQ-R-SF），以了解儿童的院前睡眠。活动描记术用于测量PICU睡眠持续时间。通过双变量分析确定屏幕时间和睡眠之间的关联。
结果：平均年龄为23.1个月（SD=9.7）。每日筛选时间为10.7h（SD=7），范围从2.4到21.4小时。儿童（采样间隔的15.1%）和成人（16.3%）很少花时间积极参与屏幕媒体。BISQ-R-SF评分范围为48.9至97.7。儿童的平均夜班时间为7.9（SD=1.2）（19:00-6:59）。屏幕时间与院前睡眠质量和持续时间较差相关，效应大小较大（rs=-0.7至-1），夜间睡眠时间较少，效应大小中等（rs=-0.5）。
结论：所有儿童都超过了屏幕时间建议。屏幕时间与更差的院前睡眠质量和持续时间相关，减少PICU睡眠时间。需要大规模研究来探索PICU屏幕时间和睡眠中断。
结论：临床医生应在PICU中建立适合发展的屏幕培养基使用模型。
方法：对PICU中8名1-4岁儿童的24小时视频和活动记录进行探索性二次分析。使用NoldusObserverXT®软件对视频进行屏幕时间编码。将屏幕时间与美国儿科学会的建议进行比较（0小时/天<2年，≤1小时/天2-5年)。父母填写了简短的婴儿睡眠问卷修订后的简短表格（BISQ-R-SF），以了解儿童的院前睡眠。活动描记术用于测量PICU睡眠持续时间。通过双变量分析确定屏幕时间和睡眠之间的关联。
结果：平均年龄为23.1个月（SD=9.7）。每日筛选时间为10.7h（SD=7），范围从2.4到21.4小时。儿童（采样间隔的15.1%）和成人（16.3%）很少花时间积极参与屏幕媒体。BISQ-R-SF评分范围为48.9至97.7。儿童的平均夜班时间为7.9（SD=1.2）（19:00-6:59）。屏幕时间与院前睡眠质量和持续时间较差相关，效应大小较大（rs=-0.7至-1），夜间睡眠时间较少，效应大小中等（rs=-0.5）。
结论：所有儿童都超过了屏幕时间建议。屏幕时间与更差的院前睡眠质量和持续时间相关，减少PICU睡眠时间。需要大规模研究来探索PICU屏幕时间和睡眠中断。
结论：临床医生应在PICU中建立适合发展的屏幕培养基使用模型。
