关键词: hospitalization pediatrics sleep sleep deprivation sleep hygiene

来  源:   DOI:10.3390/children11070848   PDF(Pubmed)

Abstract:
BACKGROUND: Hospitalized children need adequate sleep to favor early recovery.
METHODS: To study the sleep pattern of children admitted to a pediatric inpatient unit, a cross-sectional study was carried out at a reference hospital in northern Spain. The main study variables were medical specialty of admission, sleep-inducing treatment, hours of sleep at home and during admission, number of nocturnal awakenings, and reasons for awakening. Differences in the hours of sleep and nighttime awakenings between the initial period and at six months were calculated using the Student\'s t-test.
RESULTS: We included 100 baseline patients and 100 post-intervention patients. Up to 4% of the baseline sample and 3% of the six-month sample had been prescribed a sleep-promoting drug. Regarding awakenings, 79% of the children in the baseline sample suffered awakenings, with a mean of 1.98 awakenings (range 1-13). At six months, the percentage of children who experienced awakenings decreased by 17%, with a mean of 1.34 (range 1-5). In the baseline sample, 48% were caused by nursing care, decreasing to 34% after the intervention.
CONCLUSIONS: An educational intervention with the implementation of targeted evidence-based practices is a useful measure for improving the sleep pattern by decreasing the number of awakenings.
摘要:
背景:住院儿童需要充足的睡眠以促进早期恢复。
方法:为了研究儿科住院病房儿童的睡眠模式,在西班牙北部的一家参考医院进行了一项横断面研究.主要研究变量为入院医学专业,睡眠诱导治疗,在家和入院期间的睡眠时间,夜间觉醒的次数,觉醒的原因。使用学生t检验计算初始阶段和六个月时的睡眠时间和夜间觉醒时间的差异。
结果:我们纳入了100名基线患者和100名干预后患者。高达4%的基线样本和3%的六个月样本被开了促睡眠药物。关于觉醒,基线样本中79%的儿童遭受觉醒,平均唤醒1.98次(范围1-13)。六个月的时候,经历觉醒的儿童比例下降了17%,平均值为1.34(范围1-5)。在基线样本中,48%是由护理引起的,干预后下降到34%。
结论:实施有针对性的循证实践的教育干预措施是通过减少觉醒次数来改善睡眠模式的有用措施。
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