Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Pediatrics. 2011 Sep;128(3):539-46. doi: 10.1542/peds.2011-0344. Epub 2011 Aug 28.
To assess general pediatricians' screening practices for sleep-related issues and assess their knowledge on common sleep complaints in children, their perceived barriers to screening for sleep issues, and whether they have received training regarding sleep issues.
A national random sample (n = 700) of general pediatricians who were members of the American Academy of Pediatrics were sent a valid and reliable questionnaire on sleep problems in youth.
A total of 346 pediatricians (49%) responded. The vast majority (96%) indicated that they believed it was their job to counsel patients/guardians regarding sleep hygiene, yet few pediatricians (18%) had ever received formal training on sleep disorders. Those who did not screen for sleep problems spent significantly less time with each patient and perceived significantly more barriers to screening. Pediatricians who had received training about sleep disorders had significantly higher knowledge scores on sleep problems, perceived significantly fewer barriers to screening, and reported significantly higher confidence scores regarding counseling patients/guardians on sleep problems.
These findings support the need for formal education on sleep disorders for all pediatricians.
评估普通儿科医生在睡眠相关问题方面的筛查实践,并评估他们对儿童常见睡眠问题的了解、对睡眠问题筛查的感知障碍,以及他们是否接受过睡眠问题方面的培训。
对美国儿科学会的普通儿科医生进行了一项全国随机抽样调查(n=700),向他们发送了一份关于青少年睡眠问题的有效且可靠的问卷。
共有 346 名儿科医生(49%)做出了回应。绝大多数(96%)表示,他们认为有责任向患者/监护人提供有关睡眠卫生的咨询,但很少有儿科医生(18%)接受过睡眠障碍方面的正式培训。那些不筛查睡眠问题的医生,每个患者的就诊时间明显更短,对筛查的感知障碍也明显更多。接受过睡眠障碍培训的医生在睡眠问题方面的知识得分明显更高,对筛查的感知障碍明显更少,并且在就睡眠问题为患者/监护人提供咨询方面的信心得分明显更高。
这些发现支持所有儿科医生都需要接受睡眠障碍方面的正式教育。