Meltzer Lisa J, Davis Katherine Finn, Mindell Jodi A
Sleep Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Pediatr Nurs. 2012 Mar-Apr;38(2):64-71; quiz 72.
Although sleep complaints during pediatric hospitalization are common, few studies have examined different aspects of sleep or the impact of pediatric hospitalization on parent sleep. This study examined multiple aspects of sleep for 72 non-intensive care pediatric inpatients and 58 rooming-in parents who completed a self-report survey of sleep at home and in the hospital, and sleep disturbances in the hospital. Younger children reported later bedtimes, later wake times, more night wakings, and shorter total sleep time while hospitalized. Adolescents had later wake times, more night wakings, and longer total sleep time during hospitalization. Parents reported later bedtimes, later wake times, and more night wakings when rooming-in. Sleep was significantly disrupted during hospitalization, more so for younger children and parents. Sleep disturbances due to noises, worries, pain, and vital sign checks were related to longer sleep onset latency, increased night wakings, and earlier wake time. Interventions that reduce these disruptions, many of which are amenable to nursing influence, are needed to improve child and parent sleep in hospital.
尽管小儿住院期间的睡眠问题很常见，但很少有研究探讨睡眠的不同方面或小儿住院对家长睡眠的影响。本研究调查了72名非重症监护儿科住院患者和58名陪床家长睡眠的多个方面，这些家长完成了一份关于在家中和医院睡眠情况以及医院睡眠障碍的自我报告调查。年龄较小的儿童在住院期间报告上床睡觉时间较晚、起床时间较晚、夜间醒来次数较多且总睡眠时间较短。青少年在住院期间起床时间较晚、夜间醒来次数较多且总睡眠时间较长。家长报告陪床时上床睡觉时间较晚、起床时间较晚且夜间醒来次数较多。住院期间睡眠受到显著干扰，年龄较小的儿童和家长受到的影响更大。因噪音、担忧、疼痛和生命体征检查导致的睡眠障碍与更长的入睡潜伏期、更多的夜间醒来次数和更早的起床时间有关。需要采取减少这些干扰的干预措施，其中许多措施都可受护理影响，以改善患儿及其家长在医院的睡眠。
