School of Women's and Children's Health, University of New South Wales, Kensington, NSW, Australia.
Support Care Cancer. 2013 Feb;21(2):557-64. doi: 10.1007/s00520-012-1547-z. Epub 2012 Aug 5.
Parents of pediatric oncology patients are encouraged to sleep on the ward with their child to provide additional care throughout the night. The purpose of this study was to provide the first prevalence estimates of self-reported sleep quantity and quality among parents accommodated on the pediatric oncology ward, compared to parents of age-matched controls.
Parents of children receiving in-patient cancer treatment and parents of healthy, age-matched children completed a self-report questionnaire, including validated measures of parental sleep and psychological distress, demographic, and clinical characteristics.
In total, 114 parents participated (52 parents of children with cancer; 62 control parents; over all response rate 70 %). Parents on the pediatric oncology ward reported sleeping 5.7 h (SD = 1.8) on average, in comparison to control parents who reported sleeping 7.0 h at home (SD = 1.4; t = 4.3, p < 0.001). Parents reported waking an average of 4.6 times (SD = 0.3) per night on the ward, compared to control parents who reported 2.0 (SD = 0.2) nighttime awakenings (t = 7.69, p < 0.001). Parents of children with cancer were significantly more likely to report that they had slept "badly" (67.3 versus 21.0 %; χ(2) = 21.9, p < 0.001). Significant predictors of sleep duration included anxiety (p = 0.013) and caffeine consumption (p = 0.017). Parents who slept on the ward attributed poor sleep to feelings of anxiety, environmental noise, and child-related factors.
Parents who sleep on the pediatric oncology ward experience poor sleep outcomes, including inadequate duration and frequent interruptions. The detrimental effects of sleep deprivation on parents' ability to cope during this challenging time require further investigation and intervention.
鼓励儿科肿瘤患者的父母在病房陪睡，以便在夜间提供额外的护理。本研究的目的是提供首个儿科肿瘤病房内父母自我报告的睡眠量和睡眠质量的流行率估计值，并与年龄匹配的对照组父母进行比较。
接受住院癌症治疗的儿童的父母和健康、年龄匹配的儿童的父母完成了一份自我报告问卷，包括父母睡眠和心理困扰的验证性测量、人口统计学和临床特征。
共有 114 位父母参与（癌症儿童的父母 52 位；对照组父母 62 位；总回复率为 70%）。儿科肿瘤病房的父母报告平均每晚睡 5.7 小时（SD = 1.8），而对照组父母在家中报告每晚睡 7.0 小时（SD = 1.4；t = 4.3，p < 0.001）。父母报告说在病房每晚平均醒来 4.6 次（SD = 0.3），而对照组父母报告说每晚醒来 2.0 次（SD = 0.2）（t = 7.69，p < 0.001）。癌症儿童的父母更有可能报告自己睡眠质量“差”（67.3%比 21.0%；χ²（2）= 21.9，p < 0.001）。睡眠持续时间的显著预测因素包括焦虑（p = 0.013）和咖啡因摄入（p = 0.017）。在病房睡觉的父母将睡眠质量差归因于焦虑感、环境噪音和与孩子有关的因素。
在儿科肿瘤病房陪睡的父母睡眠质量较差，包括睡眠时间不足和频繁中断。睡眠剥夺对父母在这段充满挑战的时间内应对能力的不利影响需要进一步的调查和干预。
