Willgerodt Mayumi A, Kieckhefer Gail M, Ward Teresa M, Lentz Martha J
1Family and Child Nursing, University of Washington, Seattle, WA, USA.
J Sch Nurs. 2014 Apr;30(2):136-48. doi: 10.1177/1059840513489711. Epub 2013 May 17.
Inadequate sleep occurs in 25% of our nation's children; poor sleep is associated with physical, cognitive, and social consequences. Developing good sleep hygiene in middle childhood is important, because habits typically extend to adolescence and adulthood; yet, there has been little research on sleep interventions for school-age children. The purpose of this study was to determine the feasibility of a developmentally tailored, motivation-based intervention (MBI) focused on improving sleep behaviors in school-age children aged 8-11. Nine parent-child dyads participated in an 8-week protocol utilizing MBI and comparisons of objective (actigraphy) and subjective (sleep diaries) data. Results suggest that parent and children are able to identify a target behavior to change and complete the protocol. Further, preliminary evidence indicates that sleep patterns change using MBI. Future research will be directed toward comparative effectiveness testing and exploring ways in which it can be adapted and incorporated into school nursing practice.
我国25%的儿童存在睡眠不足的情况；睡眠不佳会带来身体、认知和社交方面的后果。在童年中期养成良好的睡眠卫生习惯很重要，因为这些习惯通常会延续到青少年期和成年期；然而，针对学龄儿童睡眠干预措施的研究却很少。本研究的目的是确定一种针对8至11岁学龄儿童、基于发展阶段量身定制的、以动机为基础的干预措施（MBI）在改善睡眠行为方面的可行性。九对亲子参与了一项为期8周的方案，该方案采用了MBI，并对客观数据（活动记录仪）和主观数据（睡眠日记）进行了比较。结果表明，家长和孩子能够确定要改变的目标行为并完成该方案。此外，初步证据表明，使用MBI后睡眠模式发生了变化。未来的研究将朝着比较有效性测试的方向进行，并探索如何对其进行调整并纳入学校护理实践。
