Bisogni S, Chiarini I, Giusti F, Ciofi D, Poggi G M, Festini F
University of L'Aquila, L'Aquila, Italy -
Minerva Pediatr. 2015 Jun;67(3):209-17. Epub 2014 Oct 9.
Sleep is essential for children's physical and mental recovery and it is indispensable for their growth, for endocrine and for immune function, and for the development of cognitive behavioral skills. The purpose of this study is to describe the impact of hospitalization on the sleep patterns of newborns, infants and toddlers, as well as mothers' perceptions of any changes in their children's sleep patterns.
This was a single-centre cross-sectional study. The study included children aged up to 2 years who had been hospitalized for more than two days, selected by accidental sampling. Data were collected using an anonymous questionnaire with open and closed questions administered to mothers.
Two hundred and one children aged on average 11.2 months (SD 10.3) were enrolled in the study. The percentage of children who at home used to sleep less than 5 hours a night increased by 4.7% in hospital, while the percentage of children sleeping 9 to 11 hours at home decreased by 5.9% in hospital. In hospital mothers put their children to bed later than at home. Indeed, the number of individuals going to bed between 9 and 10 p.m. decreased by 9.8% in hospital, while the number of children going to bed between 10 and 11 p.m. increased by 10.1%. The number of children who had 2 to 4 awakenings per night increased by 13.9% and the number of those who had 4 to 6 nocturnal awakenings increased by 4.8%; 50.5% of mothers reported that their children's sleep was interrupted by nurses to provide care. Mothers generally perceived their children's sleep as adequate, even if they noticed that their children were more restless and irritable. Mothers with only one child reported that they had more difficulty helping their children fall asleep (P=0.02).
The study highlights the need to review the routine in paediatric wards on the basis of the sleep needs of children. Further studies are needed to estimate the effectiveness of the specific measures suggested by mothers.
睡眠对儿童的身心恢复至关重要，对其生长发育、内分泌和免疫功能以及认知行为技能的发展不可或缺。本研究的目的是描述住院对新生儿、婴儿和幼儿睡眠模式的影响，以及母亲对其孩子睡眠模式变化的看法。
这是一项单中心横断面研究。该研究纳入了通过偶遇抽样选取的2岁及以下住院超过两天的儿童。通过向母亲发放包含开放式和封闭式问题的匿名问卷来收集数据。
共有201名平均年龄为11.2个月（标准差10.3）的儿童参与了该研究。在家中每晚睡眠少于5小时的儿童比例在住院期间增加了4.7%，而在家中睡眠9至11小时的儿童比例在住院期间下降了5.9%。在医院里，母亲让孩子上床睡觉的时间比在家中晚。事实上，晚上9点至10点上床睡觉的人数在住院期间减少了9.8%，而晚上10点至11点上床睡觉的儿童人数增加了10.1%。每晚醒来2至4次的儿童人数增加了13.9%，夜间醒来4至6次的儿童人数增加了4.8%；50.5%的母亲报告称护士为提供护理而打断了孩子的睡眠。母亲们普遍认为孩子的睡眠充足，即使她们注意到孩子更加烦躁不安。只有一个孩子的母亲报告称帮助孩子入睡更困难（P = 0.02）。
该研究强调需要根据儿童的睡眠需求审查儿科病房的常规安排。需要进一步研究来评估母亲们建议的具体措施的有效性。
