Department of Paediatrics and Child Health, University of Otago Wellington, New Zealand.
Department of Women's & Children's Health, Dunedin School of Medicine, University of Otago, New Zealand.
Sleep Med Rev. 2017 Feb;31:39-47. doi: 10.1016/j.smrv.2016.01.002. Epub 2016 Jan 14.
We completed a systematic review of literature related to parent knowledge of children's sleep, to determine how much parents know about typical child sleep and symptoms related to sleep problems in childhood and how parent knowledge has been assessed. We also examined whether relationships have been reported between parent knowledge of children's sleep, parent education, child sleep problems, sleep duration, and sleep hygiene. An extensive literature search of five electronic databases was conducted, and of 615 articles identified, eight met inclusion criteria for review: four descriptive studies and four educational interventions. These studies varied considerably in the number of items included in scales, the specific content measured, the response scales used, and the populations included, limiting the conclusions that could be drawn across studies. In general, parent knowledge of child sleep was poor. Greater accuracy was reported for items pertaining to healthy sleep practices at sleep onset and daytime symptoms, in comparison with items pertaining to child sleep problems during the night. More knowledgeable parents were more likely to report that their children exhibited healthy sleep practices; associations with sleep duration were mixed. Small interventions demonstrated an increase in parental knowledge in the short-term, but effects were not maintained at follow-up. Future work is needed to clarify relations between parental knowledge and child sleep, and to design and evaluate effective methods of promoting education about child sleep in a range of parent populations. The further development of validated tools to assess parent knowledge of child sleep will be required to underpin this work.
我们对与父母对儿童睡眠的了解相关的文献进行了系统回顾，以确定父母对典型儿童睡眠以及与儿童睡眠问题相关的症状了解多少，以及如何评估父母的知识。我们还检查了父母对儿童睡眠的了解、父母教育、儿童睡眠问题、睡眠时间和睡眠卫生之间是否存在关系。我们对五个电子数据库进行了广泛的文献检索，在确定的 615 篇文章中，有 8 篇符合审查标准：4 项描述性研究和 4 项教育干预。这些研究在量表中包含的项目数量、测量的具体内容、使用的反应量表以及纳入的人群方面差异很大，限制了对研究之间的结论的推断。总的来说，父母对儿童睡眠的了解很差。与夜间儿童睡眠问题相关的项目相比，与健康睡眠习惯相关的项目和与日间症状相关的项目的准确性更高。更有知识的父母更有可能报告他们的孩子表现出健康的睡眠习惯；与睡眠时间的关联则是混杂的。短期的小型干预措施显示出父母知识的短期增加，但在随访时没有得到维持。需要进一步的工作来阐明父母知识与儿童睡眠之间的关系，并设计和评估在各种父母群体中促进儿童睡眠教育的有效方法。需要进一步开发评估父母对儿童睡眠的了解的经过验证的工具，以支持这项工作。
