a Faculty of Health Sciences , University of Ontario Institute of Technology , Oshawa , Canada.
b Lawrence S. Bloomberg Faculty of Nursing , University of Toronto , Toronto , Canada.
Behav Sleep Med. 2018 Jul-Aug;16(4):356-370. doi: 10.1080/15402002.2016.1228639. Epub 2016 Sep 15.
OBJECTIVE/BACKGROUND: Hospitalization can contribute to common sleep difficulties in children. Interventions aimed at hospitalized children need to be developed and piloted with rigorous evaluative methods. The primary purpose of this study was to examine the feasibility and acceptability of a behavioral-educational intervention aimed at increasing nighttime sleep for hospitalized children.
Hospitalized children aged 4-10 years and their caregivers.
A pilot randomized, controlled trial with concealed-group allocation was conducted. Forty-eight hospitalized children (ages 4-10) and their care-givers were randomized to either the Relax to Sleep (RTS) intervention group (n = 24) or the Usual Care (UC) comparison group (n = 24). The RTS intervention was comprised of a one-on-one educational session for the parent that was guided by a standardized booklet containing information on sleep and instructions for training the child in the use of a diaphragmatic breathing exercise. UC participants received no information about sleep or relaxation. Children wore actigraphs for 3 days and nights and completed sleep diaries. Outcome measures included feasibility, acceptability, and sleep outcomes.
Parental reports indicated they enjoyed the discussion on sleep, found the information helpful, and their child found diaphragmatic breathing easy to use, and would use it again in the future. Children in the RTS group averaged 50 minutes more nighttime sleep, and had less wake after sleep onset time compared to children in the UC group.
Sleep is critically important to children's health and well-being and should be given important consideration during hospitalization. Although the results of this pilot trial seem promising, more interventional studies are needed.
目的/背景：住院会导致儿童常见的睡眠困难。需要针对住院儿童制定并采用严格的评估方法进行试点干预。本研究的主要目的是检验针对住院儿童增加夜间睡眠时间的行为教育干预措施的可行性和可接受性。
4-10 岁住院儿童及其照顾者。
进行了一项随机、对照的试点研究，采用隐蔽分组分配。将 48 名 4-10 岁住院儿童及其照顾者随机分为 Relax to Sleep（RTS）干预组（n = 24）或常规护理（UC）对照组（n = 24）。RTS 干预包括为父母提供一对一的教育课程，该课程由一本标准化手册指导，其中包含有关睡眠的信息和培训儿童使用膈式呼吸练习的说明。UC 组参与者未获得有关睡眠或放松的信息。儿童佩戴活动记录仪 3 天 3 夜，并填写睡眠日记。结果测量包括可行性、可接受性和睡眠结果。
父母报告称，他们喜欢关于睡眠的讨论，认为信息很有帮助，他们的孩子发现膈式呼吸很容易使用，并将在未来再次使用。与 UC 组相比，RTS 组的儿童平均夜间睡眠时间增加了 50 分钟，入睡后醒来的时间也更少。
睡眠对儿童的健康和幸福至关重要，在住院期间应给予高度重视。尽管这项试点试验的结果似乎很有希望，但仍需要更多的干预研究。
