Meltzer Lisa J, Pugliese Cara E
1 Department of Pediatrics, National Jewish Health, Denver, CO, USA.
2 Department of Neuropsychology, Children's National Health System, Washington, DC, USA.
J Child Health Care. 2017 Sep;21(3):301-311. doi: 10.1177/1367493517712064. Epub 2017 Jun 5.
Sleep problems are common in healthy young children, as well as in older children and adolescents with asthma; yet little is known about the sleep patterns and sleep issues of young children with asthma. Further, when young children have sleep disruptions, parental sleep is also typically disrupted. The purpose of this study was to characterize sleep in young children (one to four years) with and without asthma and their parents. Parents of young children ( n = 364) from the general community completed measures of sleep patterns and sleep issues in their children and in themselves. Compared to children with well-controlled asthma or no asthma, children with poorly controlled asthma had poorer sleep patterns, more difficulty falling asleep, and more sleep disruptions (i.e. restless sleep, frequent apneas and gasping during sleep, and frequent sleep terrors). Parents of children with poorly controlled asthma indicated their own sleep was regularly disrupted, and they had frequent night awakenings due to attending to, and stress caused by, their child's health needs. Children with poorly controlled asthma and their parents demonstrated significant sleep issues. Clinical implications for working with young children with asthma and their parents are discussed.
睡眠问题在健康的幼儿中很常见，在患有哮喘的大龄儿童和青少年中也很常见；然而，对于患有哮喘的幼儿的睡眠模式和睡眠问题却知之甚少。此外，当幼儿睡眠受到干扰时，父母的睡眠通常也会受到干扰。本研究的目的是描述患有和未患有哮喘的幼儿（1至4岁）及其父母的睡眠情况。来自普通社区的幼儿父母（n = 364）完成了关于他们孩子和他们自己的睡眠模式及睡眠问题的测量。与哮喘控制良好或无哮喘的儿童相比，哮喘控制不佳的儿童睡眠模式较差，入睡更困难，睡眠干扰更多（即睡眠不安、睡眠期间频繁呼吸暂停和喘息，以及频繁夜惊）。哮喘控制不佳的儿童的父母表示他们自己的睡眠经常受到干扰，并且由于照顾孩子的健康需求以及孩子的健康需求所带来的压力，他们经常夜间醒来。哮喘控制不佳的儿童及其父母表现出明显的睡眠问题。本文讨论了针对患有哮喘的幼儿及其父母的临床意义。
