School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Pediatric Neurology, National Taiwan University Children's Hospital, Taipei, Taiwan.
Sleep. 2018 Nov 1;41(11). doi: 10.1093/sleep/zsy157.
To examine maternal knowledge of childhood sleep and its relation to sleep quantity, quality, and variability in a clinic sample of mothers of toddlers and preschool-age children with epilepsy.
A total of 112 epileptic children wore a wrist actigraphy to objectively assess daily sleep duration and its variability across 7 days. Mothers completed the Parents' Sleep Knowledge Inventory and Children's Sleep Habits Questionnaire (CSHQ). Multivariate linear regression models were performed to predict CSHQ sleep disturbance scores, daily sleep duration, and daily sleep duration variability in children with epilepsy.
On average, mothers answered 30.5 per cent of the questions correctly about normal childhood sleep patterns. Only six (5.3%) of the mothers answered half or more of the questions correctly. Mothers more frequently answered "don't know" to questions about dreams, symptoms of sleep-disordered breathing, and adequate amounts of sleep required by children and adolescents. After adjusting for the child's age, gender, bed-sharing, and relevant clinical and epilepsy variables, poorer maternal sleep knowledge was the independent predictor of higher CSHQ sleep disturbance scores and greater intraindividual variability of daily sleep duration in epileptic children (p < 0.05).
Maternal knowledge about childhood sleep is inadequate and decreased maternal sleep knowledge is associated with poorer and more variable sleep in children with epilepsy. Findings from this study document the need to provide parental education about childhood sleep, particularly emphasizing the recommended sleep duration for children across different developmental stages and addressing the symptoms of sleep disorders commonly comorbid with epilepsy.
This trial has been registered at www.clinicaltrials.gov (trial name: Sleep Intervention for Pediatric Epilepsy; registration number: NCT02514291).
研究母亲对儿童睡眠的认知及其与诊所样本中患有癫痫的幼儿和学龄前儿童睡眠数量、质量和变异性的关系。
共有 112 名癫痫儿童佩戴腕部活动记录仪，客观评估 7 天内的日常睡眠时间及其变异性。母亲们完成了《父母睡眠知识问卷》和《儿童睡眠习惯问卷》。采用多元线性回归模型预测癫痫儿童的 CSHQ 睡眠障碍评分、每日睡眠时间和每日睡眠时间变异性。
平均而言，母亲对正常儿童睡眠模式的问题回答正确的比例为 30.5%。只有 6 位（5.3%）母亲答对了一半或更多的问题。母亲更频繁地回答“不知道”关于梦境、睡眠呼吸障碍症状以及儿童和青少年所需的充足睡眠时间的问题。在调整了儿童的年龄、性别、同床共枕以及相关临床和癫痫变量后，较差的母体睡眠知识是癫痫儿童 CSHQ 睡眠障碍评分较高和每日睡眠时间个体内变异性较大的独立预测因素（p<0.05）。
母亲对儿童睡眠的知识不足，而母亲睡眠知识的减少与癫痫儿童睡眠质量较差和变异性更大有关。本研究的结果表明，需要为父母提供有关儿童睡眠的教育，特别是强调不同发育阶段儿童的推荐睡眠时间，并解决与癫痫常见共病的睡眠障碍的症状。
这项试验已在 www.clinicaltrials.gov 上注册（试验名称：儿科癫痫睡眠干预；注册号：NCT02514291）。
