Crawford Sara, Utt Aaron, Beebe Caylin, Armbruster Renee, Fisher Amanda, Olney Adrienne, Sherman Ashley K, Roberts Cristine
Author Affiliations: Staff Nurses (Ms Crawford, Ms Utt, and Mss Beebe, Armbruster, and Fisher), Research Advisor/Data Analyst (Ms Olney), Biostatistician (Ms Sherman), Patient Care Services Researcher (Dr Roberts), Children's Mercy Hospital, Kansas City, Missouri.
J Nurs Adm. 2019 May;49(5):273-279. doi: 10.1097/NNA.0000000000000750.
To investigate the amount and type of hospitalized children's nighttime sleep interruptions, perceptions, and efficiency.
Sleep in hospitals is notoriously poor and impedes healing. Pediatric studies have been limited including breadth of diagnoses, age, or measures.
Actigraphy, sleep surveys, and nursing diaries were used to describe sleep on 2 nursing units along with environmental assessments.
Ninety-five children from 1 month to 17 years with multiple diagnoses participated. The median number of awakenings was 2.7 per night. The median for the longest uninterrupted episode of sleep was 5.5 hours. Children need 8 to 17 hours of daily sleep, while this sample had a median of 7.5 hours of night sleep. Sensors showed talk as the predominant noise, whereas surveys showed alarms and vital signs awakened patients.
Children are not getting essential, minimally interrupted sleep in hospitals. Disseminating results will increase awareness and accelerate environmental changes.
调查住院儿童夜间睡眠中断的次数、类型、认知及效率。
医院睡眠质量差是出了名的，且会妨碍康复。儿科研究在诊断范围、年龄或测量方法等方面存在局限性。
采用活动记录仪、睡眠调查问卷和护理日记来描述两个护理单元的睡眠情况，并进行环境评估。
95名年龄从1个月至17岁、患有多种疾病的儿童参与了研究。夜间觉醒次数的中位数为每晚2.7次。最长连续睡眠时间的中位数为5.5小时。儿童每日需要8至17小时睡眠，而该样本夜间睡眠中位数为7.5小时。传感器显示交谈是主要噪音，而调查问卷显示警报声和生命体征监测吵醒了患者。
儿童在医院无法获得必要的、最少受干扰的睡眠。传播研究结果将提高人们的认识并加速环境改善。
