Graduate in Woman, Child & Mental Health Nursing Program, School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
Professor, Department of Pediatric Neurology, National Taiwan University Children's Hospital, Taipei, Taiwan.
J Nurs Scholarsh. 2020 Jul;52(4):352-359. doi: 10.1111/jnu.12558. Epub 2020 May 12.
To examine the association between daily screen time exposure and both sleep patterns (sleep onset, sleep offset, and nighttime, and daily sleep durations) and sleep disturbances among a clinical sample of children with epilepsy.
A cross-sectional actigraphic sleep study.
A convenience sample of 141 children with epilepsy (1.5-6 years of age) was recruited from an outpatient pediatric neurology clinic of a university-affiliated children's hospital in northern Taiwan. Participating families completed questionnaires and reported children's screen time use, with children wearing an actigraphy monitor for 7 days to assess sleep patterns. Multivariable linear regression analyses were conducted to examine the association of screen time exposure with the child's sleep patterns and sleep disturbance scores.
Mean minutes per day of screen time exposure was 89.79 ± 83.94 min, with 62 parents (44.0%) reporting their child having >1 hr of screen time daily. Mean daily sleep duration was 9.26 ± 1.01 hr, with 106 children (93.0%) sleeping <10 hr in a 24-hr period. In multivariate regression models, daily screen time exposure of >1 hour was associated with 23.4-min later sleep onset (b = 0.39, p = .02), 20.4-min later sleep offset (b = 0.34, p = .04), and more severe sleep disturbances (b = 2.42, p = .04).
In toddlers and preschool-age children with epilepsy, daily screen time exposure is greater and sleep duration is shorter than the recommended amount, with increased screen time exposure associated with disturbed sleep.
Parents need to be informed about the possible adverse impact of screen time exposure on children's sleep and health as well as the importance of limiting screen time exposure to <1 hr per day for their toddlers and preschool-age children with epilepsy.
研究临床癫痫患儿的日常屏幕时间暴露与睡眠模式（入睡、觉醒、夜间和每日睡眠时间）和睡眠障碍的相关性。
一项横断面活动记录仪睡眠研究。
从台湾北部一所大学附属儿童医院的儿科神经病门诊招募了 141 名癫痫患儿（1.5-6 岁）的便利样本。参与家庭完成了问卷调查，并报告了儿童的屏幕时间使用情况，同时让儿童佩戴活动记录仪 7 天以评估睡眠模式。采用多变量线性回归分析来研究屏幕时间暴露与儿童睡眠模式和睡眠障碍评分的相关性。
每日屏幕时间暴露的平均分钟数为 89.79±83.94 分钟，62 位家长（44.0%）报告其孩子每天有>1 小时的屏幕时间。平均每日睡眠时间为 9.26±1.01 小时，106 名儿童（93.0%）在 24 小时内睡眠时间<10 小时。在多变量回归模型中，每日屏幕时间暴露>1 小时与入睡时间延迟 23.4 分钟（b=0.39，p=0.02）、觉醒时间延迟 20.4 分钟（b=0.34，p=0.04）和更严重的睡眠障碍（b=2.42，p=0.04）相关。
在患有癫痫的幼儿和学龄前儿童中，每日屏幕时间暴露量较大，睡眠时间较短，超过推荐量，且屏幕时间暴露量增加与睡眠障碍有关。
需要告知家长，儿童屏幕时间暴露可能对其睡眠和健康产生不良影响，以及为其患有癫痫的幼儿和学龄前儿童限制每日屏幕时间暴露量<1 小时的重要性。
