Department of Emergency Medicine, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Emergency Medicine, School of Medicine, Taipei Medical University, Taipei, Taiwan.
Biomed Res Int. 2020 Jun 22;2020:9421712. doi: 10.1155/2020/9421712. eCollection 2020.
Unintentional injury remains the leading cause of death in children worldwide. Adequate parental supervision is a crucial strategy for preventing injury. Many factors, such as a large family size, poor socioeconomic status, and the caregiver being a single mother, contribute to unintentional injury in children. In addition, sleep deprivation in caregivers might be associated with injury in children because sleep deprivation causes impaired daytime cognitive function, wake-state instability, and negative moods, thereby impairing caregiver supervision. Therefore, this study determines the association between injury in children and the sleep quality of their primary caregivers.
This is a retrospective case-control study on unintentional injury in children aged 0 to 4 years who visited the emergency department (case group) and an age- and sex-matched control group. Sleep quality in caregivers was assessed using the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). Logistic regression was used to evaluate the association between aspects of the PSQI and injury. A propensity score model was used to generate a quasirandomized design.
This case-control study recruiting 277 injured and 274 noninjured children was conducted in Taiwan. There was no statistically significant difference in child's age and primary caregiver's age between the injured and noninjured groups. The primary outcome, Pittsburgh sleep quality index, was not significantly different between the two groups. The average scores of sleep duration and habitual sleep efficiency in the control group were higher than those in the case group. However, there was no difference between the two groups after adjusting via a propensity score model, including the following potential confounders, child's age, child's sex, number of previous injury, caregiver mental status, caregiver's sex and caregiver's age, and the number of children living together.
Our study was the first to examine the association between injury in children and the sleep quality of their primary caregivers. We observed that no PSQI component significantly affected the risk of injury among children.
意外伤害仍然是全球儿童死亡的主要原因。充分的父母监督是预防伤害的关键策略。许多因素，如家庭规模大、贫困的社会经济地位和照顾者是单身母亲，都会导致儿童意外伤害。此外，照顾者睡眠不足可能与儿童受伤有关，因为睡眠不足会导致日间认知功能受损、清醒状态不稳定和负面情绪，从而损害照顾者的监督能力。因此，本研究旨在确定儿童受伤与主要照顾者睡眠质量之间的关系。
这是一项回顾性病例对照研究，研究对象为因意外伤害到急诊科就诊的 0 至 4 岁儿童（病例组）和年龄、性别匹配的对照组。使用中文版匹兹堡睡眠质量指数（PSQI）评估照顾者的睡眠质量。使用逻辑回归评估 PSQI 各方面与伤害之间的关系。采用倾向评分模型生成拟随机设计。
本病例对照研究在台湾招募了 277 名受伤和 274 名未受伤的儿童。受伤组和未受伤组儿童年龄和主要照顾者年龄无统计学差异。主要结局指标匹兹堡睡眠质量指数两组间无显著差异。对照组的睡眠时间和习惯性睡眠效率平均得分高于病例组。然而，在通过倾向评分模型进行调整后，两组之间没有差异，包括以下潜在混杂因素：儿童年龄、儿童性别、既往受伤次数、照顾者心理状态、照顾者性别和照顾者年龄以及同住儿童人数。
本研究首次探讨了儿童受伤与主要照顾者睡眠质量之间的关系。我们观察到，PSQI 成分中没有一个显著影响儿童受伤的风险。
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