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澳大利亚卫生专业人员的儿童睡眠知识。

Paediatric sleep literacy in australian health professionals.

机构信息

School of Psychological Science, Faculty of Science, University of Western Australia, Perth, Australia.

School of Psychological Science, Faculty of Science, University of Western Australia, Perth, Australia.

出版信息

Sleep Med. 2021 May;81:327-335. doi: 10.1016/j.sleep.2021.02.035. Epub 2021 Feb 24.

Abstract

OBJECTIVE

This study aimed to provide the first estimate of sleep knowledge, practices, and attitudes regarding paediatric sleep in Australian health professionals.

METHODS

263 Australian health professionals (medical practitioners, nurses, psychologists, social workers, occupational therapists, pharmacists, dentists and sleep coaches) completed an anonymous survey.

RESULTS

Clients with sleep disorders were commonly encountered by health professionals, yet professionals reported little time spent on clinical training in sleep medicine at the undergraduate (∼1-5 hrs) or postgraduate (∼0.5-3.5 hrs) level. Health professionals reported seeking continuing professional development (CPD) in sleep (∼6+ hrs), and CPD had the most influence on health professionals' practice, relative to other sources of information. Over half of health professionals (∼56-58%) reported that they were not trained in sleep measurement (i.e., sleep diaries and questionnaires), or how to take a sleep history. On average, professionals answered less than half (44.5%) of paediatric sleep knowledge questions correctly (M = 13.35, SD = 6.03). Approximately one third of health professionals reported not routinely screening for sleep disorders in paediatric patients and many did not routinely recommend evidence based treatments. The impact and importance of paediatric sleep was well recognised, but sleep was considered less important than a healthy diet and exercise.

CONCLUSIONS

Results from the current study highlight key knowledge gaps regarding paediatric sleep across a wide range of Australian health professions, and may inform future efforts to reform clinical sleep medicine training in Australia.

摘要

目的

本研究旨在首次评估澳大利亚卫生专业人员对儿科睡眠的睡眠知识、实践和态度。

方法

263 名澳大利亚卫生专业人员(医生、护士、心理学家、社会工作者、职业治疗师、药剂师、牙医和睡眠教练)完成了一项匿名调查。

结果

健康专业人员经常遇到患有睡眠障碍的客户,但他们报告说,在本科(约 1-5 小时)或研究生(约 0.5-3.5 小时)水平上,在睡眠医学的临床培训上花费的时间很少。健康专业人员报告说他们在睡眠方面寻求继续教育(约 6+小时),与其他信息来源相比,继续教育对他们的实践影响最大。超过一半的卫生专业人员(约 56-58%)报告说他们没有接受过睡眠测量(即睡眠日记和问卷)或如何进行睡眠史的培训。平均而言,专业人员答对的儿科睡眠知识问题不到一半(44.5%)(M=13.35,SD=6.03)。大约三分之一的卫生专业人员报告说他们没有在儿科患者中常规筛查睡眠障碍,许多人也没有常规推荐基于证据的治疗方法。儿科睡眠的影响和重要性得到了很好的认识,但睡眠被认为不如健康饮食和运动重要。

结论

目前的研究结果突出了澳大利亚广泛的卫生专业人员在儿科睡眠方面的主要知识差距,并可能为未来改革澳大利亚临床睡眠医学培训的努力提供信息。

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