Children's Hospital Copenhagen and Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Pediatric Oncology Research Laboratory, Department of Pediatrics and Adolescent Medicine, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Sleep Med Rev. 2021 Oct;59:101496. doi: 10.1016/j.smrv.2021.101496. Epub 2021 Apr 26.
Hospitalized children and adolescents are at risk of short sleep and subsequent adverse health effects, but little is known about actual sleep duration, the factors that cause sleep disturbances in an inpatient pediatric setting, and what has been done to promote sleep in this population. The aim of this review was to systematically identify, categorize, and synthesize the literature on sleep in children and adolescents in an inpatient setting. We searched five electronic databases (PubMed, CENTRAL, CINAHL, PsycINFO, and Scopus) and of the 3770 references identified, 28 were eligible for inclusion. From studies reporting age-specific sleep durations, we found that four out of nineteen fell within the National Sleep Foundations recommendations for age-specific sleep durations. Reported causes of sleep disturbances were primarily related to modifiable, external factors, e.g., nursing care activities and noise from equipment and other patients. Sleep-promoting interventions seemed acceptable to patients, parents, and healthcare professionals. However, the literature in this area is heterogeneous regarding methodology, reporting, and population characteristics. Our findings underline the importance of prioritizing and optimizing sleep in hospitalized pediatric patients and highlight the need for standardization in the planning and reporting of studies within this field.
住院的儿童和青少年有睡眠不足和随后出现健康不良影响的风险，但对于实际的睡眠时间、住院儿科环境中导致睡眠障碍的因素以及在该人群中促进睡眠的措施知之甚少。本综述的目的是系统地识别、分类和综合住院儿童和青少年睡眠的文献。我们检索了五个电子数据库（PubMed、CENTRAL、CINAHL、PsycINFO 和 Scopus），在确定的 3770 篇参考文献中，有 28 篇符合纳入标准。从报告特定年龄睡眠时间的研究中，我们发现十九项研究中有四项符合国家睡眠基金会推荐的特定年龄睡眠时间。报告的睡眠障碍的原因主要与可改变的外部因素有关，例如护理活动和设备及其他患者产生的噪音。促进睡眠的干预措施似乎被患者、家长和医护人员接受。然而，该领域的文献在方法、报告和人群特征方面存在异质性。我们的研究结果强调了在住院儿科患者中优先考虑和优化睡眠的重要性，并突出了在该领域的研究规划和报告中标准化的必要性。
