3-10 岁儿童的睡眠及其与健康相关生活质量的关系。
Sleep and its relation to health-related quality of life in 3-10-year-old children.
机构信息
Department of Pediatric Dentistry, Institute for Postgraduate Dental Education, Jönköping, Sweden.
Centre of Oral Health, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
出版信息
BMC Public Health. 2021 Jun 2;21(1):1043. doi: 10.1186/s12889-021-11038-7.
BACKGROUND
Considering the reports of increasing sleep problems in children, affecting health and well-being in young children and their families, we found it important to gain more knowledge about sleep and its correlation to health-related quality of life (HRQoL) in young, healthy children. The aims with this study were to describe sleep quality, sleep duration, and HRQoL in healthy 3-10-year-old children and to test associations between children's sleep and HRQoL.
METHODS
Parents of 160 children (average age: 6.9 years, SD ±2.2) participated in the study. Sleep onset problems (SOP), sleep maintenance problems (SMP), and sleep duration were measured by the Pediatric Insomnia Severity Index (PISI). KIDSCREEN-27 was used to measure HRQoL in five dimensions: physical well-being, psychological well-being, autonomy and parent relation, social support and peers, and school environment.
RESULTS
The average score was 2.2 for SOP (SD +/- 2.2) and 1.3 for SMP (SD +/- 1.6). Few children (2%) were reported to sleep less than 8 h per night. Younger children had statistically significant higher SOP and SMP than older children. Correlations were found between SOP and poor psychological well-being (p < 0.05, ρ = - 0.16), and between SMP and poor physical wellbeing (p < 0.05, ρ = - 0.16), psychological well-being (p < 0.05, ρ = - 0.21), poor school environment (p < 0.01, ρ = - 0.29), autonomy and parent relation (p < 0.05, ρ = - 0.16), and poor social support and peers (p < 0.05, ρ = - 0.19).
CONCLUSION
Children's sleep associates with health-related quality of life and needs to be acknowledged in child health care settings and schools.
背景
考虑到儿童睡眠问题不断增加的报告，这些问题会影响幼儿的健康和幸福感以及他们的家庭，我们认为有必要更多地了解睡眠及其与年轻健康儿童健康相关生活质量（HRQoL）的相关性。本研究的目的是描述 3-10 岁健康儿童的睡眠质量、睡眠时间和 HRQoL，并检验儿童睡眠与 HRQoL 之间的关系。
方法
160 名儿童的家长（平均年龄：6.9 岁，标准差 ±2.2）参加了这项研究。通过儿童失眠严重程度指数（PISI）测量入睡问题（SOP）、睡眠维持问题（SMP）和睡眠时间。使用 KIDSCREEN-27 测量五个维度的 HRQoL：身体幸福感、心理幸福感、自主性和亲子关系、社会支持和同伴关系以及学校环境。
结果
SOP 的平均得分为 2.2（标准差 +/-2.2），SMP 的平均得分为 1.3（标准差 +/-1.6）。很少有儿童（2%）报告每晚睡眠时间少于 8 小时。年龄较小的儿童的 SOP 和 SMP 显著高于年龄较大的儿童。SOP 与较差的心理幸福感呈正相关（p<0.05，ρ=-0.16），SMP 与较差的身体幸福感（p<0.05，ρ=-0.16）、心理幸福感（p<0.05，ρ=-0.21）、较差的学校环境（p<0.01，ρ=-0.29）、自主性和亲子关系（p<0.05，ρ=-0.16）以及较差的社会支持和同伴关系（p<0.05，ρ=-0.19）之间存在相关性。
结论
儿童的睡眠与健康相关的生活质量有关，需要在儿童保健场所和学校中得到重视。
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