Servicio de Clínicas Interdisciplinarias del Neurodesarrollo, Hospital de Pediatría "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2021 Oct;119(5):296-303. doi: 10.5546/aap.2021.eng.296.
Sleep problems (SPs) are common, especially among children with developmental disorders (DDs), and affect their functioning and quality of family life. Pediatricians play a major role in their management.
To define the frequency and types of SPs in a sample of children with DDs, determine the proportion of pediatricians who addressed such difficulties, assess the effects of sleep hygiene (SH), and describe the impact of the COVID-19 pandemic on sleep.
This was a quasiexperiment. SPs were diagnosed based on parents' concerns and/or clinical criteria. SH strategies were provided and their effect was assessed as per parents' reports and the Children's Sleep Habits Questionnaire in Spanish (CSHQ-S) before and after the strategies. During the COVID-19 pandemic, the SP outcome measure and SH-related outcome measures were measured again.
A total of 161 children were included. The frequency of SPs was 55 %; 80 % improved with SH. Eighty-three percent of children had a primary pediatrician; of these, 45 % had consulted about sleep. During the COVID-19 pandemic, SPs increased and SH outcome measures changed.
Approximately half of children with DDs have SPs; and the problem was only addressed by 45 % of pediatricians. SH was beneficial for most children, so pediatricians' role seems critical. During the COVID-19 pandemic, SPs increased, probably as a result of its environmental impact on children with DDs.
睡眠问题（SPs）很常见，尤其是在患有发育障碍（DDs）的儿童中，会影响他们的功能和家庭生活质量。儿科医生在其管理中起着重要作用。
在一组患有 DDs 的儿童中定义 SPs 的频率和类型，确定解决这些困难的儿科医生的比例，评估睡眠卫生（SH）的效果，并描述 COVID-19 大流行对睡眠的影响。
这是一项准实验研究。根据父母的担忧和/或临床标准诊断 SPs。提供 SH 策略，并根据父母的报告和西班牙语儿童睡眠习惯问卷（CSHQ-S）评估策略前后的效果。在 COVID-19 大流行期间，再次测量 SP 结果测量和与 SH 相关的结果测量。
共纳入 161 名儿童。SP 的频率为 55%；80%通过 SH 得到改善。83%的儿童有初级儿科医生；其中 45%咨询过睡眠问题。在 COVID-19 大流行期间，SP 增加，SH 结果测量发生变化。
大约一半患有 DDs 的儿童存在 SPs 问题；只有 45%的儿科医生解决了这个问题。SH 对大多数儿童有益，因此儿科医生的角色似乎至关重要。在 COVID-19 大流行期间，SP 增加，可能是其对患有 DDs 的儿童的环境影响所致。
