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整夜未眠?新诊断为 1 型糖尿病的幼儿父母的睡眠中断。

Up all night? Sleep disruption in parents of young children newly diagnosed with type 1 diabetes.

机构信息

Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.

Department of Pediatrics, King Saud University, Riyadh, Saudi Arabia.

出版信息

Pediatr Diabetes. 2022 Sep;23(6):815-819. doi: 10.1111/pedi.13371. Epub 2022 Jun 10.

DOI:10.1111/pedi.13371
PMID:35633281
Abstract

BACKGROUND

Despite the known challenges of parental adjustment to new-onset type 1 diabetes (T1D) in young children, little is known about parental sleep soon after diagnosis.

METHODS

Parents (n = 157) of young children (4.5 ± 1.6 years) with new-onset T1D (29 ± 15 days) self-reported their sleep (Pittsburgh Sleep Quality Index, PSQI) at the baseline of a behavioral randomized control trial. We examined sleep patterns and relations with continuous glucose monitor (CGM) use.

RESULTS

Over two-thirds (68.8%) reported poor sleep quality (PSQI > 5, M = 8.3 ± 4.1). The mean reported sleep duration was 5.9 ± 1.4 h/night. PSQI scores did not significantly differ by CGM use.

CONCLUSIONS

Sleep disruption is a pervasive self-reported problem among parents of young children emerging early after the T1D diagnosis. Healthcare providers should discuss parental sleep as part of diabetes care soon after diagnosis. Further interventions targeting parental sleep may be of benefit.

摘要

背景

尽管人们已经了解到父母在幼儿新诊断为 1 型糖尿病(T1D)后面临的调整挑战,但对于诊断后不久父母的睡眠情况却知之甚少。

方法

在一项行为随机对照试验的基线时,新诊断为 T1D(29±15 天)的幼儿(4.5±1.6 岁)的父母(n=157)自我报告其睡眠情况(匹兹堡睡眠质量指数,PSQI)。我们检查了睡眠模式及其与连续血糖监测仪(CGM)使用的关系。

结果

超过三分之二(68.8%)的人报告睡眠质量差(PSQI>5,M=8.3±4.1)。报告的平均睡眠时间为每晚 5.9±1.4 小时。PSQI 评分与 CGM 使用无显著差异。

结论

睡眠中断是 T1D 诊断后早期幼儿父母普遍存在的自我报告问题。医疗保健提供者应在诊断后不久就将父母的睡眠情况作为糖尿病护理的一部分进行讨论。针对父母睡眠的进一步干预可能会受益。

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