Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, NY, USA.
Department of Otolaryngology - Head and Neck Surgery, Jacobs School of Medicine & Biomedical Sciences at the University at Buffalo, Buffalo, NY, USA.
Ann Otol Rhinol Laryngol. 2023 Jul;132(7):738-744. doi: 10.1177/00034894221112911. Epub 2022 Jul 21.
Obstructive sleep apnea (OSA) is present in approximately 2% to 5% of children; however, only 15% of parents are reported to be knowledgeable about OSA in children. Sleep apnea in children can lead to cardiopulmonary disease, abnormal weight gain, failure to thrive, or learning difficulties. The purpose of our study is to assess parental knowledge of pediatric OSA to identify any knowledge gaps.
Survey.
Three pediatric otolaryngology clinics associated with a tertiary care children's hospital in Buffalo, NY.
In June of 2021, parents of pediatric (0-18 years) otolaryngology patients completed a survey on their knowledge of OSA. Parents were asked to rank their concern about OSA and identify symptoms of OSA. Parental demographic data collected included gender, age, race, and educational level. Respondents were asked if their child had undergone a sleep study or tonsillectomy.
Of the 246 parents included, 77 (31.4%) parents had a child who had a tonsillectomy, 40 (16.3%) had a child who had a sleep study done, and 25 (10.2%) had a child with both done. For recognizing the symptoms of pediatric OSA the mean was 6.3 (95% CI 5.8-6.8) out of 13 total. Symptoms least likely recognized were nocturnal enuresis and hyperactivity, 65 (27%) and 91 (37%) of parents correctly identifying these symptoms, respectively. Greater concern about OSA correlated with greater cumulative knowledge score ( < .001). Parents whose child had undergone a tonsillectomy were more likely to be concerned about OSA in children compared to non-tonsillectomy parents ( = .003), and sleep study parents were also more likely to be concerned about OSA than non-sleep study parents ( = .045).
Parents who attended a pediatric otolaryngology clinic have knowledge gaps about pediatric sleep.
阻塞性睡眠呼吸暂停（OSA）在儿童中约占 2%至 5%；然而，据报道，只有 15%的父母了解儿童 OSA。儿童睡眠呼吸暂停可导致心肺疾病、体重异常增加、生长发育不良或学习困难。我们研究的目的是评估父母对小儿 OSA 的认识，以确定任何知识差距。
调查。
纽约州布法罗市的一家三级儿童医院的三个儿科耳鼻喉科诊所。
2021 年 6 月，儿科（0-18 岁）耳鼻喉科患者的父母完成了一份关于他们对 OSA 认识的调查问卷。父母被要求对他们对 OSA 的关注程度进行排名，并识别 OSA 的症状。收集的父母人口统计学数据包括性别、年龄、种族和教育水平。被调查者被问及他们的孩子是否接受过睡眠研究或扁桃体切除术。
在 246 名父母中，77 名（31.4%）父母的孩子接受了扁桃体切除术，40 名（16.3%）父母的孩子接受了睡眠研究，25 名（10.2%）父母的孩子同时接受了这两种治疗。在识别小儿 OSA 的症状方面，平均得分为 13 分中的 6.3 分（95%CI 5.8-6.8）。最不容易识别的症状是夜间遗尿和多动症，分别有 65（27%）和 91（37%）的父母正确识别出这些症状。对 OSA 的关注程度越高，与累计知识得分越高呈正相关（ < .001）。与非扁桃体切除术父母相比，接受扁桃体切除术的孩子的父母更关注儿童 OSA（ = .003），而接受睡眠研究的父母也比未接受睡眠研究的父母更关注 OSA（ = .045）。
参加儿科耳鼻喉科诊所的父母对小儿睡眠有知识差距。
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