Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Department of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Clin Pediatr (Phila). 2024 Jun;63(6):755-763. doi: 10.1177/00099228231188223. Epub 2023 Jul 26.
Sleep is essential for maintenance and restoration of health, yet studies exploring this in hospitalized children are scarce. In a qualitative study, we assessed the perceived quality of sleep, factors affecting sleep, and the role of health care professionals in the sleep environment for hospitalized children aged 1 to 12 years. Data were obtained from 11 semi-structured, audio-recorded, and verbatim-transcribed interviews with parents, and analyzed using a systematic thematic analysis. The interviews were coded based on iterative assessment of transcripts. Subsequently, categories and interpretative main themes were identified. Four themes emerged: (1) being informed, keeping informed; (2) coordination of care; (3) parents as main advocates for their child's sleep; and (4) environmental disturbers. Parents reported differences in their child's sleep quality during hospital compared with home. Sleep is substantially affected during hospitalization, prompting the need for interventions to improve the quality of sleep of children. Parents provided valuable suggestions for improvements.
睡眠对于维持和恢复健康至关重要，但在住院儿童中探索这一问题的研究却很少。在一项定性研究中，我们评估了住院儿童对睡眠质量的感知、影响睡眠的因素以及医护人员在儿童睡眠环境中的作用，研究对象为 1 至 12 岁的住院儿童。数据来自对 11 位家长的半结构化、录音和逐字转录的访谈，使用系统的主题分析进行分析。访谈根据对转录本的迭代评估进行编码。随后，确定了类别和解释性的主题。有四个主题出现：（1）知情、保持知情；（2）护理协调；（3）父母是孩子睡眠的主要倡导者；（4）环境干扰者。家长们报告说，与在家相比，孩子在住院期间的睡眠质量有差异。住院期间睡眠质量受到严重影响，这促使需要采取干预措施来提高儿童的睡眠质量。家长们提出了一些改进建议。
