从照顾者角度探讨儿童深睡眠和阻塞性睡眠呼吸暂停与家庭关系、生活满意度和身体应激体验的关系。

Associations of deep sleep and obstructive sleep apnea with family relationships, life satisfaction, and physical stress experience in children: a caregiver perspective.

机构信息

Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.

Department of Otolaryngology Head & Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

出版信息

J Clin Sleep Med. 2023 Dec 1;19(12):2087-2095. doi: 10.5664/jcsm.10772.

DOI:10.5664/jcsm.10772

PMID:37565827

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10692943/

Abstract

STUDY OBJECTIVES

Obstructive sleep apnea (OSA) and poor quality of sleep negatively impacts health-related quality of life in adults, but few studies have evaluated the association between sleep disturbance (eg, OSA, inadequate sleep) and health-related quality of life domains (eg, family relations, life satisfaction) in children.

METHODS

Children ages 8-17 years referred to a sleep center for routine polysomnography from April 2022 to August 2022 were approached to participate in the study, and children visiting the department of pediatrics for their wellness visit were recruited for comparisons. Statistical analysis was conducted using R 3.6.0.

RESULTS

Ninety-nine children were recruited from the sleep clinic, and 23 children were recruited from the primary care clinic. Of these children, 62 were diagnosed with obstructive sleep apnea (31 mild, 12 moderate, 19 severe), and 37 did not meet criteria for a diagnosis. Health-related quality of life domains did not differ across OSA severity levels. Children in general had lower life satisfaction and higher physical stress experience compared to children visiting for their wellness examination (well-child visitors, = .05 and = .005, respectively). Children with severe OSA had significantly lower life satisfaction and significantly higher physical stress experience when compared with well-child visitors ( = .008 and = .009, respectively). Correlation analysis showed that N3 (deep) sleep was positively associated with family relations and life satisfaction, while it was negatively associated with anger.

CONCLUSIONS

Based on caregiver response, N3 sleep is positively associated with family relations and life satisfaction and negatively associated with anger. Severe OSA is associated with lower life satisfaction and higher physical stress experience.

CITATION

Bhushan B, Zee PC, Grandner MA, et al. Associations of deep sleep and obstructive sleep apnea with family relationships, life satisfaction, and physical stress experience in children: a caregiver perspective. . 2023;19(12):2087-2095.

摘要

研究目的

阻塞性睡眠呼吸暂停（OSA）和睡眠质量差会对成年人的健康相关生活质量产生负面影响，但很少有研究评估睡眠障碍（如 OSA、睡眠不足）与儿童健康相关生活质量领域（如家庭关系、生活满意度）之间的关系。

方法

2022 年 4 月至 2022 年 8 月，因常规多导睡眠图检查而被转至睡眠中心的 8-17 岁儿童被邀请参加研究，同时招募在儿科就诊的儿童作为对照组。使用 R 3.6.0 进行统计分析。

结果

从睡眠诊所招募了 99 名儿童，从初级保健诊所招募了 23 名儿童。其中，62 名儿童被诊断为阻塞性睡眠呼吸暂停（轻度 31 例，中度 12 例，重度 19 例），37 名儿童不符合诊断标准。健康相关生活质量领域在 OSA 严重程度上没有差异。与健康检查儿童相比，一般儿童的生活满意度较低，身体应激体验较高（普通儿童就诊者，=0.05 和=0.005）。与健康儿童就诊者相比，重度 OSA 儿童的生活满意度明显较低，身体应激体验明显较高（=0.008 和=0.009）。相关分析显示，N3（深）睡眠与家庭关系和生活满意度呈正相关，与愤怒呈负相关。