Alice Lee Center for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Department of Psychological Medicine, National University of Singapore, Singapore & National University Hospital, Singapore, Singapore.
J Clin Nurs. 2024 Oct;33(10):4124-4137. doi: 10.1111/jocn.17401. Epub 2024 Aug 9.
To consolidate adolescents' perspectives regarding various aspects of sleep and offer insights to promote healthier sleep habits during their critical developmental years.
METHODS/DATA SOURCES: Six electronic databases (PubMed, CINAHL, Embase, Scopus, PsycINFO and Web of Science) were searched from their inception dates to June 2023. Data were extracted and meta-summarised using Sandelowski and Barroso's approach and synthesised using Thomas and Harden's thematic analysis framework.
Meta-synthesis from 11 peer-reviewed published studies identified four main themes: (1) Awareness and understanding of sleep's significance, (2) The shadows and radiance of slumber, (3) Traversing the sleepscape: trouble bubbles and (4) Illuminating the path: Guiding lights to enhanced sleep.
CONCLUSION/IMPLICATIONS: Our review findings suggest a lack of awareness and guidance regarding the significance of sleep and the cultivation of good sleep habits among adolescents. Identified barriers to adequate sleep encompass various factors, including overthinking, poor habits, family/environmental influences, extensive technology use, peer pressure, the fear of missing out, academic demands and involvement in extracurricular activities. Strategies to improve adolescents' sleep health involve multiple sleep strategies, including sleep education, workshops/seminars, parental involvement, incorporating digital well-being practices, the promotion of relaxation techniques and the provision of essential resources. Prioritising sleep health and implementing targeted interventions are key steps to empower adolescents, create supportive environments and shape a healthier future generation. Future research endeavours should focus on evaluating the effectiveness of interventions and exploring the influence of cultural factors.
There exists a notable lack of awareness and guidance regarding the significance of sleep and the cultivation of good sleep habits among adolescents. Barriers to achieving adequate sleep among adolescents include overthinking, poor habits, family/environmental influences, extensive technology use, peer pressure, the fear of missing out, academic demands and involvement in extracurricular activities. The collaboration between healthcare institutions, professionals and educational institutions is crucial to facilitate (1) the implementation of sleep education workshops/seminars targeting adolescents, (2) increased parental involvement and role-modelling to instil good sleep practices among adolescents and (3) enhanced integration of digital well-being practices, the promotion of relaxation techniques and accessibility to essential sleep hygiene resources.
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
No patient or public contribution.
This review was registered on the Prospective Register of Systematic Reviews (CRD42023403775).
综合青少年对睡眠各个方面的看法，并提供见解以促进他们在关键发育阶段养成更健康的睡眠习惯。
方法/数据来源：从各数据库创建日期至 2023 年 6 月，检索了 6 个电子数据库（PubMed、CINAHL、Embase、Scopus、PsycINFO 和 Web of Science）。使用 Sandelowski 和 Barroso 的方法提取数据并进行元综合，使用 Thomas 和 Harden 的主题分析框架进行综合。
对 11 项已发表的同行评议研究进行元综合，确定了四个主要主题：（1）对睡眠重要性的认识和理解；（2）睡眠的阴影与光辉；（3）穿越睡眠景观：麻烦泡泡；（4）照亮道路：增强睡眠的指导明灯。
结论/意义：我们的综述结果表明，青少年对睡眠的重要性和良好睡眠习惯的培养缺乏认识和指导。发现的充足睡眠障碍包括各种因素，包括过度思考、不良习惯、家庭/环境影响、过度使用技术、同伴压力、害怕错过、学业需求和课外活动参与。改善青少年睡眠健康的策略包括多种睡眠策略，包括睡眠教育、研讨会/研讨会、家长参与、纳入数字健康实践、促进放松技术以及提供必要资源。优先考虑睡眠健康并实施有针对性的干预措施是赋予青少年权力、创造支持性环境和塑造更健康的下一代的关键步骤。未来的研究应侧重于评估干预措施的效果，并探讨文化因素的影响。
青少年对睡眠的重要性和良好睡眠习惯的培养缺乏认识和指导。青少年实现充足睡眠的障碍包括过度思考、不良习惯、家庭/环境影响、过度使用技术、同伴压力、害怕错过、学业需求和课外活动参与。医疗机构、专业人员和教育机构之间的合作对于（1）实施针对青少年的睡眠教育研讨会/研讨会，（2）增加家长参与和树立榜样，在青少年中培养良好的睡眠习惯，以及（3）增强数字健康实践的整合、促进放松技术和获得必要的睡眠卫生资源至关重要。
系统评价和荟萃分析的首选报告项目（PRISMA）指南。
无患者或公众贡献。
本综述已在系统评价前瞻性登记库（CRD42023403775）中注册。
