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[哮喘学龄儿童睡眠障碍的现状及影响因素]

[Current status and influencing factors of sleep disorders in school-age children with asthma].

作者信息

Wei Jia-Hui, Ju Ya-Bei

机构信息

Department of Respiratory Medicine, Children's Hospital of Nanjing Medical University/Nanjing Children's Hospital, Nanjing 210008, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2025 Mar 15;27(3):354-358. doi: 10.7499/j.issn.1008-8830.2409005.

Abstract

OBJECTIVES

To investigate the current status and influencing factors of sleep disorders in school-age children with asthma, providing a scientific basis for improving sleep quality and quality of life of asthmatic children.

METHODS

This study selected school-age children with asthma admitted to the Children's Hospital of Nanjing Medical University from March 2022 to March 2024 as subjects. A questionnaire was used to assess their sleep conditions, and based on the assessment results, the participants were divided into a sleep disorder group (106 children) and a non-sleep disorder group (181 children). Multivariate logistic regression analysis was conducted to identify the influencing factors of sleep disorders in asthmatic children.

RESULTS

A total of 287 asthmatic children were included, of which 106 (36.9%) had sleep disorders. Multivariate logistic regression analysis showed that being older than 10 years, obesity, poor medication adherence, unhealthy family functioning, passive smoking, and participation in only some physical activities were all risk factors for sleep disorders in school-aged children with asthma (<0.05).

CONCLUSIONS

The incidence of sleep disorders in school-age children with asthma is relatively high and influenced by multiple factors, including age, obesity, poor medication adherence, unhealthy family functioning, passive smoking, and limited participation in physical activities. To improve the sleep quality and quality of life of asthmatic children, corresponding intervention measures should be implemented targeting these influencing factors.

摘要

目的

调查哮喘学龄儿童睡眠障碍的现状及影响因素,为改善哮喘儿童的睡眠质量和生活质量提供科学依据。

方法

本研究选取2022年3月至2024年3月在南京医科大学附属儿童医院住院的哮喘学龄儿童作为研究对象。采用问卷调查评估其睡眠状况,并根据评估结果将研究对象分为睡眠障碍组(106例)和非睡眠障碍组(181例)。采用多因素logistic回归分析确定哮喘儿童睡眠障碍的影响因素。

结果

共纳入287例哮喘儿童,其中106例(36.9%)存在睡眠障碍。多因素logistic回归分析显示,年龄大于10岁、肥胖、用药依从性差、家庭功能不健康、被动吸烟以及仅参加部分体育活动均是哮喘学龄儿童睡眠障碍的危险因素(<0.05)。

结论

哮喘学龄儿童睡眠障碍发生率较高,受年龄、肥胖、用药依从性差、家庭功能不健康、被动吸烟及体育活动参与度有限等多种因素影响。为改善哮喘儿童的睡眠质量和生活质量,应针对这些影响因素采取相应的干预措施。

相似文献

本文引用的文献

1
Adherence to therapy regimen by children with asthma and their parents.哮喘患儿及其父母对治疗方案的依从性。
Postepy Dermatol Alergol. 2022 Apr;39(2):258-264. doi: 10.5114/ada.2022.115886. Epub 2022 May 9.
4
Sleep disorders in children with asthma.儿童哮喘的睡眠障碍。
Pediatr Pulmonol. 2022 Aug;57(8):1851-1859. doi: 10.1002/ppul.25264. Epub 2021 Mar 1.
6
Classification and Epidemiology of Sleep Disorders in Children and Adolescents.儿童和青少年睡眠障碍的分类与流行病学
Child Adolesc Psychiatr Clin N Am. 2021 Jan;30(1):47-64. doi: 10.1016/j.chc.2020.08.002. Epub 2020 Oct 20.
8
[Guideline for the diagnosis and optimal management of asthma in children(2016)].[儿童哮喘诊断与最佳管理指南(2016年)]
Zhonghua Er Ke Za Zhi. 2016 Mar;54(3):167-81. doi: 10.3760/cma.j.issn.0578-1310.2016.03.003.
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Classification of young children's sleep problems: a pilot study.
J Am Acad Child Adolesc Psychiatry. 2001 Jan;40(1):61-7. doi: 10.1097/00004583-200101000-00017.

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