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沙特阿拉伯中部地区家长对小儿阻塞性睡眠呼吸暂停的认知与了解

The Knowledge and Awareness of Parents Regarding Pediatric Obstructive Sleep Apnea in the Central Region of Saudi Arabia.

作者信息

Alkhalifah Khalid M, Allabun Farah Saleh, Alsughayyir Abdulrahman Ahmed, Alharbi Waleed Obaid, Almagushi Sarah Abdulaziz, Alwabel Meshal S, Alhazmi Waleed

机构信息

Al-Rass General Hospital, Qassim Health Cluster, Al-Rass 58882, Saudi Arabia.

King Saud Hospital, Qassim Health Cluster, Unayzah 56437, Saudi Arabia.

出版信息

Healthcare (Basel). 2025 Apr 23;13(9):968. doi: 10.3390/healthcare13090968.

Abstract

: Pediatric obstructive sleep apnea (POSA) is a long-term sleep disorder characterized by repeated interruptions in breathing during sleep among children. These interruptions result from blockages in the upper airways, causing decreased oxygen intake and disturbed sleep. Assessing parents' awareness level and the factors affecting their knowledge is vital for enhancing early diagnosis and management of POSA. : This was a cross-sectional study that utilized data from a sample of 838 parents in the Central Region of the Kingdom of Saudi Arabia. The participants completed self-administered online surveys, which ensured anonymity. : Only 320 (38.2%) of the parents demonstrated good knowledge about POSA, while the majority, 518 (61.8%), had poor knowledge. Nearly a third, 261 (31.2%), of the parents indicated that their primary sources of information on POSA were the internet and social media platforms. The prevalence of OSA among children was quite significant, with nearly a quarter, 236 (28.2%), of parents having a child affected by the condition. Commonly recognized symptoms included snoring, reported by 425 (50.7%), and mouth breathing, reported by 156 (18.6%). Frequently cited risk factors included obesity, mentioned by 373 (44.5%), and enlarged tonsils, mentioned by 175 (20.9%). A statistically significant association was found between age, gender, marital status, education level, specialization/work, source of knowledge about POSA, knowing someone with OSA, and having a child with OSA and the level of knowledge about POSA ( < 0.05). The study identified several significant factors predicting poor parental awareness of pediatric obstructive sleep apnea (POSA) including gender [AOR = 1.65; 95% CI = 1.220-2.223; = 0.001], source of knowledge about pediatric obstructive sleep apnea [AOR = 1.35; 95% CI = 1.167-1.572; < 0.001], and knowing someone with OSA [AOR = 1.92; 95% CI = 1.301-2.832; = 0.001]. : The study revealed that parents in the Central Region had limited knowledge about POSA. There were notable gaps in recognizing and understanding the symptoms of POSA and its impact on children's mental health and academic performance. This underscores the importance of introducing targeted educational programs and initiatives for both parents and healthcare providers to enhance children's mental health and overall well-being.

摘要

小儿阻塞性睡眠呼吸暂停(POSA)是一种长期的睡眠障碍,其特征是儿童在睡眠期间呼吸反复中断。这些中断是由上呼吸道阻塞引起的,导致氧气摄入量减少和睡眠紊乱。评估家长的认知水平以及影响他们知识掌握情况的因素对于加强POSA的早期诊断和管理至关重要。

这是一项横断面研究,利用了沙特阿拉伯王国中部地区838名家长的样本数据。参与者完成了在线自填式调查问卷,确保了匿名性。

只有320名(38.2%)家长对POSA有良好的认知,而大多数家长,即518名(61.8%),认知较差。近三分之一的家长,即261名(31.2%)表示,他们关于POSA的主要信息来源是互联网和社交媒体平台。儿童中阻塞性睡眠呼吸暂停(OSA)的患病率相当高,近四分之一的家长,即236名(28.2%)有孩子受该疾病影响。常见的公认症状包括打鼾,有425名(50.7%)家长报告;以及口呼吸,有156名(18.6%)家长报告。经常被提及的风险因素包括肥胖,有373名(44.5%)家长提到;以及扁桃体肿大,有175名(20.9%)家长提到。在年龄、性别、婚姻状况、教育水平、专业/工作、关于POSA的知识来源、认识患有OSA的人以及有患OSA的孩子与对POSA的认知水平之间发现了统计学上的显著关联(P<0.05)。该研究确定了几个预测家长对小儿阻塞性睡眠呼吸暂停(POSA)认知较差的重要因素,包括性别[AOR = 1.65;95%CI = 1.220 - 2.223;P = 0.001]、关于小儿阻塞性睡眠呼吸暂停的知识来源[AOR = 1.35;95%CI = 1.167 - 1.572;P < 0.001]以及认识患有OSA的人[AOR = 1.92;95%CI = 1.301 - 2.832;P = 0.001]。

该研究表明,中部地区的家长对POSA的了解有限。在识别和理解POSA的症状及其对儿童心理健康和学业成绩的影响方面存在明显差距。这凸显了为家长和医疗保健提供者引入有针对性的教育项目和举措以促进儿童心理健康和整体福祉的重要性。

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Obstructive sleep apnea in developmental age. A narrative review.发育年龄的阻塞性睡眠呼吸暂停。叙述性综述。
Eur J Pediatr. 2020 Mar;179(3):357-365. doi: 10.1007/s00431-019-03557-8. Epub 2020 Jan 15.

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