Mindell J A, Moline M L, Zendell S M, Brown L W, Fry J M
Department of Psychology, St. Joseph's University, Philadelphia, PA 19131.
Pediatrics. 1994 Aug;94(2 Pt 1):194-200.
A series of studies were conducted to investigate pediatricians' training, knowledge, and practices regarding sleep and sleep disorders in children and adolescents.
Study 1, a national survey of 156 pediatric residency programs, found that pediatricians receive a mean of 4.8 hours of instruction on sleep and sleep disorders, although the mode and median hours of instruction is 0 hours. In study 2, 88 pediatricians completing a questionnaire concerning general knowledge about sleep disorders in children and adolescents received a mean score of 71.8% (range, 40% to 93%). Pediatricians appear to know the most about developmental issues and sleep hygiene and the least about specific disorders such as narcolepsy and parasomnias. In the third study, 183 pediatricians were surveyed about their actual beliefs and practices regarding young children's sleep problems. Together, those surveyed reported that approximately 25% of their patients experience some type of sleep problem. Most pediatricians recommend behavioral interventions, although 14.8% of pediatricians report prescribing pharmacological treatments, and 48.9% inform parents that their child is likely to outgrow the problem.
The results of these studies support the need for more education in sleep and sleep disorders in children and adolescents within medical schools, pediatric residency programs, and the practicing pediatric community.
开展了一系列研究，以调查儿科医生关于儿童和青少年睡眠及睡眠障碍的培训、知识和实践情况。
研究1是一项对156个儿科住院医师培训项目的全国性调查，发现儿科医生接受的关于睡眠和睡眠障碍的教学平均时长为4.8小时，不过教学时长的众数和中位数为0小时。在研究2中，88名儿科医生填写了一份关于儿童和青少年睡眠障碍一般知识的问卷，平均得分71.8%（范围为40%至93%）。儿科医生似乎对发育问题和睡眠卫生了解最多，而对发作性睡病和异态睡眠等特定障碍了解最少。在第三项研究中，对183名儿科医生就他们对幼儿睡眠问题的实际看法和做法进行了调查。总体而言，接受调查的医生报告称，约25%的患者存在某种类型的睡眠问题。大多数儿科医生推荐行为干预措施，不过14.8%的儿科医生报告开具了药物治疗，48.9%的医生告知家长其孩子的问题可能会自行好转。
这些研究结果支持在医学院校、儿科住院医师培训项目以及执业儿科医生群体中，有必要加强对儿童和青少年睡眠及睡眠障碍方面的教育。
