Objective assessment of sleep status and its correlates among hospitalized children with cancer.
Objective assessment of sleep status and its correlates among hospitalized children with cancer.
复制标题
癌症住院儿童睡眠状况及其相关性的客观评估。
DOI：
10.1111/ped.12927
复制
发表时间：
2016
影响因子：
1.4
通讯作者：
Kamibeppu K.
中科院分区：
文献类型：
--
作者：
Setoyama A;Ikeda M;Kamibeppu K.
背景癌症儿童有睡眠问题。虽然住院和心理社会因素被认为是影响儿童睡眠的因素，但很少有研究证实这些影响。本研究的目的是描述住院儿童癌症的睡眠状况，并探讨correlations.MethodsThe 11例住院儿童（年龄2-12岁）的癌症，使用活动记录仪和睡眠日记在住院期间和短期的家庭住宿的睡眠状况。可能的相关性进行了评估，使用questionnaire.ResultsThe参与者有显着较长的睡眠潜伏期，较早的就寝时间，和较差的自我评估的睡眠质量在住院期间比短期的家庭住宿。与健康的历史对照组相比，他们的总睡眠时间更短，入睡后醒来的时间更长，在家的睡眠效率更低。儿童的年龄，症状，住院时间，认知疲劳，程序性焦虑，治疗焦虑，社交焦虑，分离焦虑，以及照顾者焦虑，接受和专注的态度，和Regimented态度与睡眠variables.ConclusionsHospitalization降低自我评估的睡眠质量，入睡困难。与健康儿童相比，参与者在家中的睡眠受到干扰。住院、患者特征、疾病相关和一些心理社会因素与睡眠变量相关。医务人员应为个别儿童在医院入睡创造有利的环境。癌症儿童在住院早期需要更多的护理，以促进良好的睡眠。
BackgroundChildren with cancer are known to have sleep problems. Although hospitalization and psychosocial factors are considered to be the factors affecting children's sleep, few studies have confirmed these effects. The aims of this study were to describe the sleep status of hospitalized children with cancer and to explore the correlates.MethodsThe sleep status of 11 hospitalized children (aged 2–12 years) with cancer was measured using actigraph and sleep diary during hospitalization and a short home stay. Possible correlates were assessed using a questionnaire.ResultsThe participants had significantly longer sleep onset latency, earlier bedtime, and poorer self‐evaluated sleep quality during hospitalization than the short home stay. They had shorter total sleep time, longer wake time after sleep onset, and less sleep efficiency at home, compared with healthy historical controls. Children's age, symptoms, hospitalization period, Cognitive Fatigue, Procedural Anxiety, Treatment Anxiety, Social Anxiety, and Separation Anxiety, as well as caregiver anxiety, Receptive and Focused Attitude, and Regimented Attitude were significantly correlated with sleep variables.ConclusionsHospitalization decreased self‐evaluated sleep quality, and difficulty falling asleep. The sleep of the participants at home was disturbed compared with that of healthy children. Hospitalization, patient characteristics, disease‐related, and some psychosocial factors were associated with sleep variables. Medical professionals should develop a favorable environment for falling asleep in hospital for individual children. Children with cancer in the early period of hospitalization need increased care to facilitate good sleep.