Use of the 'BEARS' sleep screening tool in a pediatric residents' continuity clinic: a pilot study
Use of the 'BEARS' sleep screening tool in a pediatric residents' continuity clinic: a pilot study
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在儿科住院医师连续门诊中使用 "BEARS "睡眠筛查工具：一项试点研究
DOI：
10.1016/j.sleep.2004.07.015
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发表时间：
2005-01-01
期刊：
影响因子：
4.8
通讯作者：
Dalzell, V
中科院分区：
文献类型：
--
作者：
Owens, JA;Dalzell, V
目的：为了评估一个简单的，5项儿科睡眠筛查仪器，熊的有效性（B =睡前问题，E =白天过度嗜睡，A =夜间觉醒，R =睡眠规律性和持续时间，S =打鼾）在初级保健环境中获得睡眠相关信息和识别睡眠问题的作用。在5个月的研究期间，将BEARS表格放置在2至12岁儿童的便利样本的医疗记录中，这些儿童接受了健康儿童访视。睡眠相关的信息记录在BEARS访问和预BEARS访问，这是受试者的最近一次良好的儿童检查（WCC），编码是否有睡眠问题的指示，以及是否睡眠问题addressed.Results：共195名儿童都有记录的预BEARS和BEARS WCC访问。BEARS访问比BEARS前访问更有可能记录任何睡眠信息（98.5% vs. 87.7%，p < 0.001），并记录有关睡前问题的信息（93.3% vs. 7.7%，p < 0.001），白天过度嗜睡（93.9% vs. 5.6%，p < 0.001），打鼾（92.8% vs. 7.2%，p < 0.001），夜间觉醒（91.3% vs. 29.2%，p < 0.001），睡眠规律性和持续时间（65.3% vs. 31.5%，p < 0.001）。在BEARS访问期间，在就寝时间问题（16.3% vs. 4.1%，p < 0.001），夜间觉醒（18.4% vs. 6.8%，p < 0.001）和打鼾（10.7% vs. 4.6%，p = 0.012）领域发现了明显更多的睡眠问题。最后，几乎两倍多的熊图表中提到的印象和计划（13.1%对7.3%），接近显着性（p = 0.07）。结论：熊似乎是一个用户友好的儿科睡眠筛查工具，显着增加睡眠信息记录的数量，以及在初级保健环境中识别睡眠问题的可能性。(C)2004 Elsevier B.V.保留所有权利。
Objective: To assess the effectiveness of a simple, 5-item pediatric sleep screening instrument, the BEARS (B = Bedtime Issues, E = Excessive Daytime Sleepiness, A = Night Awakenings, R = Regularity and Duration of Sleep, S = Snoring) in obtaining sleep-related information and identifying sleep problems in the primary care setting.Setting: Pediatric residents' continuity clinic in a tertiary care children's hospital.Methods: BEARS forms were placed in the medical records of a convenience sample of 2 to 12 year old children presenting for well child visits over the 5 month study period. Sleep-related information recorded in the BEARS visit and in the pre-BEARS visit, which was the subject's most recent previous well child check (WCC), was coded with respect to whether or not a sleep problem was indicated, and whether sleep issues were addressed.Results: A total of 195 children had both a documented pre-BEARS and BEARS WCC visit. BEARS visits were significantly more likely than the pre-BEARS visits to have any sleep information recorded (98.5% vs. 87.7%, p < 0.001), and to have information recorded about bedtime issues (93.3% vs. 7.7%, p < 0.001), excessive daytime sleepiness (93.9% vs. 5.6%, p < 0.001), snoring (92.8% vs. 7.2%, p < 0.001), nighttime awakenings (91.3% vs. 29.2%, p < 0.001), and regularity and duration of sleep (65.3% vs. 31.5%, p < 0.001). Significantly more sleep problems were identified during the BEARS visits in the domains of bedtime issues (16.3% vs. 4.1%, p < 0.001), nighttime awakenings (18.4% vs. 6.8%, p < 0.001) and snoring (10.7% vs. 4.6%, p = 0.012). Finally, almost twice as many BEARS charts had sleep mentioned in the Impression and Plan (13.1% vs. 7.3%), which approached significance (p = 0.07).Conclusions: The BEARS appears to be a user-friendly pediatric sleep screening tool which significantly increases the amount of sleep information recorded as well as the likelihood of identifying sleep problems in the primary care setting. (C) 2004 Elsevier B.V. All rights reserved.