Sleep Hygiene for Children With Neurodevelopmental Disabilities
Sleep Hygiene for Children With Neurodevelopmental Disabilities
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DOI：
10.1542/peds.2007-3308
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发表时间：
2008-12-01
期刊：
影响因子：
8
通讯作者：
Ipsiroglu, Osman S.
中科院分区：
文献类型：
--
作者：
Jan, James E.;Owens, Judith A.;Ipsiroglu, Osman S.
神经发育障碍儿童的睡眠障碍很常见，对儿童和整个家庭的生活质量都有深远的影响。尽管对这些儿童的睡眠问题的干预通常涉及行为和药物策略的组合，但治疗的一线是促进改善睡眠习惯或“卫生”。尽管睡眠卫生原则很重要，但临床医生往往缺乏适当的知识和技能来实施这些原则。睡眠卫生原则被定义为基本的最佳环境、时间安排、睡眠实践和生理睡眠促进因素。此外，睡眠卫生做法可能需要修改和调整，以适应这一群体的儿童，与健康的同行相比，实施起来往往更具挑战性。这是第一次对残疾儿童的睡眠卫生进行全面、多学科的审查，阐述了将这些措施纳入其治疗的基本原理，概述了一般和具体的促进睡眠的做法，并讨论了在各种临床实践环境中实施这些措施的问题解决策略。儿科2008；122：1343-1350
Sleep disturbances in children with neurodevelopmental disabilities are common and have a profound effect on the quality of life of the child, as well as the entire family. Although interventions for sleep problems in these children often involve a combination of behavioral and pharmacologic strategies, the first line of treatment is the promotion of improved sleep habits or "hygiene." Despite the importance of sleep-hygiene principles, defined as basic optimal environmental, scheduling, sleep-practice, and physiologic sleep-promoting factors, clinicians often lack appropriate knowledge and skills to implement them. In addition, sleep-hygiene practices may need to be modified and adapted for this population of children and are often more challenging to implement compared with their healthy counterparts. This first comprehensive, multidisciplinary review of sleep hygiene for children with disabilities presents the rationale for incorporating these measures in their treatment, outlines both general and specific sleep-promotion practices, and discusses problem-solving strategies for implementing them in a variety of clinical practice settings. Pediatrics 2008; 122: 1343-1350