Sleep Problems and Sleep Disorders in Pediatric Primary Care: Treatment Recommendations, Persistence, and Health Care Utilization
Sleep Problems and Sleep Disorders in Pediatric Primary Care: Treatment Recommendations, Persistence, and Health Care Utilization
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DOI：
10.5664/jcsm.3620
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发表时间：
2014-01-01
影响因子：
4.3
通讯作者：
Mindell, Jodi A.
中科院分区：
文献类型：
--
作者：
Meltzer, Lisa J.;Plaufcan, Melissa R.;Mindell, Jodi A.
研究目的：本研究检查了记录在案的治疗建议提供的睡眠障碍和睡眠问题在儿科初级保健，睡眠问题和睡眠障碍的持续性在儿童和青少年，以及睡眠问题和卫生保健利用之间的关系。方法：深入图表审查儿科初级保健患者的访问结果：只有26名儿童（占睡眠障碍/问题儿童的5.2%）接受了治疗建议，其中一半的建议是行为性的。睡眠障碍和睡眠问题在长达三分之一的儿童中持续存在。有睡眠障碍的儿童有显着更多的生病访问/电话（平均值= 8.84，95%CI 7.77-9.90）比没有睡眠障碍的儿童（平均值= 6.34，95%CI 5.56-7.12）。结论：很少有儿童或青少年被发现有记录的治疗建议或转诊诊断为睡眠障碍或睡眠问题。此外，鉴于睡眠障碍和睡眠问题是高度持久的，以及导致更多的生病访问/电话，重要的是，儿科初级保健提供者屏幕和识别这些问题的发展。此外，在儿科初级保健中，为卫生保健提供者提供更多关于睡眠障碍和睡眠问题的教育和支持至关重要。
Study Objective: This study examined documented treatment recommendations provided for sleep disorders and sleep problems in pediatric primary care, the persistence of sleep problems and sleep disorders in children and adolescents, and the relationship between sleep issues and health care utilization.Methods: In-depth chart review of pediatric primary care patient visits (n = 750 patients) from 2007 through 2010.Results: Only 26 children (5.2% of those with a sleep disorder/problem) received a treatment recommendation, with half of these recommendations behavioral in nature. Sleep disorders and sleep problems were highly persistent across time for up to a third of children. Children with sleep disorders had significantly more sick visits/calls (mean = 8.84, 95% CI 7.77-9.90) than children without a sleep disorder (mean = 6.34, 95% CI 5.56-7.12).Conclusions: Very few children or adolescents were found to have documented treatment recommendations or referrals for diagnosed sleep disorders or sleep problems. In addition, given that sleep disorders and sleep problems are highly persistent, as well as result in more sick visits/calls, it is important that pediatric primary care providers screen for and identify these issues across development. Furthermore, it is essential to provide health care providers with more education and support on sleep disorders and sleep problems in pediatric primary care.