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Oncol Nurs Forum:白血病儿童睡眠质量更差

来源:生物谷 2014-12-18 10:15

2014年12月18日讯 /生物谷BIOON/ --近日,Ellyn Matthews博士发表了关于急性淋巴细胞白血病(ALL)儿童和他们母亲的睡眠的研究成果。

这项题目名为“Sleep in Mother and Child Dyads During Treatment for Pediatric Acute Lymphoblastic Leukemia”的研究发表在杂志Oncology Nursing Forum上。

研究作者指出,在刚出生到14岁之间,儿童癌症形式中,ALL占到癌症诊断的三分之一,虽然相比其他类型的癌症,ALL的存活率有一定的优势,但ALL症状如睡眠中断和疲劳会给儿童以及家庭或护理者带来很大困扰。

为了更好地了解这些情况,研究人员让研究对象完成问卷调查和睡眠日记,以评估他们的睡眠时间数量和质量。此外,ALL儿童母亲和戴上腕表,以检测他们的运动和睡眠/休息、觉醒周期。

与对照组相比,ALL儿童与他们的母亲报道有更严重的失眠,更严重的失眠与焦虑,抑郁症状等有关。研究发现ALL孩子都需要较长的时间才能入睡,有更糟糕的睡眠习惯和模式。(生物谷Bioon.com)

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Sleep in Mother and Child Dyads During Treatment for Pediatric Acute Lymphoblastic Leukemia

Ellyn E. Matthews, et al.

Abstract
Purpose/Objectives: To compare the sleep of children with acute lymphoblastic leukemia (ALL) during maintenance treatment with controls and to measure the effect on maternal sleep.

Design: Comparative, descriptive.

Setting: Pediatric oncology clinic and communities in Colorado.

Sample: 26 dyads of mothers and children with ALL and matched controls.

Methods: Mothers completed insomnia severity, mood, and stress questionnaires and wore a wrist actigraph, and mothers and children completed a seven-day sleep diary.

Main Research Variables: Mother and child sleep parameters (e.g., total sleep time, sleep latency, sleep efficiency, awakenings); maternal insomnia severity, mood, and stress; child sleep habits.

Findings: Mothers of children with ALL reported greater insomnia compared to controls, which was correlated with anxiety, depressive symptoms, and stress. Maternal groups did not differ on diary- and actigraph-measured sleep outcomes; both groups experienced sleep fragmentation. Children with ALL took longer to fall asleep and had more variable sleep patterns.

Conclusions: Actigraph and sleep diary data indicated adequate maternal sleep duration and sleep latency. Self-reported insomnia severity in mothers of children with ALL suggested sleep fragmentation that may be undetected by these measures.

Implications for Nursing: Oncology nurses are in a unique position to identify sleep problems in mothers and children with ALL, which may lead to recommendations for improved sleep and referrals for treatment.

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