Sleep in hospitalized children with cancer: relationship with psychiatric disorders and hospital conditions.

Burcu Güneydaş Yıldırım, Hasan Cem Aykutlu, Tuba Eren
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Abstract

Background: Children with cancer often undergo prolonged and recurrent hospitalization, which leads to an increased incidence of sleep disruptions and psychiatric disorders. This study aimed to objectively quantify the prevalence of sleep disruptions in hospitalized pediatric oncology patients and to determine the effects of psychiatric disorders, treatment regimens, and hospital conditions on sleep patterns.

Method: This cross-sectional study included 39 children who were undergoing treatment and monitoring in the pediatric oncology inpatient service. Parents completed questionnaires providing information about their child's sleep patterns, quality of life, and hospital conditions. The children were monitored for five days using actigraphy to record sleep parameters. They were evaluated with a semi-structured interview form (Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version-DSM 5-Turkish Adaptation) for psychiatric diagnoses.

Results: Sleep disruptions were identified in 27 (69.2%) children with cancer. In addition to adjustment disorder and anxiety disorder psychiatric diagnoses, behavioral problems and emotional symptoms were more common in the group with sleep disruptions. Actigraphy measurements indicated that poor sleep was associated with younger age, recent cancer diagnosis, specific phobias, depression, daytime napping, and frequent vital sign assessments.

Conclusion: Sleep problems in hospitalized children with cancer are linked to psychiatric comorbidities, treatment routines, and hospital conditions. By recognizing psychiatric symptoms and optimizing hospital conditions that affect sleep, healthcare providers can enhance the quality of sleep for these children.

住院癌症患儿的睡眠:与精神障碍和住院条件的关系。
背景:癌症患儿往往需要长期和反复住院,这导致睡眠紊乱和精神障碍的发生率增加。本研究旨在客观量化住院儿科肿瘤患者睡眠紊乱的发生率,并确定精神障碍、治疗方案和住院条件对睡眠模式的影响:这项横断面研究包括 39 名正在接受儿科肿瘤住院治疗和监测的儿童。家长填写了调查问卷,提供了有关孩子睡眠模式、生活质量和医院条件的信息。儿童接受了为期五天的监测,使用行为记录仪记录睡眠参数。他们还接受了半结构化访谈表(学龄儿童情感障碍和精神分裂症诊断表--现在和终生版--DSM 5-土耳其语改编版)的精神病诊断评估:27名(69.2%)癌症患儿出现睡眠障碍。除了适应障碍和焦虑障碍的精神诊断外,行为问题和情绪症状在睡眠障碍儿童中也更为常见。动图测量结果表明,睡眠质量差与年龄较小、近期癌症诊断、特定恐惧症、抑郁、白天打盹和频繁的生命体征评估有关:结论:住院癌症患儿的睡眠问题与精神疾病、治疗程序和医院条件有关。通过识别精神症状和优化影响睡眠的医院条件,医护人员可以提高这些儿童的睡眠质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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