Sleep disturbance and psychological distress among hospitalized children in India: Parental perceptions on pediatric inpatient experiences

IF 1.2 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing Pub Date : 2021-10-21 DOI:10.1111/jspn.12361

Ramya Sampath MSN, RN, Ruma Nayak M.Sc. (N), Shanthi Gladston M.Sc. (N), Kala Ebenezer MD, DCH, Shawna S. Mudd DNP, CPNP-AC, PPCNP-BC, CNE, Jessica Peck DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN, Michael J. Brenner MD, FACS, Vinciya Pandian PhD, MBA, MSN, RN, ACNP-BC, FAANP, FAAN, FRCSI

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引用次数: 2

Abstract

Purpose

Investigate parental perceptions of children's sleep disturbance and psychological distress associated with an inpatient stay in a low-resource hospital setting.

Design and Methods

Demographic and validated survey instruments were adapted for administration to parents of children in the medical wards of a tertiary hospital in India. Parents proficient in English, Hindi, Tamil, or Telugu with a child age 4–12 years admitted for at least 48 h were eligible to participate. All respondents completed the Factors Affecting Sleep Disturbance Scale, Sleep Duration Questionnaire, Sleep Disturbance Scale, and Kessler Psychological Distress Scale. Data analysis entailed descriptive statistics, correlations, and multivariate regressions to analyze relationships across responses on demographics, sleep disturbance, and psychological distress.

Results

Among 105 parents with hospitalized children, most had children 4–6 years old (54%), including 65% boys and 35% girls. Parents reported that their children slept overnight in the hospital for a mean of 8.3 ± 1.6 h. Children 4–6 year old (relative risk ratio [RRR] = 0.63, p = .004), dyspnea (RRR = 8.73, p = .04), previous hospitalization (RRR = 9.17, p = .03), nighttime procedures (RRR = 2.97, p = .03, and missing home (RRR = 6.78, p < .001) were the factors affecting sleep. Factors affecting psychological distress was nighttime medication administration (RRR = 4.92, p = .01). Sleep disturbances correlated with psychological distress (r = 0.56; p < .01).

Conclusion

Sleep disturbance and associated psychological distress in hospitalized children were widely reported by parents queried in this low-resource hospital setting.

Practical Implications

Nurses can lead efforts in ameliorating sleep in hospitalized children, including partnering with stakeholders on measures to reduce sleep disruption. Child-centered interventions may improve sleep hygiene and decrease psychological distress among children.

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印度住院儿童的睡眠障碍和心理困扰:父母对儿科住院经历的看法

目的调查在资源匮乏的医院中，父母对儿童睡眠障碍和心理困扰的看法。设计与方法采用人口统计学和经过验证的调查工具，对印度一家三级医院病房的儿童家长进行管理。精通英语、印地语、泰米尔语或泰卢固语的家长，有4-12岁的孩子入学至少48小时，才有资格参加。所有被调查者均填写了《睡眠障碍影响因素量表》、《睡眠持续时间问卷》、《睡眠障碍量表》和《凯斯勒心理困扰量表》。数据分析包括描述性统计、相关性和多变量回归，以分析人口统计学、睡眠障碍和心理困扰的反应之间的关系。结果105名住院儿童家长中，4-6岁儿童占54%，其中男孩占65%，女孩占35%。家长报告他们的孩子在医院过夜平均8.3±1.6小时。4-6岁儿童(相对危险比[RRR] = 0.63, p = 0.004)，呼吸困难(RRR = 8.73, p = 0.04)，既往住院(RRR = 9.17, p = 0.03)，夜间手术(RRR = 2.97, p = 0.04)。3、思乡是影响睡眠的因素(rr = 6.78, p < .001)。影响心理困扰的因素为夜间用药(RRR = 4.92, p = 0.01)。睡眠障碍与心理困扰相关(r = 0.56;p < .01)。结论在资源匮乏的医院，住院儿童的睡眠障碍及相关心理困扰被家长广泛反映。护士可以带头改善住院儿童的睡眠，包括与利益相关者合作采取措施减少睡眠中断。以儿童为中心的干预可以改善儿童的睡眠卫生，减少儿童的心理困扰。

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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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.