哮喘儿童睡眠障碍与家庭功能的现状调查及相关性分析

doi:10.11852/zgetbjzz2022-1021

摘要/Abstract

摘要： 目的了解哮喘儿童睡眠障碍与家庭功能的状况,并探讨哮喘儿童家庭功能与睡眠障碍的相关性,为哮喘儿童睡眠障碍的防治提供依据。方法采用方便抽样法,选取2019年12月—2020年10月在潍坊市人民医院就诊及住院治疗的256例6~11岁哮喘儿童为研究对象,采用一般资料问卷、家庭功能评定量表-总体功能分量表(GF-FAD)、儿童睡眠障碍量表(SDSC)进行问卷调查。结果 256例哮喘儿童GF-FAD得分为29.80±5.56,SDSC得分为37.54±5.30,睡眠障碍检出者为93例,检出率为36.33%;哮喘儿童GF-FAD得分与SDSC得分呈正相关(r=0.373,P<0.001)。回归分析结果显示:学习成绩(β=0.232、P<0.001)、体育活动受限情况(β=0.193、P=0.001)、家庭功能(β=0.285、P<0.001)是哮喘儿童睡眠障碍的重要影响因素。结论哮喘儿童睡眠障碍现状有待改善,家庭功能是其睡眠障碍的重要影响因素,医护人员应注重患儿家庭功能的改善,以提高其睡眠质量,从而促进哮喘儿童的生长发育。

关键词: 哮喘, 家庭功能, 睡眠障碍, 儿童

Abstract: Objective To investigate the current situation of sleep disorder and family function in children with asthma, and to explore the correlation between family function and sleep disorder of children with asthma, so as to provide basis for the prevention and treatment of sleep disorder in children with asthma. Methods Using convenience sampling method, 256 asthmatic children aged 6 - 11 years who were treated in the outpatient department and inpatient treatment in Weifang People's Hospital during December 2019 to October 2020 were selected as participants. The general information questionnaire, General Function Sub-Scale of McMaster Family Assessment Device (GF-FAD) and Sleep Disturbance Scale for Children (SDSC) were used for investigation. Results The average score of GF-FAD in 256 asthmatic children was 29.80±5.56, the average score of SDSC was 37.54±5.30. A total of 93 (36.33%) asthmatic children were detected with sleep disorder. The GF-FAD score of children with asthma were positively correlated with GF-FAD score (r=0.373, P<0.001). Stratified regression analysis showed that academic performance (β=0.232, P<0.001), limited physical activity (β=0.193, P=0.001), family function (β=0.285, P<0.001) were important influencing factors of sleep disorder in children with asthma. Conclusions The current situation of sleep disorder in children with asthma needs to be improved in this area, and family function is an important influencing factor of sleep disorder. The medical staff should pay more attention to the improvement of family function, and to improve their sleep quality, thereby promoting the growth and development of children with asthma.

Key words: bronchial asthma, family function, sleep disorder, children

中图分类号:

R725.6
R740

李真真, 李世懿, 于利萍, 赵琳, 韩春芳. 哮喘儿童睡眠障碍与家庭功能的现状调查及相关性分析[J]. 中国儿童保健杂志, 2023, 31(8): 846-850.

LI Zhenzhen, LI Shiyi, YU Liping, ZHAO Lin, HAN Chunfang. Correlation analysis of sleep disorder and family function in children with asthma[J]. Chinese Journal of Child Health Care, 2023, 31(8): 846-850.

参考文献

[1] 李昱剑, 王杨, 阚璇. 中国儿童哮喘急性发作危险因素的Meta分析[J]. 中国儿童保健杂志, 2021,29(9):992-995.
Li YJ, WY, KX. Meta-analysis of risk factors for acute asthma attacks in chinesechildren[J].Chin J Child Health Care, 2021,29(9):992-995.(in Chinese)
[2] 鲍一笑, 陈爱欢, 符州, 等. 儿童支气管哮喘诊断与防治指南(2016年版)[J]. 中华儿科杂志, 2016,54(03):167-181.
Bao YX, Chen AH, Fu Z, et al. The guidelines for diagnosis and treatment of asthma in children(2016)[J]. Chin J Pediatr, 2016,54(03):167-181.(in Chinese)
[3] Sonney JT, Segrin C, Ward TM. Associations Among behavioral sleep disturbance, family functioning, and controller medication adherence in children with asthma[J]. J Developmental & Behavioral Pediatrics, 2017,38(3):208.
[4] Staccini L, Tomba E, Grandi S, et al. The evaluation of family functioning by the family assessment device:A systematic review of studies in adult clinical populations[J]. Fam Process, 2015,54(1):94-115.
[5] 顾玲燕, 杨卫云. 家庭功能和环境与哮喘患儿自我管理能力的相关性分析[J]. 护理实践与研究, 2020,17(6):123-125.
Gu LY, Yang WY. Correlation analysis of family function and enviroment related to asthma self-management ability of children patients with asthma[J].Nursing Prac Res, 2020,17(6):123-125.(in Chinese)
[6] 王丽雯. 基于症状管理理论探讨学龄期哮喘儿童睡眠障碍现状及其影响因素[D].济南:山东大学, 2019.
Wang LW. Exploring the current situation and influencing factors of sleep disorders in school-age children with asthma based on the theory of symptom management[D].Jinan:Shandong University, 2019.(in Chinese)
[7] 汪艳萍. 儿童夜间哮喘与睡眠呼吸功能紊乱的相关性研究[J]. 世界睡眠医学杂志, 2021,8(12):2136-2138.
Wang YP. A study on the correlation between nocturnal asthma and sleep respiratory dysfunction in children[J]. World Journal of Sleep Medicine, 2021,8(12):2136-2138.(in Chinese)
[8] 刘淑君, 谢庆玲, 秦岭, 等. 哮喘儿童睡眠状况临床调查研究[J]. 中国临床新医学, 2020,13(3):250-254.
Liu SJ, Xie QL, Q L,et al. A clinical investigation on sleep status of asthmatic children[J]. Chin J New Clinical Medicine, 2020,13(3):250-254.(in Chinese)
[9] Kong DL, Qin Z, Shen H, et al. Association of obstructive sleep apnea with asthma:A Meta-analysis[J]. Sci Rep, 2017,7(1):4088.
[10] Bruni O, Ottaviano S, Guidetti V, et al. The Sleep Disturbance Scale for Children (SDSC). Construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence[J]. J Sleep Res, 1996,5(4):251-261.
[11] Huang MM, Qian Z, Wang J, et al. Validation of the sleep disturbance scale for children and prevalence of parent-reported sleep disorder symptoms in Chinese children[J]. Sleep Med, 2014,15(8):923-928.
[12] 蓝宇涛, 谭娟娟, 蔡舒, 等. 支气管哮喘患儿家庭功能及其相关影响因素分析[J]. 中国继续医学教育, 2018,10(14):56-58.
Lan YT, Tan JJ, Cai S,et al. Analysis of family functioning and influencing factors in children with asthma[J]. Chin Cont Med Edu, 2018,10(14):56-58.(in Chinese)
[13] Banasiak NC. Understanding the relationship between asthma and sleep in the pediatric population[J]. J Pediatr Health Care, 2016,30(6):546-550.
[14] 薛仁杰. 儿童支气管哮喘合并睡眠障碍的研究进展[J]. 国际儿科学杂志, 2019(12):907-908.
Xue RJ. Advance in research on sleep disorder in children with bronchial asthma[J]. Int J Pediatr, 2019(12):907-908.(in Chinese)
[15] 曾云. 哮喘儿童家庭管理方式、行为问题及睡眠障碍的相关性研究[D].长沙:湖南师范大学, 2019.
Zeng Y. Study on the correlation of family management style, behavioral problems and sleep disorders in asthmatic children[D].Changsha:Hunan Normal University, 2019.(in Chinese)
[16] Tamanyan K, Walter LM, Davey MJ, et al. Risk factors for obstructive sleep apnoea in Australian children[J]. J Paediatr Child Health, 2016,52(5):512-517.
[17] van Maanen A, Wijga AH, Gehring U, et al. Sleep in children with asthma:Results of the PIAMA study[J]. Eur Respir J, 2013,41(4):832-837.
[18] 陈灏健, 温大科, 谢娟娟. 无锡市健康儿童和哮喘儿童睡眠障碍发生状况比较[J]. 中国学校卫生, 2007,28(5):425-426.
Chen HJ, Wen DK, Xie JJ. Comparison of sleep disorder between normal children and asthmatic children inwuxi[J].Chin J Sch Health, 2007,28(5):425-426.(in Chinese)
[19] Leibach GG, Everhart RS. Family assessment device:Real-world validity in urban families of children with asthma[J]. J Fam Psychol, 2017,31(5):642-647.
[20] Krajewska WJ, Krajewski W, Zatonski T. The association between ENT diseases and obesity in pediatric population:Asystemic review of current knowledge[J]. Ear Nose Throat J, 2019,98(5):E32-E43.