上海市Omicron毒株感染患儿在家庭亲子病房中的睡眠状态

Sleep status of children infected with familial aggregation Omicron variant in Shanghai in parent-child ward

目的:探讨以家庭聚集性发病为特点的家庭亲子病房内2~12岁新型冠状病毒Omicron毒株感染儿童及疫情期居家儿童的睡眠质量现状及差异。方法:选取于2022年4月15日至2022年5月14日期间在上海市第六人民医院临港区定点医院儿科住院部的67例感染儿童作为阳性组,92例疫情期居家儿童作为对照组。采用儿童睡眠习惯调查问卷(Children’s Sleep Habits Questionnaire,CSHQ)对两组儿童睡眠时间、问题进行比较分析。结果:阳性组中幼儿期就寝时间晚于对照组,学龄前期早于对照组;各年龄段阳性组晨起时间均早于对照组;阳性组幼儿期夜间睡眠持续时间少于对照组(P<0.05)。阳性组各年龄段22:00后就寝率占比为35.82%,高于对照组(P<0.05)。CSHQ睡眠问题总评分高于临界总分(>41)且高于对照组,就寝习惯评分大于临界分(10.84),睡眠持续时间问题评分高于对照组(P<0.05)。阳性组入睡潜伏期、睡眠持续时间的阳性率分别为22.38%、26.86%,均高于对照组(均P<0.05);阳性组睡眠呼吸障碍、白天嗜睡发生率分别为14.93%、11.94%,均低于对照组(均P>0.05)。阳性组男女性别CSHQ睡眠问题总评分及各分量项评分比较,差异均无统计学意义(均P>0.05);阳性组3年龄段的睡眠问题,如就寝习惯、入睡潜伏期、睡眠焦虑、夜醒、异态睡眠评分比较,差异均有统计学意义(均P<0.05)。结论:新型冠状病毒Omicron毒株感染使住院患儿睡眠时间改变,睡眠问题阳性发生率升高,且不同年龄段都存在睡眠问题阳性现象,但亲子病房模式把以上影响降到最低,提示应及时以亲子病房模式进行干预,促进患儿身心健康。

Objective:To investigate the current sleeping situation and differences in sleep quality between the hospitalized children aged 2–12 years old who were infected with familial aggregation Omicron variants under a parent-child ward treatment mode and the children at home during the epidemic period.Methods:From April 15,2022 to May 14,2022,67 hospitalized children were selected in the Pediatric Inpatient Department of Lingang District Designated Hospital of Shanghai Sixth People’s Hospital as a positive group, and 92 children at home were selected as a control group. The sleep duration, sleep problems, and sleep status differences between the 2 groups were compared and analyzed with the Children’s Sleep Habits Questionnaire (CSHQ). Results: The bedtime of the early childhood children in the positive group was later than that in the control group, while the preschool-aged children were earlier than that in the control group;the morning wake-up time in the positive group was earlier than that in the control group from all ages;the nighttime sleep duration of early childhood children in positive group was less than that in the control group (P<0.05). The total rate of bedtime after 22:00 in the positive group from all ages was 35.82%, which was higher than that in the control group (P<0.05). The total score of CSHQ sleep problems in the positive group was higher than the critical score (>41) and higher than that in the control group, and the bedtime habit score was higher than the critical score (10.84), and the sleep duration problem score was higher than that in the control group (P<0.05). The positive rate of sleep latency and sleep duration in the positive group was 22.38% and 26.86%, respectively, which were higher than those in the control group (both P<0.05), and the incidence rate of sleep-disordered breathing and daytime hypersomnia was 14.93% and 11.94%, which were lower than those in the control group (both P>0.05). There was no statistically significant difference in the total score of CSHQ sleep problems and the scores of each sub-item in the positive group between males and females (all P>0.05);and there were statistically significant differences in the score of sleep problems such as the bedtime habits, sleep latency, sleep anxiety, night awakenings, and parasomnia in the positive group which was divided into 3 parts according to the age of the children (all P<0.05). Conclusion: Omicron infection caused changes in the sleep time of hospitalized children and increased the positive incidence rate of sleep problems. Besides, the positive phenomenon of sleep problems could be found in different ages. However, the parent-child ward mode could minimize the effects mentioned, which revealed that the parent-child ward mode should be practiced timely to promote the physical and mental health of the affected children.