孤独症谱系障碍患儿睡眠障碍管理的最佳证据总结

Summary of the best evidence for sleep disorders management in children with autism spectrum disorder

目的总结并梳理国内外关于孤独症谱系障碍患儿睡眠障碍管理的最佳证据。方法系统检索UpToDate、BMJ最佳临床实践、美国国立指南网、加拿大安大略注册护士协会指南网、苏格兰院际指南网、英国国家卫生与临床优化研究所指南网、国际指南协作网、世界卫生组织网站、医脉通、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Web of Science、Cochrane Library、PubMed、Embase、CINAHL、PsychInfo、中国生物医学文献数据库、万方数据库、中国知网、维普网、孤独症治疗科学协会网站、美国孤独症协会网站、英国孤独症协会网站等国内外数据库与网站中关于孤独症谱系障碍患儿睡眠障碍管理的相关文献,文献类型包括指南、系统评价/Meta分析、证据总结、临床决策、专家共识,检索时限均为建库至2022年11月30日。由2名经过系统循证知识培训的研究者对文献质量进行评价并进行证据提取。结果共纳入14篇文献,包括临床决策1篇、指南4篇、专家共识7篇、系统评价2篇,从孤独症谱系障碍患儿睡眠障碍筛查、评估、睡眠计划、治疗目标、干预、随访、照顾者支持、团队管理8个方面,形成了32条证据。结论本研究汇总形成了关于孤独症谱系障碍患儿睡眠障碍管理的最佳证据,为孤独症谱系障碍患儿睡眠障碍管理提供了循证依据。

Objective To summarize and sort out the best evidence for sleep disorders management in children with autism spectrum disorder.Methods Literatures related to sleep disorders management in children with autism spectrum disorder were systematically retrieved on UpToDate,BMJ Best Practice,National Guidelines Clearinghouse,Registered Nurses'Association of Ontario,Scottish Intercollegiate Guidelines Network,National Institute for Health and Clinical Excellence,Guidelines International Network,World Health Organization website,Medlive,Joanna Briggs Institute evidence-based healthcare center database,Web of Science,Cochrane Library,PubMed,Embase,CINAHL,PsychInfo,China Biology Medicine disc,Wanfang Database,CNKI,VIP,Association for Science in Autism Treatment website,Autism Society website,National Autism Society website and other domestic and foreign databases and websites.Literature types included guidelines,systematic review/Meta-analysis,evidence summary,clinical decision making and expert consensus.The search deadline was from the establishment of the databases to November 30,2022.Two researchers trained in systematic evidence-based knowledge evaluated literature quality and extracted evidence.Results A total of 14 literatures were included,including 1 clinical decision,4 guidelines,7 expert consensus and 2 systematic reviews.A total of 32 pieces of evidence were formed from 8 aspects,including screening,assessment,sleep planning,treatment goals,intervention,follow-up,caregiver support and team management of children with autism spectrum disorder.Conclusions This study summarizes and forms the best evidence on the management of sleep disorders in children with autism spectrum disorder,and provides an evidence-based basis for the management of sleep disorders in them.