哮喘儿童睡眠障碍与家庭功能的现状调查及相关性分析

Correlation analysis of sleep disorder and family function in children with asthma

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。

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.