Home Mechanical Ventilation in Children: Impact on the Sleep Quality of Caregivers
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25754/pjp.2022.24283 |
Resumo: | Introduction: The role played by caregivers of children with complex chronic diseases may be influenced by sleep disturbances. This situation may affect long-term quality care for children. This study aimed to evaluate the sleep quality of caregivers of children with complex chronic diseases under home mechanical ventilation. Methods: This analytical observational study was carried out from October 2018 to January 2019. We assessed the caregivers of children/adolescents with complex chronic disease under home mechanical ventilation for three months or more, followed in the pneumology clinic of a tertiary pediatric hospital in Coimbra, Portugal. The evaluation instrument included the Portuguese version of the Pittsburgh sleep quality index. Results: This study was conducted on 33 caregivers. The mean global score obtained by the sample evaluated using the Pittsburgh sleep quality index was higher than the one attained from the healthy Portuguese population sample (8 vs 1.20). Global scores ≥ 5 were obtained for 72.4% of the study sample, indicating a high risk of sleep disturbance. Caregivers of children / adolescents with respiratory disease attained the worst scores in sleep quality (mean Pittsburgh sleep quality index score = 11), followed by neuromuscular disease and central hypoventilation (mean Pittsburgh sleep quality index score = 8). There was no statistically significant difference between the three diagnostic groups. Discussion: There was a discrepancy between the subjective sleep quality (good in 64%) and the Pittsburgh sleep quality index score (poor in 72%), with significant percentage of daytime sleepiness/dysfunction (75%). Half of the study sample showed sleep efficiency indices below 85%. It is essential to raise awareness among professionals regarding the importance of evaluating the sleep quality of caregivers of children with complex chronic diseases, since the importance of the matter may be missed by them. |
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Home Mechanical Ventilation in Children: Impact on the Sleep Quality of CaregiversOriginal articlesIntroduction: The role played by caregivers of children with complex chronic diseases may be influenced by sleep disturbances. This situation may affect long-term quality care for children. This study aimed to evaluate the sleep quality of caregivers of children with complex chronic diseases under home mechanical ventilation. Methods: This analytical observational study was carried out from October 2018 to January 2019. We assessed the caregivers of children/adolescents with complex chronic disease under home mechanical ventilation for three months or more, followed in the pneumology clinic of a tertiary pediatric hospital in Coimbra, Portugal. The evaluation instrument included the Portuguese version of the Pittsburgh sleep quality index. Results: This study was conducted on 33 caregivers. The mean global score obtained by the sample evaluated using the Pittsburgh sleep quality index was higher than the one attained from the healthy Portuguese population sample (8 vs 1.20). Global scores ≥ 5 were obtained for 72.4% of the study sample, indicating a high risk of sleep disturbance. Caregivers of children / adolescents with respiratory disease attained the worst scores in sleep quality (mean Pittsburgh sleep quality index score = 11), followed by neuromuscular disease and central hypoventilation (mean Pittsburgh sleep quality index score = 8). There was no statistically significant difference between the three diagnostic groups. Discussion: There was a discrepancy between the subjective sleep quality (good in 64%) and the Pittsburgh sleep quality index score (poor in 72%), with significant percentage of daytime sleepiness/dysfunction (75%). Half of the study sample showed sleep efficiency indices below 85%. It is essential to raise awareness among professionals regarding the importance of evaluating the sleep quality of caregivers of children with complex chronic diseases, since the importance of the matter may be missed by them.Introdução: O papel desempenhado por cuidadores de crianças com doença crónica complexa pode ser influenciado por problemas do sono, o que pode afetar a longo-prazo a qualidade dos cuidados prestados à criança. Objetivo: Avaliar a qualidade do sono dos cuidadores de crianças com doença crónica complexa sob ventilação mecânica domiciliária. Métodos: Estudo observacional e analítico (outubro 2018 – janeiro 2019). Incluímos cuidadores de crianças/adolescentes com doença crónica complexa sob ventilação mecânica domiciliária há ≥3 meses, seguidos em Consulta de Pneumologia de um hospital pediátrico terciário. Instrumento de avaliação: Pittsburgh Sleep Quality Index (versão Portuguesa). Resultados: Incluímos 33 cuidadores. O valor global médio obtido pela nossa amostra no Pittsburgh Sleep Quality Index foi superior ao de uma amostra de população portuguesa saudável (8 vs 1.20). 72.4% obteve um valor global ≥5, traduzindo um maior risco de problemas do sono. Os cuidadores de crianças/adolescentes com doença respiratória obtiveram os piores valores de qualidade do sono (valor PSQI médio = 11), seguidos pela doença neuromuscular e hipoventilação central (valor PSQI médio = 8). Houve uma discrepância entre a qualidade subjetiva do sono (“Boa” em 64%) e o valor de Pittsburgh Sleep Quality Index (“Má” em 72%), com uma percentagem significativa de sonolência/disfunção diurna (75%). Metade da amostra demonstrou índices de eficiência do sono inferiores a 85%. Conclusões: É essencial alertar os profissionais para a avaliação da qualidade do sono dos cuidadores de crianças com doença crónica complexa, uma vez que esta pode não ser adequadamente percecionada.Sociedade Portuguesa de Pediatria2022-05-23info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2022.24283eng2184-44532184-3333Gonçalves, RaquelMartins, CristianaBorges, AnaMadureira, NúriaCancelinha, Cândidainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:58:19Zoai:ojs.revistas.rcaap.pt:article/24283Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:25:38.361671Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Home Mechanical Ventilation in Children: Impact on the Sleep Quality of Caregivers |
title |
Home Mechanical Ventilation in Children: Impact on the Sleep Quality of Caregivers |
spellingShingle |
Home Mechanical Ventilation in Children: Impact on the Sleep Quality of Caregivers Gonçalves, Raquel Original articles |
title_short |
Home Mechanical Ventilation in Children: Impact on the Sleep Quality of Caregivers |
title_full |
Home Mechanical Ventilation in Children: Impact on the Sleep Quality of Caregivers |
title_fullStr |
Home Mechanical Ventilation in Children: Impact on the Sleep Quality of Caregivers |
title_full_unstemmed |
Home Mechanical Ventilation in Children: Impact on the Sleep Quality of Caregivers |
title_sort |
Home Mechanical Ventilation in Children: Impact on the Sleep Quality of Caregivers |
author |
Gonçalves, Raquel |
author_facet |
Gonçalves, Raquel Martins, Cristiana Borges, Ana Madureira, Núria Cancelinha, Cândida |
author_role |
author |
author2 |
Martins, Cristiana Borges, Ana Madureira, Núria Cancelinha, Cândida |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Gonçalves, Raquel Martins, Cristiana Borges, Ana Madureira, Núria Cancelinha, Cândida |
dc.subject.por.fl_str_mv |
Original articles |
topic |
Original articles |
description |
Introduction: The role played by caregivers of children with complex chronic diseases may be influenced by sleep disturbances. This situation may affect long-term quality care for children. This study aimed to evaluate the sleep quality of caregivers of children with complex chronic diseases under home mechanical ventilation. Methods: This analytical observational study was carried out from October 2018 to January 2019. We assessed the caregivers of children/adolescents with complex chronic disease under home mechanical ventilation for three months or more, followed in the pneumology clinic of a tertiary pediatric hospital in Coimbra, Portugal. The evaluation instrument included the Portuguese version of the Pittsburgh sleep quality index. Results: This study was conducted on 33 caregivers. The mean global score obtained by the sample evaluated using the Pittsburgh sleep quality index was higher than the one attained from the healthy Portuguese population sample (8 vs 1.20). Global scores ≥ 5 were obtained for 72.4% of the study sample, indicating a high risk of sleep disturbance. Caregivers of children / adolescents with respiratory disease attained the worst scores in sleep quality (mean Pittsburgh sleep quality index score = 11), followed by neuromuscular disease and central hypoventilation (mean Pittsburgh sleep quality index score = 8). There was no statistically significant difference between the three diagnostic groups. Discussion: There was a discrepancy between the subjective sleep quality (good in 64%) and the Pittsburgh sleep quality index score (poor in 72%), with significant percentage of daytime sleepiness/dysfunction (75%). Half of the study sample showed sleep efficiency indices below 85%. It is essential to raise awareness among professionals regarding the importance of evaluating the sleep quality of caregivers of children with complex chronic diseases, since the importance of the matter may be missed by them. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-23 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25754/pjp.2022.24283 |
url |
https://doi.org/10.25754/pjp.2022.24283 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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