“It Affects Everything about Me”: Sleep Problems among Children with Cerebral Palsy and Their Caregivers in Ile-Ife—A Mixed-Methods Study

IF 0.2 Q4 PEDIATRICS Journal of pediatric neurology Pub Date : 2023-09-29 DOI:10.1055/s-0043-1772211
Oluwatosin E. Olorunmoteni, Joan I. Akande, Toluwani E. Babalola, Abiodun Kareem, Temiloluwa Taiwo Oyetoke, Champion Seun-Fadipe
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Abstract

Abstract Background Sleep problems are common in children with cerebral palsy (CWCP). However, the effect of sleep problems in CWCP on caregivers has not been well studied. We aimed to describe the sleep problems in CWCP and their caregivers, and explore the effect of the children's sleep on the caregivers' sleep. Methods This cross-sectional, mixed-methods research was conducted at a pediatric neurology clinic in Ile-Ife, Nigeria. The Sleep Disturbance Scale for Children (SDSC) and Pittsburgh Sleep Quality Index (PSQI) were used for assessing sleep problems of the children and their caregivers, respectively. We held three focused group discussions (FGDs) involving 18 caregivers using a pretested FGD guide. We analyzed the quantitative data using Stata-15 software, while qualitative data were transcribed and managed using ATLAS.ti Software. Results We studied 71 CWCP–caregiver dyads and 69 age- and sex-matched controls. There was a male preponderance for CWCP (M:F = 1.09:1) and female preponderance for caregivers (89.5%). Sleep disturbances (SDSC > 40) occurred in 34% of CP children and poor sleep quality was seen in 39% of caregivers. When compared with age- and sex-matched typically developing peers, there was a statistically significant higher sleep disturbance in CWCP (p = 0.009). Sleep difficulties in the CWCP comprise sleep–wake transition disorders (45.0%), difficulty initiating sleep (43.3%), and sleep breathing disorders (37.5%). Caregivers experienced short sleep duration. One mother said: “It affects my sleep, health, and work. It affects everything about me.” Conclusion Sleep problems in CWCP affect the well-being of their caregivers. Interventions targeted at both the children and their caregivers are needed.
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“它影响着我的一切”:在ile - life -一项混合方法研究中,脑瘫儿童及其照顾者的睡眠问题
摘要背景:睡眠问题在脑瘫儿童(CWCP)中很常见。然而,睡眠问题对护理人员的影响尚未得到很好的研究。本研究旨在探讨儿童睡眠对护理人员睡眠的影响,并探讨儿童睡眠对护理人员睡眠的影响。方法在尼日利亚Ile-Ife的一家儿科神经病学诊所进行了这项横断面混合方法研究。采用儿童睡眠障碍量表(SDSC)和匹兹堡睡眠质量指数(PSQI)分别评估儿童及其照顾者的睡眠问题。我们举行了三次焦点小组讨论(FGD),涉及18名护理人员使用预先测试的FGD指南。定量数据采用Stata-15软件进行分析,定性数据采用ATLAS进行转录和管理。ti的软件。结果我们研究了71名cwcp护理者和69名年龄和性别匹配的对照组。CWCP以男性为主(M:F = 1.09:1),照顾者以女性为主(89.5%)。睡眠障碍(SDSC;40)发生在34%的CP儿童中,39%的照顾者睡眠质量差。与年龄和性别匹配的典型发育同伴相比,CWCP的睡眠障碍有统计学意义上的显著增加(p = 0.009)。CWCP患者的睡眠困难包括睡眠-觉醒转换障碍(45.0%)、入睡困难(43.3%)和睡眠呼吸障碍(37.5%)。护理人员的睡眠时间较短。一位母亲说:“这会影响我的睡眠、健康和工作。它影响了我的一切。”结论CWCP患者的睡眠问题影响其照顾者的健康。需要针对儿童及其照料者的干预措施。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
52
期刊介绍: The Journal of Pediatric Neurology is a multidisciplinary peer-reviewed medical journal publishing articles in the fields of childhood neurology, pediatric neurosurgery, pediatric neuroradiology, child psychiatry and pediatric neuroscience. The Journal of Pediatric Neurology, the official journal of the Society of Pediatric Science of the Yüzüncü Yil University in Turkiye, encourages submissions from authors throughout the world. The following articles will be considered for publication: editorials, original and review articles, rapid communications, case reports, neuroimage of the month, letters to the editor and book reviews.
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