睡眠障碍患病率与睡眠障碍的病例对照研究孟加拉自闭症儿童的生活方式

Md Fakhrul Alam, A S M Sarwar, Khandarker Sabit Bin Razzak, Sayadat Amin, Shamima Akter, Anika Bushra
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引用次数: 0

摘要

背景:本研究分析自闭症谱系障碍(ASD)儿童的睡眠状况,探讨常见睡眠障碍、核心症状和发育阶段之间的关系。目的:了解青少年睡眠障碍的患病率及影响因素。孟加拉国自闭症儿童的生活方式方法:本病例对照研究采用定性和定量(混合方法)相结合的方法。资料来源分为第一手资料和第二手资料。该研究在孟加拉国的08个地区进行,如达卡、吉大港、雅索尔、迈门辛格、拉杰沙希、朗布尔、巴里萨尔、锡尔赫特。这项研究包括了400名学龄儿童年龄在3-12岁之间200名儿童来自自闭症谱系障碍200名儿童来自传统发育儿童。结果:在病例组中,200名ASD患儿的监护人中,母亲最多(74%),其次是父亲(24.50%),兄弟姐妹等其他监护人仅占1.50%。在对照组(TDC)中,母亲的比例最高(71%),其次是父亲(16.50%),其他如姐妹或兄弟的比例仅为12.50%。9 ~ 12岁儿童占58.50%,6 ~ 8岁儿童占32.50%。只有9%是3 - 5岁。对照组TDC以9 ~ 12岁最高(58%),6 ~ 8岁最高(29%)。只有13%是3 - 5岁。男性占67%,女性占33%,而对照组男性占54%,女性占46%。病例组中,典型自闭症发生率最高(50.50%),转诊检查发生率最高(69.00%)。从儿童对社会反应的反应来看,个案组很少反应为35%,有时反应为27.5%,经常反应为14.0%,最大时间反应为11.5%,总是反应为12.0%。卡方检验结果显示,ASD患儿的滑动持续时间、服药时间和TDC均显著,提示ASD与睡眠障碍存在一定关联。结论:ASD患儿存在一定的睡眠障碍,生活方式具有挑战性。通过有效的诊断和测试来早期发现ASD。ASD儿童需要特别照顾和适当的生活方式管理。本研究发现,ASD儿童具有一定的创造力,特别是在手工艺、艺术和文化活动方面。适当的技能发展培训可以提高他们的创造力。因此,有必要从社会各方面支持他们。孟加拉国医疗资源理事会2023号文件;49 (2): 134 - 142
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A Case Control Study on Prevalence, Sleep Disorder & Life Style of Children with Autism of Bangladesh
Background: This research analyzes the sleeping conditions of children with autism spectrum disorder (ASD) and examines the relationship between common sleep disorders, core symptoms, and developmental phases. Objectives: To investigate the prevalence, sleep disorder & life style of children with autism of Bangladesh. Methods: This case-control study used qualitative and quantitative (Mix-Method) approaches. Sources were primary and secondary. The study conducted in 08 districts in Bangladesh such as Dhaka, Chittagong, Jassore, Mymensingh, Rajshahi, Rangpur, Barisal, Sylhet. This study included 400 school going children and the age group was within 3-12 years old and 200 children were from Autistic Spectrum Disorder and 200 children were from Traditionally Developed Children. Results: In case group among the 200 respondents who were the guardian of the children of ASD highest (74%) were mother followed by (24.50%) were father and only (1.50%) were other like brother or sister. In control group (TDC) highest (71%) respondents were mother followed by (16.50%) were father and only (12.50%) were from other like sister or brother. Highest (58.50%) ASD children were within the age of 9 to 12 years and 32.50% were 6 to 8 years old. Only 9% were from (3 to 5) years old. In control group highest (58%) TDC were within the age of 9 to 12 years and 29% were 6 to 8 years old. Only 13% were from (3 to 5) years old. Highest (67%) were male and (33%) were female on the other hand in control group (54%) were male and (46%) were female. In case group, highest (50.50%) were classical autism and highest (69.00%) were referred for test. According to children’s response to social response’s in case group rarely response was 35%, sometimes response was 27.5%, often response was 14.0%, maximum time response was 11.5%, always response was 12.0%. Chi-Square Tests results shows that both slip duration and taking pill among ASD children and TDC are significant which indicate there is certain association of ASD and sleep disorder. Conclusion: ASD Children have certain sleep disorder and challenging life style. Early detection by using effective diagnosis and test required for ASD. ASD children need special care with proper lifestyle management. This study observed that the ASD children have certain creativity especially in handicraft, art and cultural activities. Proper skill development training can improve their creativity. Therefore it is necessary to support them from all part of society. Bangladesh Medical Res Counc Bull 2023; 49(2): 134-142
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期刊介绍: The official publication of the Bangladesh Medical Research Council.
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