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. 2024 Apr 29:58:e20230363.
doi: 10.1590/1980-220X-REEUSP-2023-0363en. eCollection 2024.

Children and adolescents hospitalized with chronic conditions: sleep patterns, resilience and quality of life

[Article in English, Portuguese]
Welker da Silva Xavier  1 , Michelle Darezzo Rodrigues Nunes  1 , Madalena Paulos Abreu  1 , Lucila Castanheira Nascimento  2 , Flávio Rebustini  3
Affiliations

Children and adolescents hospitalized with chronic conditions: sleep patterns, resilience and quality of life

[Article in English, Portuguese]
Welker da Silva Xavier et al. Rev Esc Enferm USP. .

Abstract
in English, Spanish

Objective: To evaluate the sleep pattern of children and adolescents with chronic conditions during hospitalization and correlate it with resilience, quality of life, clinical and sociodemographic data.

Method: Quantitative, descriptive and cross-sectional study. Data collection took place between May 2022 and January 2023, with children and adolescents with chronic conditions from two hospitals in Rio de Janeiro. The instruments used were the Actigraph, Sandra Prince-Embury's Resilience Scale for Children and Adolescents and the Pediatric Quality of Life Inventory. Data analysis involved descriptive statistics and correlation tests.

Results: 40 hospitalized children and adolescents between the ages of nine and 18 took part. The results showed compromised sleep, especially in terms of duration and time awake after sleep onset. Quality of life scores were low and resilience levels were classified as medium to high. Correlations were found between resilience and sleep. In addition, sleep was influenced by diagnosis and treatment.

Conclusion: Children and adolescents hospitalized with chronic conditions experience significant sleep disturbances and have a low quality of life, but have satisfactory levels of resilience.

Objetivo:: Evaluar el patrón de sueño de niños y adolescentes con enfermedades crónicas durante la hospitalización y correlacionarlo con la resiliencia, la calidad de vida y los datos clínicos y sociodemográficos.

Método:: Estudio cuantitativo, descriptivo y transversal. La recolección de datos se realizó entre mayo de 2022 y enero de 2023, con niños y adolescentes con condiciones crónicas de dos hospitales de Río de Janeiro. Los instrumentos utilizados fueron el Actigraph, la Escala de Resiliencia para Niños y Adolescentes de Sandra Prince-Embury y el Inventario Pediátrico de Calidad de Vida. El análisis de los datos incluyó estadística descriptiva y pruebas de correlación.

Resultados:: Participaron 40 niños y adolescentes hospitalizados de entre 9 y 18 años. Los resultados mostraron un sueño comprometido, especialmente en términos de duración y tiempo despierto tras el inicio del sueño. Las puntuaciones de calidad de vida fueron bajas y los niveles de resiliencia se clasificaron entre medios y altos. Se hallaron correlaciones entre la resiliencia y el sueño. Además, el diagnóstico y el tratamiento influyeron en el sueño.

Conclusión:: Los niños y adolescentes hospitalizados con enfermedades crónicas experimentan alteraciones significativas del sueño y tienen una baja calidad de vida, pero presentan niveles satisfactorios de resiliencia.

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References

    1. 1. Silva VE, Nunes MDR, Macedo IF, Possi JCS, Silva-Rodrigues FM, Pacheco STA. Convivendo com múltiplos sintomas: a experiência de crianças e adolescentes com condição crônica. Rev Enf UERJ. 2020;28:e47474. doi: http://dx.doi.org/10.12957/reuerj.2020.47474.
    2. Silva VE, Nunes MDR, Macedo IF, Possi JCS, Silva-Rodrigues FM, Pacheco STA. Convivendo com múltiplos sintomas: a experiência de crianças e adolescentes com condição crônica. Rev Enf UERJ. 2020;28:e47474. doi: 10.12957/reuerj.2020.47474. - DOI
    1. 2. Fernandes AER, Santos CF. Manejo dos principais distúrbios do sono em pediatria. Rev Med Minas Gerais. 2019 [cited 2023 Nov 17];29:S62–7. Available from: https://rmmg.org/artigo/detalhes/2626.
    2. Fernandes AER, Santos CF. Manejo dos principais distúrbios do sono em pediatria. [[cited 2023 Nov 17]];Rev Med Minas Gerais. 2019 29:S62–7. Available from: https://rmmg.org/artigo/detalhes/2626 .
    1. 3. Vecchi CR. Causes and effects of lack of sleep in hospitalized children. Arch Argent Pediatr. 2020;118(2):e143–7. doi: http://dx.doi.org/10.5546/aap.2020.eng.e143. PubMed PMID: 32199053. - PubMed
    2. Vecchi CR. Causes and effects of lack of sleep in hospitalized children. Arch Argent Pediatr. 2020;118(2):e143–7. doi: 10.5546/aap.2020.eng.e143. - DOI - PubMed
    1. 4. Honaker SM, Meltzer LJ. Sleep in pediatric primary care: a review of the literature. Sleep Med Rev. 2016;25:31–9. doi: http://dx.doi.org/10.1016/j.smrv.2015.01.004. PubMed PMID: 26163054. - PubMed
    2. Honaker SM, Meltzer LJ. Sleep in pediatric primary care: a review of the literature. Sleep Med Rev. 2016;25:31–9. doi: 10.1016/j.smrv.2015.01.004. - DOI - PubMed
    1. 5. Setoyama A, Ikeda M, Kamibeppu K. Objective assessment of sleep status and its correlates in hospitalized children with cancer: exploratory study. Pediatr Int. 2016;58(9):842–9. doi: http://dx.doi.org/10.1111/ped.12927. PubMed PMID: 26767328. - PubMed
    2. Setoyama A, Ikeda M, Kamibeppu K. Objective assessment of sleep status and its correlates in hospitalized children with cancer: exploratory study. Pediatr Int. 2016;58(9):842–9. doi: 10.1111/ped.12927. - DOI - PubMed