Đo lường chất lượng giấc ngủ ở trẻ 4 tuổi tại thành phố Hồ Chí Minh: Một nghiên cứu thí điểm

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Tác giả: Văn Thành Kim, Minh Xuân Ngô, Thị Đan Thanh Nguyễn, Nguyễn Đức Tín Phạm, Kim Hồng Tăng

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.173

Bộ sưu tập: Báo, Tạp chí

ID: 286512

Thêm vào giỏ Liên kết toàn văn

Giới thiệu: Giấc ngủ đóng vai trò quan trọng đối với sự phát triển của trẻ nhỏ. Nhiều công cụ như bảng câu hỏi, đa ký giấc ngủ và gia tốc ký đã được phát triển để đo chất lượng giấc ngủ ở trẻ nhỏ. Trong đó, gia tốc ký được xem là một công cụ đạt được tiêu chí khách quan và dễ triển khai trong cộng đồng. Ở Việt Nam, chưa có nghiên cứu công bố về việc đánh giá giấc ngủ ở trẻ em bằng gia tốc ký. Nghiên cứu này được thực hiện nhằm cung cấp thông tin ban đầu về việc đánh giá giấc ngủ ở trẻ tiền tiểu học (4 tuổi) bằng công cụ ActiGraph. Phương pháp: Nghiên cứu thí điểm được thực hiện ở 40 trẻ nội thành và 40 trẻ ngoại thành tại 4 trường mẫu giáo ở TP.HCM từ tháng 4 đến tháng 11 năm 2019. Các thông số về giấc ngủ được đo bằng máy ActiGraph. Kết quả: 61% trẻ đi ngủ sau 22 giờ và thời gian ngủ trung bình là 8 giờ 35 phút. Thời gian tỉnh giấc trung bình khi ngủ (WASO) là 44 phút (IQR: 18,8 - 62). Chỉ số chuyển động (movement index) trung bình là 41,25% và chỉ số phân mảnh giấc ngủ (fragmentation index) là 18,8%. Trung bình tổng phân mảnh giấc ngủ là 60,1%. Hiệu quả trung bình giấc ngủ là 92,5%. Kết luận: Gia tốc kế là phương pháp khả thi để đo đạc chất lượng giấc ngủ ở trẻ mẫu giáo. Cỡ mẫu nhỏ là một điểm hạn chế đáng lưu ý trong nghiên cứu của chúng tôi, vì nó ảnh hưởng đến độ mạnh của các chỉ số thống kê. Các kết quả của chúng tôi có thể được dùng để làm giá trị tham khảo cho các nghiên cứu trong tương lai. Abstract Introduction: Sleep plays an important role in the development of young children. Many tools such as questionnaires, polysomnography and accelerometry have been developed to measure sleep quality in young children. Among them, accelerometry is considered an objective measurement technique and is easy to implement in community settings. In Vietnam, there has been no published research on assessing sleep in children using accelerometry. This study was conducted to provide initial information on assessing sleep in preschool children (4 years old) using the ActiGraph device. Methods: A pilot study was conducted on 40 urban children and 40 suburban children at 4 kindergartens in Ho Chi Minh City from April to November 2019. Sleep parameters were measured using the ActiGraph device worn on the participants’ left hip. Results: 61% of children went to bed after 10 p.m. and the mean sleep time was 8 hours and 35 minutes (SD: 46 min). The median wakeup after sleep onset (WASO) was 44 minutes (IQR: 18.8 - 62). The mean movement index was 41.25% and the mean fragmentation index was 18.8%. Mean total sleep fragmentation was 60.1%. The mean sleep efficiency was 92.5%. Conclusions: Accelerometry is a feasible method for measuring sleep quality in preschool children. The small sample size is a notable limitation of the study, affecting the statistical power. Our results can be used as a reference value for future studies. DOI: 10.59715/pntjmp.3.4.21

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