目的 研究语言障碍儿童的睡眠状况以及睡眠问题的发生情况,为从睡眠角度指导语言障碍的综合干预提供参考。方法 2018年1-4月在青岛大学附属青岛妇女儿童医院招募语言障碍儿童78名,并选择年龄、性别匹配的94名正常儿童作为对照组。采用自行编写的睡眠调查问卷,调查两组儿童近1个月的睡眠情况。采用t 检验、χ2检验及确切概率法进行统计分析。结果 病例组睡眠问题的发生率显著高于对照组(52.56% vs. 37.23%,χ2＝4.062,P＜0.05)。其中,入睡困难的发生率显著高于对照组(47.44% vs. 31.91%,χ2＝4.318, P＜0.05)。病例组夜间就寝显著晚于对照组(21.91±0.73 vs. 21.51±0.55,t=4.070, P＜0.001),夜间睡眠时间显著少于对照组[(9.29±0.86) h vs. (9.67±0.76 h),t=-3.162,P＜0.05]。病例组中独立入睡的儿童,睡眠问题的发生率显著低于需要帮助入睡的儿童(41.30% vs. 68.75%,χ2＝5.701,P＜0.05)。夜醒后家长给予适当应答者,睡眠问题的发生率显著低于无应答及立即应答者(33.33% vs. 61.53% vs. 62.50%,χ2＝6.359,P＜0.05)。结论 语言障碍儿童睡眠问题的发生率高,夜间就寝时间晚、睡眠时间少。入睡方式、夜醒家长反应可影响其睡眠。在语言障碍儿童的综合干预中,需要充分关注其睡眠状况。
Abstract
Objective To determine the situation of sleep in children with language disorders,in order to provide a new way for the prevention and treatment of language disorders from the perspective of sleep. Methods A total of 78 children with language disorders in Qingdao Women and Children′s Hospital Affiliated to Qingdao University were selected into the case group from January to April 2018,while 94 normal children were as the control group. Self-made questionnaires on children′s sleep were used to investigate children′s sleep status over the last one month. t test,Chi-square test and Fisher test were used for statistical analysis. Results There was statistical difference on the prevalence rate of sleep problems between case group and control group(52.56% vs. 37.23%,χ2＝4.062,P＜0.05).Compared with the controls,the prevalence rate of trouble in falling asleep in case group was significantly higher (47.44% vs. 31.91%,χ2＝4.318,P＜0.05), the bedtime of nocturnal sleep was significantly later in case group (21.91±0.73 vs. 21.51±0.55,t=4.070,P＜0.001),and nocturnal sleep duration of the case group was significantly shorter than the control[ (9.29±0.86) h vs. (9.67±0.76) h,t=-3.162,P＜0.05)]. Moreover,the prevalence rate of sleep disorders in children sleeping alone was significantly lower than that of children falling asleep with parents (41.30% vs. 68.75%,χ2＝5.706,P＜0.05). When children with language disorders suffered from night awaking,children who have immediate parental response had significantly lower sleep disorders than those without parental response (33.33% vs. 61.53% vs. 62.50%,χ2＝6.359, P＜0.05). Conclusions It is indicated that children with language disorders have high prevalence of sleep problems,and the bedtime of nocturnal sleep is later,the nocturnal sleep duration is shorter. Children sleeping alone and having positive parental response would experience less sleep disorders. Therefore,in the intervention of children with language disorders,the influence of sleep on language development is supposed to be taken into consideration.
关键词
语言障碍 /
睡眠 /
儿童
Key words
language disorders /
sleep /
children
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基金
青岛市民生科技计划(15-9-2-68-nsh)
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