摘要
目的探讨学龄前孤独症谱系障碍(ASD)患儿屏幕暴露情况与睡眠问题,并对两者在该群体中的关系进行初步探讨。方法使用自制的《屏幕使用情况问卷》和《中文版儿童睡眠习惯问卷》对101例学龄前ASD患儿屏幕暴露及睡眠状况展开评估,应用Logistic回归分析探讨两者关系。结果学龄前ASD患儿屏幕暴露超时(>1 h/d)检出率为35.6%,餐时不同程度使用屏幕设备的比率为61.4%,睡前1 h不同程度使用电子屏幕设备的比率为75.2%,经常使用手机等手持屏幕设备的比率为66.3%。ASD患儿常见睡眠问题检出率分别为:睡眠不良(82.2%)、就寝习惯不良(62.4%)、睡眠时间不足(56.7%)、睡眠焦虑(44.6%)。3~4岁组与5~6岁组ASD患儿睡眠时间不足和睡眠焦虑检出率的差异有统计学意义(P均<0.05)。屏幕暴露超时是该类患儿睡眠持续不良和睡眠呼吸障碍的危险因素(OR值分别为2.982及4.615,P均<0.05)。结论学龄前ASD患儿屏幕暴露及睡眠问题均较严重,屏幕暴露超时与其睡眠持续不良和睡眠呼吸障碍的发生有关。
Objective To investigate the screen exposure status and sleep problems in preschool children with autism spectrum disorders(ASD)and explore the relationship between them.Methods The screen exposure status and sleep problems of 101 preschool ASD children were evaluated by self-designed screen usage questionnaire and Chinese version sleep habits questionnaire.The relationship between them was evaluated by Logistic regression analysis.Results The rate of screen exposure timeout(>1 h/d)in preschool children with ASD was 35.6%.The ratio of using screen devices during meal time was 61.4%.The ratio of using screen devices one hour before sleep to varying degrees was 75.2%.The ratio of more frequent use of handheld screen devices such as mobile phones was 66.3%.The rate of common sleep problems was as follows:poor sleep(82.2%),poor bedtime habits(62.4%),lack of sleep(56.7%),sleep anxiety(44.6%).The rate of lack of sleep and sleep anxiety significantly differed between ASD children aged 3-4 and 5-6 years groups(both P<0.05).Screen exposure timeout was a risk factor for poor sleep duration and sleep apnea(OR were 2.952 and 4.615,respectively,both P<0.05).Conclusions The screen exposure status and sleep problems of preschool ASD children are relatively serious.The screen exposure timeout is associated with the occurrence of poor sleep duration and sleep apnea in preschool ASD children.
作者
王安运
范静怡
Wang Anyun;Fan Jingyi(Department of Pediatrics,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)
出处
《新医学》
2021年第1期50-55,共6页
Journal of New Medicine
关键词
孤独症谱系障碍
儿童
学龄前
屏幕暴露
睡眠
Autism spectrum disorders
Children,preschool
Screen exposure
Sleep
