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Documents  Sommeil | enregistrements trouvés : 17

     

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Abstract: Adverse childhood experiences (ACEs) before the age of 18 years are pervasive and noteworthy public health concerns. The ACEs are associated with sleep disorders in later life. In this study, we conduct a systematic review to explore the effects of ACEs on sleep in adulthood. Using Medical Subject Headings keywords, we searched Medline, PubMed, PubMed Central, the American Psychological Association PsycArticles, and PsychInfo databases to evaluate the association between ACEs and sleep disturbances. ACEs increase the odds of developing chronic short sleep duration, that is, <6 hours of sleep per night compared with optimal sleep duration of 7-9 hours per night during adulthood. The ACEs are positively associated with poor sleep characteristics such as short sleep duration and long-term sleep problems. Clinicians should pay close attention to developmental trauma care, access community health programs, and help develop better coping skills, resiliency, and good sleep habits in their patients.
Abstract: Adverse childhood experiences (ACEs) before the age of 18 years are pervasive and noteworthy public health concerns. The ACEs are associated with sleep disorders in later life. In this study, we conduct a systematic review to explore the effects of ACEs on sleep in adulthood. Using Medical Subject Headings keywords, we searched Medline, PubMed, PubMed Central, the American Psychological Association PsycArticles, and PsychInfo databases ...

Sommeil ; Troubles du sommeil ; Adultes

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Increasing Safe Sleep Practices in the Neonatal Intensive Care Unit | Mai 2022 H

Article (Pédiatrie, néonatologie et périnatalité)

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Background: The American Academy of Pediatrics (AAP) encourages healthcare providers to practice and model safe
sleep practices (SSPs) in the neonatal intensive care unit (NICU) when it is developmentally and medically appropriate for
the infant. Preintervention data were collected as a baseline prior to the quality improvement (QI) initiative and revealed
that 87% of eligible infants were in unsafe sleep environments (n = 331/379). This data revealed the need for an improvement
project to help increase the percentage of infants placed in safe sleep in this NICU.
Purpose: The purpose of this QI initiative was to increase the percentage of eligible infants being placed in safe sleep
environments by registered nurses in a NICU.
Methods: The development of an evidence-based safe sleep bundle was implemented in a level IV NICU at an academic
medical center in the Southeastern United States. Data were subsequently collected for 5 months via bi weekly crib
audits.
Results: Of the 744 infants audited in the QI period, 604 were observed in a safe sleep environment. From the pre- to
postintervention period, SSPs increased by 68% (preintervention: 13%, postintervention: 81%, P value < .001).
Adherence to the varying components of SSPs also reflected statistically significant improvements.
Implications for Practice: SSPs should be endorsed and modeled in all NICUs. Introducing proper SSPs in the hospital
setting may lead to better compliance at home by the infants’ caregivers.
Background: The American Academy of Pediatrics (AAP) encourages healthcare providers to practice and model safe
sleep practices (SSPs) in the neonatal intensive care unit (NICU) when it is developmentally and medically appropriate for
the infant. Preintervention data were collected as a baseline prior to the quality improvement (QI) initiative and revealed
that 87% of eligible infants were in unsafe sleep environments (n = 331/379). This data ...

Néonatologie ; Prématurés ; Sommeil ; Mort subite chez le nourrisson

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Regularity and Timing of Sleep Patterns and Behavioral Health Among Adolescents | Mai 2022 H

Article (Pédiatrie, néonatologie et périnatalité)

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Objective: Sleep is vital to supporting adolescent behavioral health and functioning; however, sleep disturbances remain under-recognized and undertreated in many health care settings. One barrier is the complexity of sleep, which makes it difficult for providers to determine which aspects-beyond sleep duration-may be most important to assess and treat to support adolescent health. This study examined associations between 2 sleep indices (regularity and timing) and adolescent behavioral health and functioning over and above the impact of shortened/fragmented sleep.

Method: Eighty-nine adolescents recruited from the community (mean age = 14.04, 45% female participants) completed 7 days/nights of actigraphy and, along with a parent/guardian, reported on behavioral health (internalizing and externalizing symptoms) and psychosocial functioning. Stepwise linear regressions examined associations between sleep timing and regularity and behavioral/functional outcomes after accounting for shortened/fragmented sleep.

Results: Delayed sleep timing was associated with greater self-reported internalizing (F[6,82] = 11.57, p = 0.001) and externalizing (F[6,82] = 11.12, p = 0.001) symptoms after accounting for shortened/fragmented sleep. Irregular sleep was associated with greater self-reported and parent-reported externalizing symptoms (self: F[7,81] = 6.55, p = 0.01; parent: F[7,80] = 6.20, p = 0.01) and lower psychosocial functioning (self: F[7,81] = 6.03, p = 0.02; parent: F[7,78] = 3.99, p < 0.05) after accounting for both shortened/fragmented sleep and delayed sleep timing.

Conclusion: Sleep regularity and timing may be critical for understanding the risk of poor behavioral health and functional deficits among adolescents and as prevention and intervention targets. Future work should focus on developing and evaluating convenient, low-cost, and effective methods for addressing delayed and/or irregular adolescent sleep patterns in real-world health care settings.
Objective: Sleep is vital to supporting adolescent behavioral health and functioning; however, sleep disturbances remain under-recognized and undertreated in many health care settings. One barrier is the complexity of sleep, which makes it difficult for providers to determine which aspects-beyond sleep duration-may be most important to assess and treat to support adolescent health. This study examined associations between 2 sleep indices ...

Sommeil ; Adolescents - Sommeil

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Background: Patients with gastrointestinal cancers experience moderate to high levels of sleep disturbance during chemotherapy that decreases their functional status and quality of life (QOL).

Objective: The objectives of this study were to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles and evaluate for differences among these subgroups in demographic, clinical, and sleep characteristics, as well as co-occurring symptoms and QOL outcomes.

Methods: Patients (n = 405) completed questionnaires 6 times over 2 cycles of chemotherapy. Latent profile analysis was used to identify subgroups of patients with distinct sleep disturbance profiles.

Results: Three distinct sleep disturbance profiles (ie, low, high, very high) were identified. Compared with the low class, patients in the other 2 classes were significantly younger and less likely to be married and to exercise on a regular basis and received a higher number of previous treatments. Compared with the low class, patients in the other 2 classes reported higher levels of anxiety, depressive symptoms, morning and evening fatigue, and pain and lower levels of attentional function and QOL scores at enrollment.

Conclusions: This study is the first to use latent profile analysis to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles. Findings provide new insights on the associations between sleep disturbance and multiple co-occurring symptoms in these patients.

Implications for Practice: Clinicians can identify patients who are at the highest risk for sleep disturbance and recommend a variety of sleep hygiene interventions (eg, establishment of a bedtime routine), as well as initiate interventions for other co-occurring symptoms.
Background: Patients with gastrointestinal cancers experience moderate to high levels of sleep disturbance during chemotherapy that decreases their functional status and quality of life (QOL).

Objective: The objectives of this study were to identify subgroups of patients with gastrointestinal cancers with distinct sleep disturbance profiles and evaluate for differences among these subgroups in demographic, clinical, and sleep characteristics, ...

Anxiété ; Dépression ; Chimiothérapie ; Sommeil ; Fatigue ; Tractus gastro-intestinal - Cancer - Traitement ; Douleur ; Qualité de la vie ; Troubles du sommeil

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The prevalence of sleep dysfunction is considerably higher in the autistic population than in the non-autistic. Similarly, the incidence of sensory reactivity differences in autism exceeds that in the neurotypical population. The basis of sleep disorders in autism is multifactorial, but sensory integration/processing concerns may play a role. Research that investigates this interplay for autistic individuals is limited but vital. In this scoping review, we examined literature addressing the following research question: What is the relationship between sleep and sensory integration/processing in autism? We included articles if they were peer-reviewed, English or Spanish, purposefully addressed sensory integration/processing differences, were sleep focused and included autism as the primary diagnosis or population. Articles were excluded if the language was not English or Spanish, research was conducted with animals, they were non-peer-reviewed, the primary population was not autistic, the sensory focus reflected a specific sensorineural loss (e.g., blindness, or deafness), there was not a clear inclusion of sensory integration/processing or sleep. We searched six databases and included all citations from the inception of each database through June 2021. The search strategy identified 397 documents that were reduced to 24 included articles after exclusion criteria were applied. The majority of studies we identified characterized the relation between sleep and sensory integration/processing differences in autism. Investigators found multiple sleep concerns such as bedtime resistance, sleep anxiety, delayed sleep onset, night awaking, and short sleep duration in autistic individuals. Identified sensory concerns focused on reactivity, finding hyper- and hypo-reactivity as well as sensory seeking across sensory domains. Co-existence of sleep concerns and sensory integration/processing differences was frequently reported. Few intervention studies showed a clear sensory focus; those that did emphasized pressure, movement, touch, and individual sensory preferences/needs. Swimming programs and massage showed promising results. No studies were of high quality. At a minimum, there is a co-existence of sensory reactivity differences and sleep concerns in autistic children, and possibly autistic adults. The relationship between poor sleep and sensory integration/processing differences is complex and multi-faceted, requiring additional research. Interventions that purposefully include a central sensory component have not been well studied in autistic children or adults. Overall studies with greater rigor and purposeful use of sensation and sensorimotor supports as a component of intervention are needed. This study was not funded.
The prevalence of sleep dysfunction is considerably higher in the autistic population than in the non-autistic. Similarly, the incidence of sensory reactivity differences in autism exceeds that in the neurotypical population. The basis of sleep disorders in autism is multifactorial, but sensory integration/processing concerns may play a role. Research that investigates this interplay for autistic individuals is limited but vital. In this scoping ...

Autisme ; Troubles du spectre de l'autisme ; Insomnie ; Intégration sensorielle ; Sommeil ; Troubles du sommeil

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- 287 p.
Cote : WM188 M8581v 2021

Avez-vous des difficultés à trouver le sommeil?
Vous réveillez-vous au milieu de la nuit sans pouvoir vous rendormir?
En avez-vous assez des nuits blanches?
Aimeriez-vous cesser de prendre des somnifères?
Votre enfant a-t-il du mal à s'endormir?
Souffrez-vous d'apnée du sommeil?

Quels que soient les obstacles à votre repos, vous trouverez dans ce livre une façon de les surmonter. L'auteur propose un programme personnel pour vaincre les troubles du sommeil sans médicaments, des explications sur les facteurs nuisibles, ainsi que des solutions pour résoudre les problèmes les plus courants chez les enfants, les adolescents, les personnes âgées, de même que chez ceux et celles qui doivent composer avec des horaires décalés. Un guide pratique et complet pour dormir paisiblement!
Avez-vous des difficultés à trouver le sommeil?
Vous réveillez-vous au milieu de la nuit sans pouvoir vous rendormir?
En avez-vous assez des nuits blanches?
Aimeriez-vous cesser de prendre des somnifères?
Votre enfant a-t-il du mal à s'endormir?
Souffrez-vous d'apnée du sommeil?

Quels que soient les obstacles à votre repos, vous trouverez dans ce livre une façon de les surmonter. L'auteur propose un programme personnel pour vaincre les troubles ...

Cycle veille-sommeil ; Insomnie ; Troubles du sommeil ; Sommeil

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Background: The opioid epidemic in the United States has resulted in an increased number of drug-exposed infants who are at risk for developing neonatal abstinence syndrome (NAS). Historically, these infants have been treated with the introduction and slow weaning of pharmaceuticals. Recently, a new model called Eat, Sleep, Console (ESC) has been developed that focuses on the comfort and care of these infants by maximizing nonpharmacologic methods, increasing family involvement in the treatment of their infant, and prn or "as needed" use of morphine.

Purpose: The purpose of this evidenced-based practice brief was to summarize and critically review emerging research on the ESC method of managing NAS and develop a recommendation for implementing an ESC model.

Methods: A literature review was conducted using PubMed, Cochrane, and Google Scholar with a focus on ESC programs developed for treating infants with NAS.

Finding/Results: Several studies were found with successful development and implementation of the ESC model. Studies supported the use of ESC to decrease length of stay, exposure to pharmacologic agents, and overall cost of treatment.
Background: The opioid epidemic in the United States has resulted in an increased number of drug-exposed infants who are at risk for developing neonatal abstinence syndrome (NAS). Historically, these infants have been treated with the introduction and slow weaning of pharmaceuticals. Recently, a new model called Eat, Sleep, Console (ESC) has been developed that focuses on the comfort and care of these infants by maximizing nonpharmacologic ...

Alimentation ; Sommeil ; Soins intensifs en pédiatrie

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- 390 p.
Cote : WM188 S697s 2019

Sommeil ; Pathologie

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- 170 p.
Cote : WM188 L277s 2019

Votre enfant éprouve-t-il de la difficulté à trouver le sommeil?

Alors ce livre est pour vous!

Pourquoi les bébés et les enfants refusent-ils souvent de dormir, malgré une fatigue évidente? La réponse est très simple: selon eux, il y a mieux à faire, à expérimenter ou à vivre. Avant l'âge de cinq ans, ils prennent des habitudes de sommeil qui les suivront toute leur vie. C'est le moment d'agir! Grâce à cette boîte à outils, vous serez en mesure d'aider votre enfant à:
1. s'endormir seul;
2. gérer ses éveils et se rendormir la nuit, sans votre intervention;
3. bien réagir aux changements d'heure;
4. dormir ailleurs qu'à la maison, ou dans un nouveau lit;
5. adopter une routine du dodo.

Ponctué de situation vécues et de trucs pratiques ayant fait leurs preuves, cet ouvrage sympathique améliorer à coup sûr les nuits de votre enfant... et les vôtres.
Votre enfant éprouve-t-il de la difficulté à trouver le sommeil?

Alors ce livre est pour vous!

Pourquoi les bébés et les enfants refusent-ils souvent de dormir, malgré une fatigue évidente? La réponse est très simple: selon eux, il y a mieux à faire, à expérimenter ou à vivre. Avant l'âge de cinq ans, ils prennent des habitudes de sommeil qui les suivront toute leur vie. C'est le moment d'agir! Grâce à cette boîte à outils, vous serez en ...

Sommeil ; Enfants - Sommeil ; Troubles du sommeil chez l'enfant ; Troubles du sommeil ; Sommeil - Aspect physiologique ; Troubles du sommeil - Aspect psychologique

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Preterm infants born before 37 weeks' gestation die of sudden infant death syndrome (SIDS) at a rate more than double that of term infants. There is a need for SIDS prevention programs tailored to the specific needs of parents of high-risk infants. The purpose of this study was to pilot test an online educational module addressing SIDS risk-reduction recommendations (RRRs) for parents of preterm infants. This study was conducted in a 44-bed transitional care unit at a level IV NICU in the Midwest. A repeated-measures design was used. Two weeks before discharge, mothers completed a survey, addressing knowledge and plans for caring for their baby at home. Mothers then viewed the 5-section Caring about Preemies' Safe Sleep (CaPSS) education module and completed the postmodule evaluation. A discharge survey was completed 4 weeks postdischarge. Fifteen mothers, mean age 26.4 years, participated; 8 (53%) returned the postdischarge survey. Module evaluation rated clarity and completeness of information high. Mothers' ratings of SIDS knowledge were significantly higher after viewing the module (P = .000) and 4 weeks after discharge home (P = .012). Mothers found the use of a pacifier at sleep times to be new information and changed their plans for caring for their infant, with 28.6% of mothers always offering a pacifier before sleep after discharge compared with the 6.7% who had planned to do this before discharge. However, only 71% of infants slept in parents' room after discharge and only 41% were receiving at least some breast milk, which are not consistent with SIDS RRRs.
Preterm infants born before 37 weeks' gestation die of sudden infant death syndrome (SIDS) at a rate more than double that of term infants. There is a need for SIDS prevention programs tailored to the specific needs of parents of high-risk infants. The purpose of this study was to pilot test an online educational module addressing SIDS risk-reduction recommendations (RRRs) for parents of preterm infants. This study was conducted in a 44-bed ...

Nourrissons - Sommeil ; Sommeil ; Mère et enfant

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Cote : HQ784.B43 F7414a 2007

Traduction de : Good night, sweet dreams, I love you Comprend des références bibliographiques

Troubles du sommeil chez l'enfant ; Enfants - Sommeil ; Sommeil

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- 274 p.
Cote : WM188 M821c.F 1998

Sommeil ; Troubles du sommeil

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