Évaluation de la capacité de reconnaissance d’un trouble du sommeil par les parents chez l’enfant de 1 à 3 ans et prise en charge médicale dans l’agglomération paloise

Abstract : Sleep disorders affect about 30% of preschool children. The period of 1 to 3 years is particularly sensitive (10 to 42%). The main objective of this work was to highlight that the sleep disorders of the child are under diagnosed in primary care because of the lack of identification by the parents. The secondary objective was to demonstrate that their medical care is insufficient. We conducted a cross-sectional study in the Pau urban area, where parents of children aged 1 to 3 years were asked to complete a questionnaire about their child's sleep in the general practice, pediatrics and PMI center on the period from May to September 2017. We included 186 children, 102 from pediatric practices, 42 from GP practices and 40 from PMI centers. The average age was 24.3 months (+/- 7.6). The prevalence of sleep disorders was 11.2%, with a higher prevalence in the PMI center population (19.5%). Only 28.6% of parents identified a sleep disorder in their child. Thirteen parents (7%) thought that their child had a sleep disorder among them less than half actually had one. Regarding medical care, only 38.7% of parents say that their doctor has already approached the sleep of their child. Of the parents who thought their child had a sleep disorder, 69.2% discussed it with their doctor but saw an improvement only in 44.4%. The results of our study confirm that there is a lack of recognition of the sleep disorders of their child by parents. They still talk too little about their doctor but it also seems that doctors do not address enough the subject. It is therefore necessary to strengthen therapeutic education in this area.
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Master Thesis
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Véronique Lapeyre-Froissard. Évaluation de la capacité de reconnaissance d’un trouble du sommeil par les parents chez l’enfant de 1 à 3 ans et prise en charge médicale dans l’agglomération paloise . Médecine humaine et pathologie. 2018. ⟨dumas-01716563⟩

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