中国全科医学2026，Vol.29Issue(28)：4047-4057,11.DOI:10.12114/j.issn.1007-9572.2025.0387
《儿童姑息治疗中睡眠问题的国际共识:铺平道路》解读
Interpretation of International Consensus on Sleep Problems in Pediatric Palliative Care:Paving the Way
摘要
Abstract
Sleep problems,as a prevalent symptom burden in pediatric palliative care(PPC),remain inadequately addressed due to insufficient clinical attention.The current lack of standardized clinical guidelines and protocols urgently demands resolution to bridge the gap in sleep-related symptom management within this field.In response,the International Expert Panel on Pediatric Sleep and Palliative Care developed the inaugural global consensus,International Consensus on Sleep Problems in Pediatric Palliative Care:Paving the Way.This consensus employed systematic reviews and meta-analyses of existing evidence,focusing on three core themes:definition,assessment/measurement,and therapeutic interventions for sleep disturbances in PPC.Through a two-round Delphi process,53 consensus recommendations were formulated.However,limitations persist regarding the applicability of these recommendations across heterogeneous pediatric populations and in low-and middle-income countries.This article provides a critical interpretation and suggestion of the consensus,aiming to inform the development of evidence-based,culturally adapted guidelines in China and enhance the standardization of sleep disturbance management within Chinese PPC practice.关键词
睡眠障碍/睡眠问题/姑息疗法/儿童姑息治疗/专家共识/解读Key words
Sleep disorders/Sleep problems/Palliative care/Pediatric palliative care/Expert consensus/Interpretation分类
医药卫生引用本文复制引用
沈碧玉,路佳慧,李馨,李惠玲,李春波,樊盼玉,凡帆,马晨欢,王广海..《儿童姑息治疗中睡眠问题的国际共识:铺平道路》解读[J].中国全科医学,2026,29(28):4047-4057,11.基金项目
国家自然科学基金面上项目(82071493,82073568) （82071493,82073568）
上海市卫生健康委员会卫生健康学科带头人项目(2022XD056) （2022XD056）
上海申康医院发展中心管理研究项目(2024SKMR-29) （2024SKMR-29）
