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Journals / Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / 2026 / Cilt: 12 Sayı: 2

Evaluation of sleep health of hospitalized children: A qualitative research from the perspective of children

Hastanede yatan çocukların uyku sağlığının değerlendirilmesi: Çocukların bakış açısından nitel bir araştırma

Sümeyye Özarslan(İNÖNÜ ÜNİVERSİTESİ)0000-0003-2319-1068
Ulviye Günay(İNÖNÜ ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ)0000-0002-6312-6853
Didem Coşkun Şimşek(FIRAT ÜNİVERSİTESİ)0000-0003-0364-5667
Pages
243–254
Publication Date
2026-08-20
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The study results revealed that children experienced sleep problems during their hospital stay and were significantly affected by environmental and psychosocial factors related the hospital environment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This study was conducted to determine sleep health of hospitalised children and the factors affecting sleep health.
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Key Findings & Data:It was carried out with 30 children aged between 9-15 years who were treated in the paediatric ward.
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Conclusion & Impact:Conclusion: The study results revealed that children experienced sleep problems during their hospital stay and were significantly affected by environmental and psychosocial factors related the hospital environment.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Çocuk · Hastane · Uyku

Abstract

Aim: This study was conducted to determine sleep health of hospitalised children and the factors affecting sleep health. Material and Methods: This study was conducted with a qualitative descriptive design. It was carried out with 30 children aged between 9-15 years who were treated in the paediatric ward. The data were collected by one-on-one in-depth interview technique. Results: The study also found that the children experienced sleep problems. It has been found that environmental and emotional factors, as well as clinical routines and disease symptoms, have a significant impact on sleep efficiency. Furthermore, it has been observed that symptoms improve in some children, their sleep duration increases. Conclusion: The study results revealed that children experienced sleep problems during their hospital stay and were significantly affected by environmental and psychosocial factors related the hospital environment.

Özet

Amaç: Bu çalışma, hastanede yatan çocukların uyku sağlığını ve uyku sağlığını etkileyen faktörleri belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Bu çalışma, nitel tanımlayıcı bir tasarımla gerçekleştirilmiştir. Çalışma, çocuk servisinde tedavi gören 9-15 yaş arası 30 çocukla yapılmıştır. Veriler, bire bir derinlemesine görüşme tekniği ile toplanmıştır. Bulgular: Çalışmada çocukların uyku sorunları yaşadığını bulunmuştur. Çevresel ve duygusal faktörlerin, klinik rutinleri, hastalık semptomlarının uyku verimliliğini önemli ölçüde etkilediği bulunmuştur. Ayrıca, bazı çocukların semptomları azaldıkça uyku sürelerinde artış olduğu gözlemlenmiştir. Sonuç: Çalışma sonuçları, çocukların hastanede kaldıkları süre boyunca uyku sorunu yaşadıklarını, hastane ortamına bağlı çevresel ve psikososyal etkenlerden önemli ölçüde etkilendiklerini ortaya koymuştur.

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Cite This Article

Özarslan, S., Günay, U., Şimşek, D. C. (2026). Evaluation of sleep health of hospitalized children: A qualitative research from the perspective of children. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 12 Sayı: 2, 243–254. https://doi.org/10.30569/adiyamansaglik.1854704

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References (64)

  1. Başbakkal Z, Sönmez S, Celasin NŞ, Esenay F. 3-6 Yaş grubu çocuğun akut bir hastalık nedeniyle hastaneye yatışa karşı davranışsal tepkilerinin belirlenmesi. Uluslararası İnsan Bilimleri Dergisi. 2010; 7(1): 456-468.
  2. Board R, Ryan-Wenger N. Long-term effects of pediatric intensive care unit hospitalization on families with young children. Heart & Lung. 2002; 31(1): 53-66. https://doi.org/10.1067/mhl.2002.121246
  3. Selbes M, Manav G, Muslu GK. Hastanede Yatan Çocuğun Psikososyal Belirtilerinin Çocuğa Ait Bazı Değişkenler Açısından İncelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2021; 24(4): 420-428.
  4. Sadeh A, Raviv A, Gruber R. Sleep patterns and sleep disruptions in school-age children. Developmental Psychology. 2000; 36(3): 291. https://doi.org/10.1037/0012-1649.36.3.291
  5. Crawford S, Utt A, Beebe C, et al. Quality of sleep in a pediatric hospital: a descriptive study based on an assessment of interruptions, perceptions, and the environment. J Nurs Adm. 2019; 49(5): 273-279. https://doi.org/10.1097/nna.0000000000000750
  6. Linder LA, Christian BJ. Nighttime sleep characteristics of hospitalized school-age children with cancer. J Spec Pediatr Nurs. 2013; 18(1): 13. https://doi.org/10.1111/jspn.12005
  7. Yayan EH, Yeliz S, Zengin M, Düken M. Kronik Hastalığı Olan Çocuklar: Hastanede Uyku Kalitesi. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi. 2021; 9(3): 886-895. https://doi.org/10.33715/inonusaglik.813417
  8. Lindsay AC, Moura Arruda CA, Tavares Machado MM, De Andrade GP, Greaney ML. Exploring Brazilian immigrant mothers’ beliefs, attitudes, and practices related to their preschool-age children’s sleep and bedtime routines: a qualitative study conducted in the United States. Int J Environ Res Public Health. 2018; 15(9): 1923. https://doi.org/10.3390/ijerph15091923
  9. Hybschmann J, Topperzer MK, Gjærde LK, et al. Sleep in hospitalized children and adolescents: a scoping review. Sleep Med Rev. 2021; 59: 101496. https://doi.org/10.1016/j.smrv.2021.101496
  10. Buysse DJ. Sleep health: can we define it? Does it matter?. Sleep. 2014; 37(1): 9-17. https://doi.org/10.5665/sleep.3298
  11. Dellagiulia A, Lionetti F, Fasolo M, Verderame C, Sperati A, Alessandri G. Early impact of COVID-19 lockdown on children’s sleep: a 4-week longitudinal study. J Clin Sleep Med. 2020; 16(9): 1639-1640. https://doi.org/10.5664/jcsm.8648
  12. Mead MP, Irish LA. Application of health behaviour theory to sleep health improvement. J Sleep Res. 2020; 29(5): 12950. https://doi.org/10.1111/jsr.12950
  13. Bisogni S, Chiarini I, Giusti F, Ciofi D, Poggi GM, Festini F. Impact of hospitalization on the sleep patterns of newborns, infants, and toddlers admitted to a pediatric ward: a crosssectional study. Minerva Pediatr. 2015; 67(3): 209-292
  14. Cohen S, Doyle WJ, Alper CM, Janicki-Deverts D, Turner RB. Sleep habits and susceptibility to the common cold. Arch Intern Med. 2009; 169(1): 62-67. https://doi.org/10.1001/archinternmed.2008.505
  15. Rudnicka AR, Nightingale CM, Donin AS, et al. Sleep duration and risk of type 2 diabetes. Pediatrics. 2017; 140(3): https://doi.org/10.1542/peds.2017-0338
  16. Chaput JP, Gray CE, Poitras VJ, et al. Systematic review of the relationships between sleep duration and health indicators in school-aged children and youth. Appl Physiol Nutr Metab. 2016; 41(6): 266-282. https://doi.org/10.1139/apnm-2015-0627
  17. Chaput JP, Gray CE, Poitras VJ, et al. Systematic review of the relationships between sleep duration and health indicators in the early years (0–4 years). BMC Public Health. 2017; 17: 91-107. https://doi.org/10.1186/s12889-017-4850-2
  18. Vriend J, Davidson F, Rusak B, Corkum P. Emotional and cognitive impact of sleep restriction in children. Sleep Medicine Clinics. 2015; 10(2): 107-115. https://doi.org/10.1016/j.jsmc.2015.02.009
  19. Banks S, Dinges DF. Behavioral and physiological consequences of sleep restriction. J Clin Sleep Med. 2007; 3(5): 519-528. https://pubmed.ncbi.nlm.nih.gov/17803017/
  20. Schrimpf M, Liegl G, Boeckle M, Leitner A, Geisler P, Pieh C. The effect of sleep deprivation on pain perception in healthy subjects: a meta-analysis. Sleep Med. 2015; 16(11): 1313-1320. https://doi.org/10.1016/j.sleep.2015.07.022
  21. Stickland A, Clayton E, Sankey R, Hill CM. A qualitative study of sleep quality in children and their resident parents when in hospital. Arch Dis Child. 2016; 101(6): 546-551. https://doi.org/10.1136/archdischild-2015-309458
  22. Meltzer LJ, Davis KF, Mindell JA. Patient and parent sleep in a children's hospital. Pediatr Nurs. 2012; 38(2): 72.
  23. Burger P, Van den Ende ES, Lukman W, et al. Sleep in hospitalized pediatric and adult patients–A systematic review and meta-analysis. Sleep Medicine. 2022; 4: 100059. https://doi.org/10.1016/j.sleepx.2022.100059
  24. Altman MT, Knauert MP, Pisani MA. Sleep disturbance after hospitalization and critical illness: A systematic review. Ann Am Thorac Soc. 2017;14: 1457e68. https://doi.org/10.1513/AnnalsATS.201702-148SR
  25. Berger J, Zaidi M, Halferty I, Kudchadkar SR. Sleep in the hospitalized child: a contemporary review. Chest. 2021; 160(3): 1064-1074. https://doi.org/10.1016/j.chest.2021.04.024
  26. Linder LA, Christian BJ. Characteristics of the nighttime hospital bedside care environment (sound, light, and temperature) for children with cancer. Canc Nurs. 2011; 34: 176e84. https://doi.org/10.1097/NCC.0b013e3181fc52d0
  27. Stremler R, Adams S, Dryden‐Palmer K. Nurses’ views of factors affecting sleep for hospitalized children and their families: a focus group study. Res Nurs Health. 2015; 38(4): 311-322. https://doi.org/10.1002/nur.21664
  28. Tkachenko N, Singh K, Abreu N, et al. Establishing a role for polysomnography in hospitalized children. Pediatric Neurology. 2016; 57: 39-45. https://doi.org/10.1016/j.pediatrneurol.2015.12.020
  29. Applebaum D, Calo O, Neville K. Implementation of quiet time for noise reduction on a medical-surgical unit. J Nurs Adm. 2016; 46(12): 669-674. doi: 10.1097/NNA.0000000000000424
  30. Yin RK. Case Study Research: Design and methods. Vol 5: Sage; 2009
  31. Oliveira L, Gomes C, Nicolau LB, Ferreira L, Ferreira R. Environment in pediatric wards: light, sound, and temperature. Sleep Med. 2015; 16(9): 1041-1048. https://doi.org/10.1016/j.sleep.2015.03.015
  32. Bevan R, Grantham-Hill S, Bowen R, et al. Sleep quality and noise: comparisons between hospital and home settings. Arc Dis Chil. 2019; 104(2): 147-151. https://doi.org/10.1136/archdischild-2018-315168
  33. Fidler AL, Voorhees S, Zhou ES, Stacciarini JM, Fedele DA. A systematic review and proposed conceptual model of sleep disturbances during pediatric hospitalizations. Sleep. 2022; 45(5): 38. https://doi.org/10.1093/sleep/zsac038
  34. Stremler R, Micsinszki S, Adams S, Parshuram C, Pullenayegum E, Weiss SK. Objective sleep characteristics and factors associated with sleep duration and waking during pediatric hospitalization. JAMA Network Open. 2021; 4(4): 213924-213924. doi:10.1001/jamanetworkopen.2021.3924
  35. Kim H, Sefcik JS, Bradway C. Characteristics of qualitative descriptive studies: A systematic review. Res Nurs Health. 2017; 40(1): 23-42. https://doi.org/10.1002/nur.21768
  36. Yıldırım A, Şimşek H. Sosyal Bilimlerde Nitel Araştırma Yöntemleri. Ankara: Seçkin Yayıncılık; 2016.
  37. Piaget J. The development of thought: Equilibration of cognitive structures.(Trans A. Rosin): 1997. Viking.
  38. Squires A, Dorsen C. Qualitative research in nursing and health professions regulation. Journal of Nursing Regulation. 2018; 9(3): 15–26. https:// https://doi.org/10.1016/S2155-8256(18)30150-9
  39. Morse JM. Data were saturated. Qual Health Res. 2015; 25(5): 587–588. doi: 10.1177/1049732315576699.
  40. Graneheim UH, Lindgren B-M, Lundman B. Methodological challenges in qualitative content analysis: A discussion paper. Nurse Education Today. 2017; 56: 29-34. https://doi.org/10.1016/j.nedt.2017.06.002
  41. Braun V, Clarke V. Using thematic analysis in psychology. Qual. Res. Psychol. 2006; 3(2): 77–101. https://doi.org/10.1191/1478088706qp063oa
  42. Shorey S, Ng ED. Examining characteristics of descriptive phe nomenological nursing studies: A scoping review. J Adv Nurs. 2022; 78(7): 1968–1979. https://doi.org/10.1111/jan.15244
  43. Praveena KR, Sasikumar S. ApplicationofColaizzi’smethodofdata analysis in phenomenological research. Medico Legal. Update. 2021; 21(2): 914, 918. https://doi.org/ 10.37506/mlu.v21i2.2800
  44. Arslan E. Nitel Araştırmalarda Geçerlilik ve Güvenilirlik. Pamukkale Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2022; 51: 395–407. https://doi.org/10.30794/ pausbed.1116878
  45. Al-Samsam RH, Cullen P. Sleep and adverse environmental factors in sedated mechanically ventilated pediatric intensive care patients. Pediatric Critical Care Medicine. 2005; 6(5): 562-567. doi:10.1097/01. PCC.0000165561.40986.A6
  46. Herbert AR, De Lima J, Fitzgerald DA, Seton C, Waters KA, Collins JJ. Exploratory study of sleeping patterns in children admitted to hospital. J Paediatr Child Health. 2014; 50(8): 632-638. https://doi.org/10.1111/jpc.12617
  47. Esposito S, Laino D, D’Alonzo R, et al. Pediatric sleep disturbances and treatment with melatonin. Journal of Translational Medicine. 2019; 17(1): 1-8. https://doi.org/10.1186/s12967-019-1835-1
  48. Cowherd EL, Sutton AG, Vincent JO, et al. Timing and duration of sleep in hospitalized children: an observational study. Hospital Pediatrics. 2019; 9(5): 333-339. https://doi.org/10.1542/hpeds.2018-0236
  49. Sampath R, Nayak R, Gladston S, et al. Sleep disturbance and psychological distress among hospitalized children in India: Parental perceptions on pediatric inpatient experiences. J Spec Pediatr Nurs. 2022; 27(1): e12361. https://doi.org/10.1111/jspn.12361
  50. Lee S, Narendran G, Tomfohr‐Madsen L, Schulte F. A systematic review of sleep in hospitalized pediatric cancer patients. Psychooncology. 2017; 26(8): 1059-1069. https://doi.org/10.1002/pon.4149
  51. Kudchadkar SR, Aljohani OA, Punjabi NM. Sleep of critically ill children in the pediatric intensive care unit: a systematic review. Sleep Medicine Reviews. 2014; 18(2): 103-110. doi:10.1016/j.smrv.2013.02.002
  52. Peirce LB, Orlov NM, Erondu AI, et al. Caregiver and staff perceptions of disruptions to pediatric inpatient sleep. J Clin Sleep Med. 2018; 14(11): 1895-1902. https://doi.org/10.5664/jcsm.7488
  53. Yati M, Wahyuni S, Islaeli I. The effect of storytelling in a play therapy on anxiety level in pre-school children during hospitalization in the general hospital of buton. Public Health of Indonesia. 2017; 3(3): 96-101. http://stikbar.org/ycabpublisher/index.php/PHI/index
  54. Öztürk Şahin Ö, Topan A. Investigation of the fear of 7–18-year-old hospitalized children for illness and hospital. Journal of Religion and Healt. 2019; 58: 1011-1023.https://doi.org/10.1007/s10943-018-0688-x
  55. Clift L, Dampier S, Timmons, S. Adolescents' experiences of emergency admission to children's wards. Journal of Child Health Care. 2007; 11(3): 195-207.https://doi.org/10.1177/1367493507079561
  56. Lundgren J, Norell-Clarke A, Hellström I, Angelhoff C. Adolescents’ experiences of staying overnight at family-centered pediatric wards. SAGE Open Nursing. 2020; 6: 2377960819900690. https://doi.org/10.1177/2377960819900690
  57. Traube C, Rosenberg L, Thau F, et al. Sleep in hospitalized children with cancer: a cross-sectional study. Hosp Pediatr. 2020; 10: 969e76. https://doi.org/10.1542/hpeds.2020-0101
  58. Solé, E, Sharma S, Ferreira-Valente A, et al.The associations between sleep disturbance, psychological dysfunction, pain intensity, and pain interference in children with chronic pain. Pain Medicine. 2022; 23(6): 1106-1117.https://doi.org/10.1093/pm/pnab333
  59. Evans S, Djilas, V, Seidman LC, Zeltzer LK, Tsao JC. Sleep quality, affect, pain, and disability in children with chronic pain: is affect a mediator or moderator?. The Journal of Pain. 2017; 18(9): 1087-1095.https://doi.org/10.1016/j.jpain.2017.04.007
  60. Roman-Juan J, Ceniza-Bordallo G, Sánchez-Rodríguez E, Jensen MP, Miró J. Fatigue, sleep disturbance, and pain interference in children and adolescents with chronic pain: a longitudinal study. Pain. 2025; 166(4): 927-935.https://doi.org/10.1097/j.pain.0000000000003432
  61. Hooke MC, Linder LA. Symptoms in children receiving treatment for cancer—part I: fatigue, sleep disturbance, and nausea/vomiting. Journal of Pediatric Oncology Nursing. 2019; 36(4): 244-261.https://doi.org/10.1177/1043454219849576
  62. Leader G, Killeen C, Whelan S, Coyne R, Tones M, Mannion A. Factors associated with sleep disturbances in children and adolescents with Angelman Syndrome. Sleep Medicine. 2024; 11: 9-17.https://doi.org/10.1016/j.sleep.2024.02.038
  63. Yin RK. Case Study Research: Design and methods. Vol 5: Sage; 2009
  64. Kudchadkar SR, Aljohani OA, Punjabi NM. Sleep of critically ill children in the pediatric intensive care unit: a systematic review. Sleep Medicine Reviews. 2014; 18(2): 103-110. doi:10.1016/j.smrv.2013.02.002