《儿童姑息治疗中睡眠问题的国际共识:铺平道路》解读OA

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.