Latar belakang : Tidur berguna untuk kesehatan mental, emosi, fisik, dan sistem
imunitas tubuh. Gangguan tidur pada anak semakin menjadi masalah karena akan
berdampak pada mood, perilaku dan intelektual anak. Dilaporkan, insidensi
gangguan tidur pada anak lebih tinggi pada kasus epilepsi.
Tujuan : Mengetahui prevalensi gangguan tidur pada anak dengan epilepsi, serta
menilai hubungan antara faktor-faktor risiko yang memengaruhinya kejadian
gangguan tidur pada anak dengan epilepsi.
Metode : Studi potong lintang yang dilakukan di Poliklinik Anak Kiara RS Cipto
Mangunkusumo Jakarta dengan populasi anak epilepsi usia 4-18 tahun. Penilain
variabel gangguan tidur menggunakan kuesioner sleep disturbance scale for
children (SDSC) terdiri dari 26 pertanyaan yang telah tervalidasi sebelumnya.
Kuesioner akan diisi oleh orang tua mengenai pola tidur anak dalam 6 bulan
terakhir. Pasien yang sebelumnya memiliki gangguan tidur primer seperti
obstructive sleep apnea (OSA), sindrom epilepsi, disabilitas intelektual, attention
deficit hyperactivity disorder (ADHD) akan dieksklusi.
Hasil : Didapatkan 99 subyek dengan karakteristik 22,2% menderita epilepsi
intraktabel, 28,2% serebral palsi dan 64,6% tipe kejang umum. Dari hasil
kuisioner SDSC didapatkan 71,7% anak dengan epilepsi mengalami gangguan
tidur, jenis terbanyak 62% gangguan memulai dan mempertahankan tidur. Faktor
risiko yang terbukti memengaruhi secara independen kejadian gangguan tidur
pada pasien epilepsi adalah tipe kejang umum, serebral palsi, epilepsi intraktabel,
elektroensefalografi (EEG) abnormal, dan obat antiepilepsi (OAE) jenis nonbenzodiazepin.
Kesimpulan : Tipe kejang umum, serebral palsi, epilepsi intraktabel,
abnormalitas EEG, dan OAE jenis non-benzodiazepin bermakna secara statistik
independen memengaruhi kejadian gangguan tidur pada epilepsi.
Background : Sleep is affecting mental health, emotional, physical, and immune
system. Sleep disorder in children was increased and became a burden because it
will affect the mood, behaviour and intellectual. Reportedly, the incidence of
sleep disorder is higher in children with epilepsy.
Objective : Knowing the prevalence of sleep disorder in children with epilepsy,
and to assess the risk factors which affecting it.
Methods : A cross-sectional study was conducted at children polyclinic Cipto
Mangunkusumo Hospital in Jakarta with populations of epilepsy children aged 4-
18 years old. The assessment of sleep disorder using the sleep disturbance scale
for children (SDSC), which consist of 26 questions that had been previously
validated. The questionnaire will be filled out by parents regarding the childs
sleep pattern in the past 6 months. Patients who had primary sleep disorders such
as obstructive sleep apnea (OSA), epilepsy syndrome, intellectual disabilities,
attention deficit hyperactivity disorder (ADHD) will be excluded.
Results : There were 99 subjects, with characteristics are 22.2% had intractable
epilepsy, 28.2% had cerebral palsy and 64.6% generalized seizures. The
prevalence of sleep disorder in child with epilepsy in this study was 71.7%, the
most frequent type was disorder of starting and maintaining sleep. Risk factors
that have been shown to independently affecting the incidence of sleep disorder in
epilepsy patients are generalized seizures, cerebral palsy, intractable epilepsy,
electroencephalography (EEG) abnormality, and non-benzodiazepine type
antiepileptic drugs (AED).
Conclusion : Generalized seizure, cerebral palsy, intractable epilepsy, EEG
abnormality, and non-benzodiazepine type of AED are statistically significant
affecting the incidence of sleep disturbance in epilepsy independently.