摘要
氣喘是兒童時期常見的健康問題，主要的病理機轉是炎性介質引發呼吸道平滑肌收縮、分泌物增加及黏膜水腫，造成急性氣喘發作，臨床表徵包括咳嗽、夜間喘鳴、呼吸困難等，會造成氣喘兒童的睡眠困擾，包括入睡困難、睡眠品質差、睡眠效益低及夜間驚醒持續睡眠困難等問題。要改善氣喘兒童的睡眠問題，護理人員應選擇合適正確的主客觀睡眠評估工具，如多重形式睡眠記錄器、睡眠觀察法、actigraphic、睡眠問卷法訪談法或睡眠日誌，來瞭解氣喘兒童居家睡眠品質，並同時確認氣喘兒童的症狀控制處置計畫的適當性，包括適當正確的藥物治療、環境控制和居家監測照護，才能提高氣喘兒童整體生活品質。
並列摘要
The asthma generally is a healthful problem in children. Clinical characteristics mainly include a cough, night-stridor, dyspnea, and so on. These characteristics result in sleep persecution for children, including difficulty in going to sleep, poor quality of sleep, low benefit of sleep and difficulty in continuous sleep because of night awakening, etc. . In order to improve sleep problem of asthma children, nurses should employ various subjective and objective sleep evaluation tools to understand the sleep quality of asthma children at home and confirm the appropriateness of management plan of symptom control of asthma children, including an appropriate medication, environment control and monitoring care at home, to enhance whole life quality for asthma children