疾病期间和之后睡眠习惯的变化.
Mary Beth Howard1,2, Leticia M Ryan1,2, Kevin J Psoter3
1Division of Pediatric Emergency Medicine, Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland.
Pediatrics
|September 17, 2025
概括
护理人员对婴儿安全睡眠实践的坚持在疾病期间和之后下降,增加风险. 护理人员动机和睡眠安排的疾病相关变化需要有针对性的指导,以确保婴儿安全.
科学领域:
- 儿科健康 儿科健康
- 婴儿睡眠安全 婴儿睡眠安全
- 公共卫生 公共卫生
背景情况:
- 不安全的婴儿睡眠做法是睡眠相关的婴儿死亡率的一个重要因素.
- 婴儿疾病是导致婴儿突然死亡的已知危险因素之一.
- 了解护理人员在婴儿疾病期间和之后遵守安全睡眠建议至关重要.
研究的目的:
- 检查婴儿疾病期间和之后护理人员遵守安全睡眠实践的变化.
- 为了识别影响睡眠安排的护理人员动机的变化.
- 评估疾病后这些变化的持续时间.
主要方法:
- 对婴儿 (0-12个月) 的照顾者进行的前性队列调查研究,他们因疾病出现在儿科急诊室.
- 在病前,病期间和病后评估睡眠习惯 (2周和1个月的随访).
- 遵守美国儿科学会 (AAP) 的安全睡眠建议,使用混合效应物流和Poisson回归来评估.
主要成果:
- 所有时间点都观察到AAP安全睡眠建议的遵守率低 (<10%).
- 在疾病期间,坚持减少,床上共享增加,安全的睡眠环境 (婴儿床) 减少.
- 这些不安全的做法在病后仍然很高,护理人员的动机从安全转向家庭建议.
结论:
- 护理人员表现出不良的安全睡眠实践,在婴儿疾病期间和之后恶化.
- 在康复后,与疾病相关的睡眠习惯和护理人员动机的变化仍然存在.
- 需要有针对性的,针对疾病的预期指导,以加强婴儿疾病期间和之后的安全睡眠实践.
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