摘要
目的评价睡眠家庭养育指导对早产儿或低出生体质量儿早期睡眠模式的干预效果,为相关临床实践提供参考。方法采用前瞻性随机对照研究方法,选取泸州市妇幼保健院儿童保健门诊2021年10月—2022年7月就诊的120例早产儿或低出生体质量儿作为研究对象,按照随机数字表分为干预组和对照组。随访过程中共22例脱落(18.3%),完成研究共98例。干预组(n=50)接受睡眠家庭养育指导及常规家庭养育,对照组(n=48)接受常规家庭养育。分别于婴儿0、1、2、3、4月龄时,采用中国婴儿睡眠状况评估量表(infants sleep assessment scales,ISAS)对2组婴儿进行测评,并对评估结果进行比较和分析。结果在0月龄(基线),2组婴儿ISAS总分及各维度评分的差异均无统计学意义(均P>0.05)。干预组1、2、3、4月龄时的ISAS总分均显著低于对照组(均P<0.05)。在1月龄,干预组ISAS睡眠节律维度得分显著低于对照组(P<0.05);在2、3、4月龄,干预组ISAS睡眠节律、入睡行为、夜醒维度得分均显著低于对照组(均P<0.05)。结论婴幼儿睡眠家庭养育指导能有效改善早产儿或低出生体质量儿生命早期的睡眠状况,有助于稳定睡眠节律,减少不良入睡行为和夜醒次数。
Objective To evaluate the intervention effects of family-centered sleep parenting guidance on early sleep patterns in preterm or low birth weight infants,and provide evidence-based recommendations for clinical practice.Methods Using a prospective randomized controlled trial(RCT)design,we enrolled 120 preterm or low birth weight infants who visited the Department of Child Health,Luzhou Maternal and Child Health Hospital between October 2021 and July 2022.Participants were randomly assigned to either an intervention group or a control group using a random number table method.Then,22 cases(18.3%)were lost to follow-up,resulting in a final sample of 98 infants.Infants in the intervention group(n=50)received family-centered sleep parenting guidance in addition to routine home care,while those in the control group(n=48)received routine home care only.At 0,1,2,3,and 4 months of age,both groups were assessed using the Chinese infant sleep assessment scales(ISAS),and the results were compared and analyzed.Results At baseline(0 month),no statistically significant differences were observed between the two groups in total ISAS scores or any subscale score(all P>0.05).However,at 1,2,3,and 4 months of age,the intervention group demonstrated significantly lower total ISAS scores compared to the control group(all P<0.05).At 1 month,the intervention group showed significantly lower scores in the sleep rhythm dimension(P<0.05).At 2,3,and 4 months,the intervention group exhibited significantly lower scores in the sleep rhythm,sleep-onset behavior,and night waking dimensions compared to the control group(all P<0.05).Conclusion Family-centered sleep parenting guidance effectively improves early sleep outcomes in preterm and low birth weight infants by stabilizing sleep rhythms,reducing problematic sleep-onset behaviors,and decreasing night wakings.
作者
张璐
赵利娟
郑辉
王涛
ZHANG Lu;ZHAO Lijuan;ZHENG Hui;WANG Tao(Department of Child Health,Luzhou Maternal and Child Health Hospital,Luzhou Second People’s Hospital,Luzhou 646000,Sichuan Province,China;Department of Pediatrics,General Hospital of Western Theater Command of the Chinese People’s Liberation Army,Chengdu 610036,Sichuan Province,China;Department of Medical Education,Luzhou Maternal and Child Health Hospital,Luzhou Second People’s Hospital,Luzhou 646000,Sichuan Province,China;Department of Pediatrics,West China Second University Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China)
出处
《教育生物学杂志》
2025年第4期246-251,共6页
Journal of Bio-education
基金
国家自然科学基金(81701888)
中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目(2022FYH014)
四川省科技厅重点研发项目(2023YFS0206)
四川省妇幼医学科技创新课题(FXYB02)。
