摘要
目的通过纵向问卷调查,了解婴儿在1月龄和6月龄的主要睡眠问题及影响因素。方法选取2014年5至8月在重庆市妇幼保健院儿童保健科门诊就诊的600例1月龄健康婴儿为调查对象。采用自制睡眠问卷分别在婴儿1月龄和6月龄时,调查婴儿近1个月的睡眠状况。Logistic回归模型分析婴儿主要睡眠问题和家长睡眠行为等因素的相关性。结果 1月龄婴儿夜醒、入睡困难、夜哭的发生率分别为30%,17%,14.1%;6月龄时分别为7.3%,9.3%,13.1%。夜醒和入睡困难的发生率随月龄增长显著降低(P<0.05)。1月龄婴儿睡眠问题的Logistic回归模型多因素分析结果:(1)婴儿抚触、单独入睡、抱起安静后重新放入床上哄睡、夜间喂奶是夜醒的保护因素,换尿布是夜醒危险因素;(2)睡前听音乐、有序睡前常规、安抚不抱、抱起安静后重新放入床上哄睡是入睡困难的保护因素,换尿布是其危险因素;(3)有序睡前常规、观察等待、抱起直到入睡均是夜哭的保护因素。6月龄婴儿睡眠问题的Logistic回归模型分析结果:(1)抱起安静后重新放入床上哄睡、抱起婴儿直到入睡、换尿布是夜醒的危险因素,睡前亲子互动是夜醒保护因素;(2)睡前听音乐、单独小床、单独入睡是入睡困难的保护因素;(3)抚触、有序睡前常规、安抚不抱均是夜哭的保护因素。结论婴儿睡眠问题普遍,随月龄增长而减少。1月龄和6月龄睡眠问题的影响因素各有不同,互相交融,采取综合预防措施有利于婴儿睡眠问题的预防。
Objective To explore the major sleep problems and influencing factors of infants at the ages of 1 month and 6 months through longitudinal questionnaire survey.Methods 600 healthy infants aged 1 month were selected,who visited Chongqing Health Center for Women and Children from May to August 2014 for health management.A self-made sleep questionnaire was used to investigate the sleep status of infants at the age of 1 month and 6 months respectively.Logistic regression model was used to analyze the correlation between major sleep problems of infants and some factors,such as parents’sleep behaviors.Results The incidence of night-waking,difficulty in falling asleep and night crying at 1 month was 30%,17%and 14.1%,respectively,and at 6 months it was 7.3%,9.3%and 13.1%,respectively.The incidence of night-waking and difficulty in falling asleep in infants decreased significantly with the increase of month age(P<0.05).Results of the Logistic regression analysis model of sleep problems of infants at 1 month old were:(1)body touch,sleeping alone,putting the infant back into bed after being picked up and making quiet,night feeding were the protective factors of night-waking,while diaper changing was the risk factor;(2)listening to music,orderly bedtime routine,comforting without holding,putting the infant back into bed after being picked up and making quiet were protective factors for difficulty in falling asleep,while diaper changing was the risk factor;(3)orderly bedtime routine,watching and waiting,holding until falling asleep were all protective factors of night-crying.Logistic regression model analysis results of sleep problems of infants aged 6 months were:(1)the risk factors of night-waking included putting the infant back into bed after being picked up and making quiet,holding the infant until falling asleep and changing diapers,and parentchild interaction before bedtime was the protective factor for night-crying;(2)listening to music,sleeping alone in a small bed and sleeping alone were protective factors for diff
作者
周子琦
李正
叶亚
王念蓉
ZHOU Zi-qi;LI Zheng;YE Ya(Department of Child Health Center,Chongqing Health Center for Women and Children,Chongqing 401147,China)
出处
《中国实用儿科杂志》
CSCD
北大核心
2021年第7期533-537,共5页
Chinese Journal of Practical Pediatrics
基金
中国疾病预防控制中心妇幼保健中心研究项目(2014FYH001)。
关键词
婴儿
夜醒
入睡困难
夜哭
infant
night-waking
difficulty in falling asleep
night-crying
