睡眠护理干预对婴幼儿睡眠状况及粗大运动发育的影响  

Effect of the sleep nursing intervention on sleep status and gross motor development of infants

作　　者：张增莲[1] 刘昕 Zhang Zenglian;Liu Xin(Health Care Department,Beijing Luhe Hospital Capital Medical University,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京潞河医院保健科,101149

出　　处：《中华行为医学与脑科学杂志》2019年第10期881-886,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：北京潞河医院首都临床特色应用研究项目培育专项建设(KJ2018CX009)。

摘　　要：目的 探讨睡眠护理干预对婴幼儿睡眠状况及粗大运动发育的影响.方法 选取89名8~9月龄的正常发育婴幼儿,按照随机数字表法分为试验组(45名)和对照组(44名).对照组实施一般性家庭护理干预,试验组实施睡眠护理干预.整个干预持续56个连续自然日.在干预前后使用多导睡眠监测仪(PSG)对被试进行睡眠时期电生理监测,使用Gesell发育评估量表对被试进行粗大运动发育评估.结果 对照组干预前后的睡眠时长[(79. 6±15. 0)min,(78. 3±20. 4)min]、REM期睡眠占比[(28. 3±5. 9)%,(28. 2±9. 0)%]、NREM期睡眠占比[(71. 2±3. 6)%,(72. 6±5. 1)%]、深度睡眠占比[(13. 0±2. 7)%,(13. 6±3. 7)%]、睡眠潜伏期时长[( 9. 1±3. 6) min,( 8. 7±2. 9) min]、睡眠效率[(78. 6±1. 9)%,(84. 4±5. 5)%]均差异无统计学意义(均P>0. 05).试验组干预前后的睡眠时长[(82. 7±13. 4)min,(95. 6±12. 1)min]、深度睡眠占比[(10. 4±4. 7)%,(16. 6±3. 0)%]、NREM期占比[(74. 9±1. 6)%,(76. 9±1. 0)%]、睡眠效率[(82. 3±2. 6)%,(89. 4±3. 7)%]差异有统计学意义(均P<0. 05).试验组在完整睡眠时长,NREM期睡眠占比,深度睡眠占比,及睡眠效率上的干预前后差值均显著高于对照组(P<0. 05).两组干预前后粗大运动发育水平差值差异有统计学意义[试验组(6. 0±3. 0)分,对照组(2. 0±1. 5)分,t=4. 687,P<0. 05].结论 睡眠护理干预可提高婴幼儿的深度睡眠占比,提高粗大运动的发育水平.医护人员可根据不同家庭及婴儿心理发育情况制定睡眠护理干预方案优化婴幼儿深度睡眠,促进粗大运动的发育水平.Objective To explore the effect of sleep nursing intervention on infants' sleep status and gross motor development. Methods Eighty-nine normal infants aged 8-9 months were randomly divided into two groups:experimental group (n=45) and control group (n=44). The control group received general fami-ly nursing intervention,while the experimental group received sleep nursing intervention. The whole interven-tion lasted for 56 consecutive natural days. Before and after the intervention,polysomnography ( PSG) was used to monitor the electrophysiology during sleep,and Gesell development assessment scale was used to as-sess the gross motor development of the subjects. Results There were no significant difference in sleep du-ration ((79. 6±15. 0) min,(78. 3± 20. 4) min),REM sleep (( 28. 3 ± 5. 9)%,( 28. 2 ± 9. 0)%),NREM sleep((71. 2 ± 3. 6)%,( 72. 6 ± 5. 1)%),deep sleep (( 13. 0 ± 2. 7)%,( 13. 6 ± 3. 7)%),sleep latency ((9. 1±3. 6)min,(8. 7±2. 9)min)and sleep efficiency ((78. 6±1. 9)%,(84. 4±5. 5)%) before and after the intervention in the control group (all P>0. 05). The sleep duration ((82. 7±13. 4) min,(95. 6±12. 1) min),the proportion of deep sleep (( 10. 4 ± 4. 7)%, ( 16. 6 ± 3. 0)%),the proportion of NREM period ((74. 9±1. 6)%,(76. 9±1. 0)%),the sleep efficiency(( 82. 3± 2. 6)%,(89. 4± 3. 7)%) in the experi-mental group were significantly different before and after the intervention(P<0. 05). The differences value of the total sleep duration,NREM sleep proportion,deep sleep proportion and sleep efficiency before and after the intervention in the experimental group were significantly higher than those in the control group (P< 0. 05). The difference value of gross motor development between the two groups before and after intervention was statistically significant (test group (6. 0±3. 0),control group (2. 0±1. 5),t=4. 687,P<0. 05). Conclu-sion Sleep nursing intervention can improve the proportion of deep sleep in infants and improve the devel-opment level of gross exercise. The community health serv

关 键 词：睡眠 家庭护理 粗大运动发育 

分 类 号：R47[医药卫生—护理学]