0~3月龄婴儿家长睡眠养育行为特点及影响因素的纵向研究  

Longitudinal study on parental sleep arrangements characteristics and associated factors for infants aged 0-3 months

作　　者：冯围围[1] 徐韬[1] 王惠珊[1] 张悦[1] 黄小娜 潘晓平[1] 金曦[1] 马媛 张良芬[3] 张风华[4] 黄广文[5] 王念蓉[6] 李红辉 张彤 FENG Wei-wei;XU Tao;WANG Hui-shan;ZHANG Yue;HUANG Xiao-na;PAN Xiao-ping;JIN Xi;MA Yuan;ZHANG Liang-fen;ZHANG Feng-hua;HUANG Guang-wen;WANG Nian-rong;LI Hong-hui;ZHANG Tong(National Center for Women and Children′s Health,China CDC,Beijing 100081,China;Maternal&Child Health Specialist,Health,Nutrition&WES Section,UNICEF China,Beijing 100600,China;Haidian Maternal&Child Health Hospital,Beijing 100080,China;Women and Children Hospital of Qingdao,Qingdao,Shandong 266034,China;Hunan Maternal and Child Health Care Hospital,Changsha,Hunan 410001,China;Chongqing Health Center for Women and Children,Chongqing 400013,China;Liuzhou Maternity and Child Health Care Hospital,Liuzhou,Guangxi 545001,China;Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100081 [2]联合国儿童基金会驻中国办事处,北京100600 [3]北京市海淀区妇幼保健院,北京100080 [4]青岛市妇女儿童医疗保健中心,山东青岛266034 [5]湖南省妇幼保健院,湖南长沙410001 [6]重庆市妇幼保健院,重庆400013 [7]柳州市妇幼保健院,广西柳州545001 [8]首都儿科研究所,北京100020

出　　处：《中国儿童保健杂志》2020年第5期497-501,共5页Chinese Journal of Child Health Care

基　　金：国家自然科学基金(81202214)。

摘　　要：目的分析婴儿0~3月龄期间家长睡眠养育行为的特点及影响因素,为婴儿早期睡眠养育行为的预见性指导提供参考依据。方法采用纵向研究设计于2013-2015年对我国5个城市156例婴儿0~3月龄期间家长睡眠养育行为进行监测,监测时点分别为生后14 d、1、2月龄和3月龄,内容包括夜晚入睡方式、就寝时精神状态和睡床方式。按不同年龄点进行各行为发生率的统计描述和CMHχ^2检验,采用广义线性混合模型(GLMMs)进行家长睡眠养育行为的影响因素分析。结果监测期间观察夜晚婴儿由家长抱着入睡、放在床上轻拍或陪伴入睡和单独自行入睡的比例分别为54.4%、35.9%和9.7%,且随月龄增加,家长抱着入睡的比例呈上升趋势(P<0.0001)。婴儿就寝时被放置到床上时已睡着、犯困但未睡着和完全清醒的比例分别为63.7%、28.6%和7.7%,随月龄增加,犯困但未睡着的比例逐渐下降(P=0.0003)。与家人同床睡眠、同屋但单独小床睡眠、家人抱着睡眠以及单独房间睡眠的比例分别为53.8%、42.4%、2.0%和1.8%,随月龄增加,与家人同床睡眠的比例逐步增多(P<0.0001)。父母文化程度均为大学及以上、家庭月收入水平在5001~8000元和父亲抑郁情绪对睡眠养育行为有显著影响(OR=0.46,2.55,1.60,0.57,P<0.05或<0.001)。结论我国婴儿早期家长睡眠养育方式以家长安抚入睡、在已睡着的状态下放置床上睡眠和同床睡眠为主,需要加强预见性指导。Objective To longitudinally examine characteristics and associated factors of parental sleep arrangements for infants aged 0-3 months,in order to provide reference for the predictive guidance of infants′early parental sleep arrangements.Methods This was a longitudinal study of 156 infants with repeated measures from birth to 3 months in 5 cities of China from 2013 to 2015.The parental sleep arrangements were measured at 14 days,1 month,2 months and 3 months after birth.The statistical description and CMH chi-square test were conducted.The generalized linear mixed models were fitted to analyze the associated factors.Results The proportions of infants who fell asleep at night by parents holding,patting or accompanying beside the bed,and alone were 54.4%,35.9%and 9.7%,respectively,and the proportion of falling asleep by holding increased over time(P<0.0001).The proportions of asleep,drowsy but awake and fully awake when the infants were placed on the bed at bedtime were 63.7%,28.6%and 7.7%,respectively,and the proportion of drowsy but awake decreased over time(P=0.0003).The proportions of co-sleeping,room-sharing without bed-sharing,slept on parents′arms or backs and in a separate room were 53.8%,42.4%,2.0%and 1.8%,respectively,and the proportion of co-sleeping increased over time(P<0.0001).Parents′education level of university and above,household income of 5100~8000 yuan and father depression were statistically significant on sleep arrangements(OR=0.46,2.55,1.60,0.57,P<0.05或<0.001).Conclusions Parental sleep arrangements for infants in early stage mainly include falling asleep with soothing,putting infants to sleep asleep and co-sleeping,which need to strengthen predictive guidance.

关 键 词：睡眠 养育行为 纵向研究 0~3月龄婴儿 

分 类 号：R174[医药卫生—妇幼卫生保健]