婴儿安全睡眠保护策略临床实践与指南差距的调查研究  

Gap between clinical practice and guidelines for infant safe sleep protection strategies

作　　者：常汐铭 侯睿[1] 陈梅[2] 袁艳丽 Chang Ximing;Hou Rui;Chen Mei;Yuan Yanli(School of Nursing,Peking University,Beijing 100191,China;Department of Nursing,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学护理学院,北京100191 [2]北京大学第一医院护理部,北京100034

出　　处：《中华现代护理杂志》2022年第18期2453-2457,共5页Chinese Journal of Modern Nursing

基　　金：北京大学朗泰护理科研基金项目(LTHL19ZD06)。

摘　　要：目的调查并分析婴儿安全睡眠保护策略在我国的临床实践现状与指南的差距,为进一步构建符合我国实情的婴儿安全睡眠保护策略的循证实践方案及循证转化提供依据。方法2021年3—5月通过便利抽样法选取北京大学第一医院,纳入该医院产科病房、新生儿科病房、儿童保健门诊的50名医护人员及儿童保健门诊的100名照顾者,从组织层面、医护人员层面和照顾者层面展开调查。组织层面调查该医院产科病房、新生儿科病房和儿童保健门诊,审查相关支持制度及支持文件;医护人员层面采用现场观察法;照顾者层面采用问卷调查法,使用自设问卷婴儿安全睡眠保护策略的行为调查问卷进行调查,并对结果进行统计分析。结果有15个条目的执行率为0,有6个条目的执行率为1%~50%,有6个条目的执行率为51%~99%,有4个条目执行率为100%。多重线性回归分析结果显示,照顾者婴儿安全睡眠保护策略实践状况的影响因素为其文化程度(P<0.05),二者呈正相关(r=0.238,P<0.05)。结论婴儿安全睡眠保护策略的临床实践与指南仍存在较大差距,需加强相关培训,努力缩小临床实践与指南间的差距。Objective To investigate and analyze the gap between the current clinical practice and guidelines of infant safe sleep protection strategies in China,and to provide a basis for further construction of evidence-based practice programs and evidence-based transformation of infant safe sleep protection strategies that conform to the actual situation in China.Methods From March to May 2021,a total of 50 medical staff and 100 caregivers from the Obstetrics Ward,Neonatal Ward and Child Health Clinic in Peking University First Hospital were selected by the convenient sampling method.The survey was carried out at the organizational,the medical staff level and the caregiver.At the organizational level,the Maternity Ward,Neonatal Ward and Child Health Care Clinic of the hospital were investigated,and relevant support systems and supporting documents were reviewed.On-site observation was adopted at the medical staff level.At the caregiver level,the self-designed Infant Safe Sleep Protection Strategy Behavior Questionnaire was used to conduct the survey and the results were statistically analyzed.Results There were 15 items with an execution rate of 0,6 items with an execution rate of 1%to 50%,6 items with an execution rate of 51%to 99%and 4 items with an execution rate of 100%.Multiple linear regression analysis shows that the influencing factor of caregivers'practice of infant safe sleep protection strategy was their educational level(P<0.05),and there was a positive correlation between them(r=0.238,P<0.05).Conclusions There is still a big gap between clinical practice and guidelines of infant safe sleep protection strategies,and relevant training should be strengthened to narrow the gap between clinical practice and guidelines.

关 键 词：婴儿 睡眠 指南 差距 婴儿猝死综合征 

分 类 号：R473.72[医药卫生—护理学]