6~35月龄婴幼儿入睡方式及其对睡眠质量影响分析  

Analysis of sleep initiation patterns and their impact on sleep quality in infants and young children aged 6-35 months

作　　者：饶艳琼 许榛[1] 孙晶晶 张欧[1] 刘四香 凌昱[1] RAO Yanqiong;XU Zhen;SUN Jingjing;ZHANG Ou;LIU Sixiang;LING Yu(Department of Child Health Care,Kunming Children's Hospital,Kunming,Yunnan 650034,China)

机构地区：[1]昆明市儿童医院儿保科,云南昆明650034

出　　处：《中国优生与遗传杂志》2024年第5期1083-1088,共6页Chinese Journal of Birth Health & Heredity

基　　金：云南省儿童健康与疾病临床医学研究中心开放研究项目(2022-ETYY-YJ-05)。

摘　　要：目的分析婴幼儿的入睡方式及睡眠问题,了解婴幼儿入睡方式及对睡眠问题的影响。方法选取2022年6月至2023年5月就诊于昆明市儿童医院儿保科门诊的6~35月龄健康婴幼儿为研究对象,向婴幼儿家长发放简明婴幼儿睡眠问卷(BISQ)及一般情况调查问卷,婴幼儿入睡方式的影响因素评估采用Logistic回归分析,入睡方式对夜醒次数的影响评估采用多元线性回归分析。结果6~35月龄婴幼儿入睡方式主要为奶睡(41.2%)。其次为父母陪伴入睡(32.5%);51.8%者有睡眠问题,睡眠问题中入睡困难发生率最高,为31.0%,夜醒为24.0%,睡眠节律紊乱为15.3%。单因素分析发现婴幼儿入睡方式与月龄及目前母乳喂养有关(P<0.01);随月龄增长,奶睡比例减少。Logistic回归分析发现小月龄(6~11月)婴幼儿的奶睡、抱睡比例高(P<0.05)。多元线性回归分析发现奶睡、抱睡使夜醒次数增加(P<0.05)。结论奶睡、父母陪伴入睡、抱睡为婴幼儿主要入睡方式,睡眠问题的发生率高。建议加强婴幼儿睡眠卫生习惯培养的宣教,早期戒除不良入睡方式,培养婴幼儿自主入睡,减少睡眠问题的发生。Objective To analyze the sleep initiation patterns and sleep problems of infants and young children,and understand the influence of sleep initiation patterns on sleep problems.Methods Infants and young children aged 6-35 months,who underwent medical inspection in the Department of Child Health Care of Kunming Children's Hospital from June 2022 to May 2023,were enrolled.Their parents complete the brief infant sleep questionnaire(BISQ)and the general information questionnaire.The influencing factors for sleep initiation patterns were evaluated by a multivariate Logistic regression analysis.The influence of sleep initiation patterns on the number of nighttime awakenings was evaluated by a multiple linear regression analysis was used to evaluate.Results The most common way for infants and young children aged 6-35 months to sleep initiation patterns is through breastfeeding(41.2%),and 32.5%initiated sleep accompanied by parents.The incidence of sleep problems in infants and young children was 51.8%.The highest incidence is difficulty in falling asleep(31.0%),followed by nocturnal awake(24.0%)and sleep rhythm disorder(15.3%).The univariate factor analysis showed that age and children with breastfeeding were associated with sleep initiation patterns(P<0.01).As the age increases,the proportion of breastfeeding sleep decreases.Logistic regression analysis showed that infants and young children with a younger age were more likely to be breastfed/bottle fed and rocked/held to initiate sleep(P<0.05).The multiple linear regression analysis showed that sleep initiation by being breastfed/bottle fed,and rocked/held increased the number of nighttime awakenings(P<0.05).Conclusion Most infants and young children initiate sleep by being breastfed/bottle fed,accompanied and rocked/held.And the incidence of sleep problems is high.It is recommended to strengthen the propaganda and education of sleep habits among infants and young children,early quit unhealthy sleep habits,cultivate independent sleep for infants and young children,and

关 键 词：婴幼儿 入睡方式 睡眠问题 简明婴幼儿睡眠问卷 

分 类 号：R174[医药卫生—妇幼卫生保健]