清远市1~24月龄婴幼儿睡眠现状及影响因素的研究  

A Study on the Sleep Status and Influencing Factors of Infants Aged 1 to 24 Months in Qingyuan City

作　　者：凡伟 王容[2] 华杏 FAN Wei;WANG Rong;HUA Xing(Qingyuan Maternal and Child Health Hospital Children′s Neurology and Development Center,Qingyuan 511515,China;Nursing College of Qingyuan Vocational and Technical College,Qingyuan 511510,China)

机构地区：[1]清远市妇幼保健院小儿神经康复科,清远511515 [2]清远职业技术学院护理学院,清远511510

出　　处：《世界睡眠医学杂志》2025年第1期42-45,共4页World Journal of Sleep Medicine

基　　金：广东省中医药局面上项目(20220502109453540);广东省教育厅项目(2023KTSCX389);广东省教育科学规划领导小组办公室项目(2023GXJK1007);清远市哲学社会科学规划项目(QYSK2024014)。

摘　　要：目的:调查清远市1~24月龄婴幼儿睡眠现状及探究其影响因素。方法:选取2020年4月至2022年8月清远市妇幼保健院正常保健的1~24月龄婴幼儿932名作为研究对象,按照简明婴幼儿睡眠问卷(BISQ)调查婴幼儿的睡眠现状,并根据婴幼儿的睡眠情况分为对照组(n=416)和观察组(n=516),采用单因素和Logistic多因素分析影响婴幼儿睡眠的因素。结果:本研究932名1~24月龄婴幼儿中存在睡眠问题者516名,占55.34%;经单因素分析发现对照组与观察组婴幼儿在月龄、胎龄、睡眠环境、父母睡觉习惯、白天午休时间、睡前习惯、喂养方式、白天活动强度、夜间进食次数、入睡方式上存在显著差异,差异有统计学意义(P<0.05);经Logistic多因素分析发现胎龄非足月、睡眠环境吵闹、父母睡觉有不良习惯、睡前习惯晃动抚摸入睡、夜间进食次数>2次、白天活动强度<2 h/d、非独自入睡是婴幼儿出现睡眠问题的独立危险因素,差异有统计学意义(P<0.05)。结论:清远市1~24月龄婴幼儿多达半数存在睡眠问题,胎龄、睡眠环境、父母睡觉习惯、睡前习惯、夜间进食次数、白天活动强度、非独自入睡是婴幼儿出现睡眠问题的独立危险因素,临床工作者应针对这些危险因素对婴幼儿监护者进行指导和宣教,从早期预防,及时发现睡眠问题并进行干预,保证婴幼儿健康睡眠。Objective:To investigate the sleep status of infants aged 1 to 24 months in Qingyuan City and explore its influencing factors.Methods:A total of 932 infants aged 1 to 24 months who received routine health care in our hospital from April 2020 to August 2022 were selected as the research subjects.The Brief Sleep Questionnaire for Infants(BISQ)was used to assess the sleep status of infants.They were divided into a control group(n=416)and an observation group(n=516)according to their sleep conditions.Univariate and logistic multivariate analysis were used to identify the factors affecting infant sleep.Results:In this study,out of 932 infants aged 1 to 24 months,516 had sleep problems,accounting for 55.34%.Univariate analysis revealed significant differences between the control and observation groups in terms of age,gestational age,sleep environment,parental sleep habits,daytime nap duration,bedtime routines,feeding methods,daytime activity intensity,frequency of nighttime feeding,and sleep initiation methods,with statistical significance(P<0.05).Through logistic multivariate analysis,it was found that non full term gestational age,noisy sleeping environment,parents′unhealthy sleeping habits,shaking and caressing before bedtime,eating more than twice at night,and not falling asleep alone are independent risk factors for sleep problems in infants(P<0.05).Conclusion:Up to half of infants aged 1 to 24 months in Qingyuan City have sleep problems.Gestational age,sleeping environment,parents′sleeping habits,bedtime habits,frequency of nighttime meals,and not falling asleep alone are independent risk factors for sleep problems in infants.Clinical workers should provide guidance and education to infant guardians on these risk factors,prevent early onset of sleep problems,detect and intervene in a timely manner,and ensure healthy sleep for infants.

关 键 词：1~24月 婴幼儿 睡眠现状 影响因素 

分 类 号：R338.63[医药卫生—人体生理学] R473.72[医药卫生—基础医学]