孕期健康教育影響母親的嬰兒睡眠照護(hù)知識和行為狀況研究

劉佳,  游川1, , ,  劉軍1,  邢娟2,  陳彤穎3,  席雪4,  彭燕梅5,  劉鳳林3,  朱永霞6,  門磊(in Chinese)

1. 首都醫(yī)科大學(xué)附屬北京婦產(chǎn)醫(yī)院北京婦幼保健院, 北京 100026;

2. 北京市西城區(qū)婦幼保健院, 北京 100054;

3. 北京市順義區(qū)婦幼保健院, 北京 101311;

4. 北京市東城區(qū)婦幼保健院, 北京 100007;

5. 北京市懷柔區(qū)婦幼保健院, 北京 101400;

6. 北京市通州區(qū)婦幼保健院, 北京 101101;

7. 北京市房山區(qū)婦幼保健院, 北京 102488

詳細(xì)信息

通訊作者:

游川,Email:youchuan@ccmu.edu.cn

計量 文章訪問數(shù):  0 HTML全文瀏覽量:  0 PDF下載量:  0 出版歷程 收稿日期:  2020-07-29 網(wǎng)絡(luò)出版日期:  2023-01-13

Study on health education during pregnancy affects mothers’infant sleep care knowledge and behavior status

LIU Jia1,  YOU Chuan1, , ,  LIU Jun1,  XING Juan2,  CHEN Tong Ying3,  XI Xue4,  PENG Yan Mei5,  LIU Feng Lin3,  ZHU Yong Xia6,  MEN Lei(in Chinese)

1. Beijing Maternal and Child Health Hospital, Beijing Obstetrics and Gynecology Hospital, Affiliated to Capital Medical University, Beijing 100026, China;

2. Maternal and Child Health Hospital of Xicheng District, Beijing 100054, China;

3. Maternal and Child Health Hospital of Shunyi District, Beijing 101311, China;

4. Maternal and Child Health, Hospital of Dongcheng District, Beijing 100007, China;

5. Maternal and Child Health Hospital of Huairou District, Beijing 101400, China;

6. Maternal and Child Health Hospital of Tongzhou District, Beijing 101101, China;

7. Maternal and Child Health Hospital of Fangshan District, Beijing 102488, China

摘要

摘要: 目的 探討孕期孕婦接受嬰兒睡眠健康教育,對促進(jìn)出生后嬰兒睡眠質(zhì)量的作用效果。方法 采用整群抽樣方法,選取城區(qū)、近郊、遠(yuǎn)郊各兩家有孕婦學(xué)校的婦幼保健機(jī)構(gòu),在2015年開展嬰兒睡眠健康教育課程,2015年12月15日-2016年1月15日期間調(diào)查在以上機(jī)構(gòu)進(jìn)行健康體檢的1月齡孩子家長1009人,采用自填式問卷,調(diào)查媽媽孕期上課及嬰兒睡眠情況,用χ2檢驗(yàn)進(jìn)行分析。結(jié)果 將調(diào)查對象按照是否在孕期參加過孕婦學(xué)校睡眠課程分為孕期上課組、孕期未上課組兩組人群,在媽媽學(xué)歷、撫養(yǎng)方式、嬰兒性別和產(chǎn)次方面比較,差異無統(tǒng)計學(xué)意義,說明兩組具有可比性。家長在孕期參加過睡眠課程的,在產(chǎn)后被調(diào)查的時候,睡眠知識回答正確率43.8%,高于未上課組的正確率36.7%(P<0.05)。上課組記錄嬰兒睡眠(26.5%)、呼吸(35.7%)、大小便(70.0%)、奶量(61.0%)等發(fā)育細(xì)節(jié)方面,好于未上課組(17.7%、16.1%、20.0%、60.8%、50.4%、11.9%),差異均有統(tǒng)計學(xué)意義(P<0.05)。上課組在樹立寶寶固定睡眠儀式(68.5%)、營造睡眠環(huán)境(52.1%)、調(diào)整適宜房間溫度(80.8%)、在孩子動眼睡眠時能夠正確處理(66.1%)方面,都好于未上課組(42.8%、41.7%、71.2%、58.9%),差異均有統(tǒng)計學(xué)意義(P<0.05)。在睡眠問題方面,經(jīng)常發(fā)生至少一種睡眠問題(入睡困難、睡眠節(jié)律紊亂、張口呼吸、打鼾)的比率,上課組11.9%,小于沒有上課組19.4%,差異有統(tǒng)計學(xué)意義(P<0.05)。結(jié)論 孕期開展嬰兒睡眠知識教育,可以有效提高家長的相關(guān)知識,樹立嬰兒睡眠健康行為,是提高出生后嬰兒睡眠質(zhì)量的有效方法。

Abstract: Objective To explore the effect of pregnant women receiving infant sleep health education during pregnancy on the promotion of infant sleep quality of infants after delivery. Method The research usingcluster sampling method, six maternal and child health care institutions from the central, suburban and outer suburbs were selected in the region. 1009 parents were surveyedwho visited outpatient clinic in the institutions during December 15, 2015 to January 15, 2016, where infant sleep health education courseswere provided in 2015,. A self-administered questionnaire on mother's classroom learning during pregnancy and infant's sleep status was completed, Chi-square analysis was applied. Result The survey subjects were divided into two groups according to whether they had participated in the sleep courses during pregnancy. There was no significant difference between the mothers' educational background, parenting style, infant gender and parity, indicating that the two groups were comparable. Parents who participated in sleep courses during pregnancy had a 43. 8% correct answer rate of sleep knowledge when they were investigated after delivery, which was higher than the correct rate as 36. 7% in the non-attendance group,P< 0. 05. The attendance group recorded infants' sleep(26. 5%), breathing(35. 7%), urine and feces(70. 0%), milk volume(61. 0%), and other developmental details, were better than non-attendance group(17. 7%, 16. 1%, 20. 0%, 60. 8%, 50. 4%, 11. 9% respectively), the differences were all significant(P< 0. 05). The attendance group is also better in establishing a fixed sleeping ritual for the baby(68. 5%), creating a sleeping environment(52. 1%), adjusting a suitable room temperature(80. 8%), and being able to handlecorrectly(66. 1%). 42. 8%,41. 7%, 71. 2%, 58. 9% in non-attendance group respectively, the differences were all significant(P< 0. 05). In terms of sleep problems, the rate of at least one sleep problem(difficulty falling asleep, sleep rhythm disturbance, mouth breathing, snoring)frequently occurred was 11. 9% in the attendance group, which was less than that(19. 4%) in the non-attendance group, and the difference was significant(P< 0. 05).Conclusion Sleep knowledge education during pregnancy can effectively improve relevant knowledge of parents and establish infant's sleep health behavior. It is an effective method to improve the sleep quality of infants after birth

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參考文獻(xiàn)(7)

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