Ford Kathleen M, Linker Lynda A
Pima County Health Department, 175 West Irvington Road, Tucson, AZ 85714, USA.
J Community Health Nurs. 2002 Summer;19(2):83-91. doi: 10.1207/S15327655JCHN1902_03.
Sudden Infant Death Syndrome is an elusive and tragic cause of infant mortality. In 1992, the American Academy of Pediatrics (AAP) recommended that healthy term infants be placed in the supine or lateral positions for sleep, based on research conducted in Europe, Australia, and New Zealand. The AAP modified its recommendation in 1994, indicating a preference for the supine position. Since the initial AAP proposal, national educational programs have worked to encourage parents and health care providers to utilize AAP guidelines. Studies have been done on parental use of the supine position. However, very little information exists about the procedures utilized in licensed child care facilities. A survey of child care providers was conducted to determine the risk for Sudden Infant Death Syndrome, as indicated by rates of compliance with AAP guidelines. Results show that although the majority of the child care providers knew the AAP recommendations, only 14.3% were in complete compliance. We make recommendations for the role of the public health nurse in facilitating compliance in child care centers along with suggestions for future research.
婴儿猝死综合征是一种难以捉摸且悲惨的婴儿死亡原因。1992年，美国儿科学会（AAP）根据在欧洲、澳大利亚和新西兰开展的研究，建议健康的足月儿采取仰卧或侧卧姿势睡眠。1994年，AAP修改了其建议，表明更倾向于仰卧姿势。自AAP最初提出建议以来，全国性的教育项目一直在努力鼓励家长和医疗保健提供者采用AAP指南。已经对家长采用仰卧姿势的情况进行了研究。然而，关于持牌儿童保育机构所采用程序的信息却非常少。为了根据对AAP指南的遵守率来确定婴儿猝死综合征的风险，对儿童保育提供者进行了一项调查。结果显示，尽管大多数儿童保育提供者知道AAP的建议，但只有14.3%的人完全遵守。我们针对公共卫生护士在促进儿童保育中心遵守规定方面的作用提出了建议，并对未来的研究提出了建议。
