改变育儿习惯，让市中心的婴儿仰卧睡觉。

Changing nursery practice gets inner-city infants in the supine position for sleep.

作者信息

Colson Eve R, Joslin Sharon Cohen

机构信息

Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA.

出版信息

Arch Pediatr Adolesc Med. 2002 Jul;156(7):717-20. doi: 10.1001/archpedi.156.7.717.

DOI:10.1001/archpedi.156.7.717

PMID:12090841

Abstract

OBJECTIVE

To determine whether an educational intervention to change nursery practice would result in more inner-city parents placing their infants in the supine position for sleep.

DESIGN

We conducted semistructured interviews at the 2-week health supervision visit with 1 convenience sample of parents before and a different convenience sample of parents after an educational intervention was conducted to change nursery practice in positioning infants for sleep.

SETTING

University hospital clinic located in an urban setting.

PARTICIPANTS

Parents of 2-week-old infants at their first health supervision visit in an urban, university-affiliated clinic. All parents who were approached agreed to participate.

INTERVENTION

Nurses were instructed to place infants exclusively in the supine position in the nursery and to instruct parents to exclusively place infants in the supine sleeping position at home.

MAIN OUTCOME MEASURE

The usual sleeping position in which parents reported placing their 2-week old infants.

RESULTS

Before the intervention, 41% of parents reported that a clinician had told them to place their infants to sleep in the supine position compared with 81% after the intervention (odds ratio [OR], 6.1; 95% confidence interval [CI], 3.1-12.3). Before the intervention, 37% of parents reported that the nursery staff placed their infants to sleep in the supine position, compared with 88% after the intervention (OR, 12.5; 95% CI, 5.7-27.7). Before the intervention, 42% of parents reported that they usually placed their infants to sleep in the supine position at home compared with 75% after the intervention (OR, 4.2; 95% CI, 2.1-7.9).

CONCLUSION

After an educational intervention to change practice in a well-newborn nursery, many more parents reported placing their infants in the supine position for sleep, which suggests that such an intervention may have an impact on the position in which parents place their children to sleep.

摘要

目的

确定一项旨在改变托儿所做法的教育干预措施是否会使更多市中心区的父母让婴儿仰卧睡觉。

设计

我们在一项教育干预措施实施前后，分别对两组不同的方便样本父母进行了半结构化访谈，干预措施旨在改变托儿所让婴儿睡觉的姿势，访谈在婴儿2周健康监督访视时进行。

地点

位于城市地区的大学医院诊所。

参与者

在一所城市大学附属医院诊所进行首次健康监督访视的2周龄婴儿的父母。所有被邀请的父母均同意参与。

干预措施

护士被指示在托儿所仅让婴儿仰卧睡觉，并指导父母在家中也仅让婴儿仰卧睡觉。

主要观察指标

父母报告的让其2周龄婴儿睡觉的常用姿势。

结果

干预前，41%的父母报告临床医生曾告知他们让婴儿仰卧睡觉，干预后这一比例为81%（优势比[OR]为6.1；95%置信区间[CI]为3.1 - 12.3）。干预前，37%的父母报告托儿所工作人员让婴儿仰卧睡觉，干预后这一比例为88%（OR为12.5；95% CI为5.7 - 27.7）。干预前，42%的父母报告他们在家中通常让婴儿仰卧睡觉，干预后这一比例为75%（OR为4.2；95% CI为2.1 - 7.9）。