关于降低婴儿猝死综合征风险的医生建议：一项针对儿科医生和家庭医生的全国性调查。

Physician recommendations regarding SIDS risk reduction: a national survey of pediatricians and family physicians.

作者信息

Moon Rachel Y, Kington Marit, Oden Rosalind, Iglesias Joana, Hauck Fern R

机构信息

Division of General and Community Pediatrics, Diana L. and Stephen A. Goldberg Center for Community Pediatric Health, Washington, DC, USA.

出版信息

Clin Pediatr (Phila). 2007 Nov;46(9):791-800. doi: 10.1177/0009922807303894. Epub 2007 Jul 19.

DOI:10.1177/0009922807303894

PMID:17641121

Abstract

BACKGROUND

Sudden infant death syndrome (SIDS) is a leading cause of death among infants. Recently, new SIDS risk factors have emerged.

OBJECTIVE

To determine knowledge and recommendations of pediatricians and family physicians regarding SIDS-relevant practices.

METHODS

Cross-sectional survey of 3005 pediatricians and family physicians.

RESULTS

Of the 783 respondents, pediatricians comprised 64% and females 52%; 78% recognized supine as the recommended sleep position; 69% recommended supine. Almost all physicians recommended a firm mattress, 82% recommended a crib or bassinet, and 42% recommended a separate room for infants; 63% had no preference about or did not recommend restricting pacifier use. Pediatricians were more likely to discuss infant sleep position and room sharing at every well-child visit.

CONCLUSIONS

Knowledge about recommended infant sleep position is relatively high, but there are gaps in physician knowledge regarding safe sleep recommendations. Greater dissemination of information is required, and barriers to implementation need to be identified and addressed.

摘要

背景

婴儿猝死综合征（SIDS）是婴儿死亡的主要原因。最近，出现了新的SIDS风险因素。

目的

确定儿科医生和家庭医生关于与SIDS相关做法的知识和建议。

方法

对3005名儿科医生和家庭医生进行横断面调查。

结果

在783名受访者中，儿科医生占64%，女性占52%；78%的人认可仰卧为推荐的睡眠姿势；69%的人推荐仰卧。几乎所有医生都推荐使用硬床垫，82%的人推荐使用婴儿床或摇篮，42%的人推荐为婴儿设置单独的房间；63%的人对限制使用安抚奶嘴没有偏好或不推荐。儿科医生更有可能在每次健康儿童检查时讨论婴儿睡眠姿势和同室睡眠问题。