Adachi Yoshiko, Sato Chifumi, Nishino Noriko, Ohryoji Fumitake, Hayama Junko, Yamagami Toshiko
Institute of Behavioral Health, 3-29-11 Ishizaka, Dazaifu-city, Fukuoka 818-0118, Japan.
Clin Med Res. 2009 Sep;7(3):85-92. doi: 10.3121/cmr.2009.814. Epub 2009 Feb 26.
To examine the effectiveness of a simple behavioral intervention with an educational booklet on the modification of parenting behaviors and the prevention of sleep disturbance in 4-month-old infants.
A prospective cohort design with cluster sampling controls in a primary care setting.
A total of 136 mothers with 4-month-old infants who visited a local health check-up clinic and responded to the 3-month follow-up survey.
At the health check-up, an intervention group was provided with 10 minutes of group guidance and a simple educational booklet designed to encourage parents to promote favorable sleep patterns in their infants. A control group was provided with standard education alone. The two groups were questioned 3 months later through a survey sent by mail. Main measurements were parenting behaviors of parents and night waking of infants.
Two undesirable maternal behaviors that reinforce night waking in infants exhibited a significantly greater improvement in the intervention group than in the control group. "Feed or check diaper promptly" behavior and "hold and soothe immediately" behavior after "night waking" in the infant were significantly decreased in the intervention group.
Our findings suggest that increased night waking in infants was prevented in the intervention group. Our results indicate that the proportion of infant night waking was significantly higher in the control group, and there was also a tendency toward an increase in the proportion of infants who woke frequently and cried. These infant behaviors were not changed in the intervention group at the 3-month follow-up stage.
探讨使用一本教育手册进行简单行为干预对改变4个月大婴儿的养育行为及预防睡眠障碍的效果。
在初级保健机构中采用整群抽样对照的前瞻性队列设计。
共有136名带着4个月大婴儿的母亲，她们前往当地健康检查诊所就诊并对3个月的随访调查做出了回应。
在健康检查时，干预组接受了10分钟的小组指导，并获得一本旨在鼓励父母促进婴儿良好睡眠模式的简单教育手册。对照组仅接受标准教育。3个月后通过邮寄调查对两组进行询问。主要测量指标是父母的养育行为和婴儿夜间醒来情况。
干预组中两种强化婴儿夜间醒来的不良母亲行为改善程度显著大于对照组。干预组中婴儿“夜间醒来”后“立即喂奶或检查尿布”行为以及“立即抱起安抚”行为显著减少。
我们的研究结果表明，干预组预防了婴儿夜间醒来次数增加。我们的结果表明，对照组中婴儿夜间醒来的比例显著更高，而且频繁醒来并哭闹的婴儿比例也有增加的趋势。在3个月的随访阶段，干预组中这些婴儿行为没有改变。
