Blom Maria A, van Sleuwen Bregje E, de Vries Han, Engelberts Adèle C, L'hoir Monique P
Maternal and Child Health Care Nurse, Health Care Centre Therapeuticum Utrecht, Utrecht, the Netherlands.
J Child Health Care. 2009 Jun;13(2):161-76. doi: 10.1177/1367493509102476.
This article describes two health care interventions developed to support parents whose infant cries excessively. Intervention 1 consists of advice to caregivers to bring about regularity and uniformity in daily infant care and to reduce external stimuli. Intervention 2 is the same advice accompanied by instructions to swaddle during sleep. Nurses can teach parents these interventions easily. The goal is to help infants to establish a stable sleep-wake rhythm, for overtiredness to disappear and excessive crying to stop. The approach is based on offering predictability, which helps to develop infant self-regulating ability. If the intervention succeeds, which is often the case, the baby cries less, drinks adequately, is able to fall asleep on their own and to sleep sufficiently, and therefore is no longer overtired. Parental stress is reduced, which could translate into an improvement in family health and quality of interaction between the parents and the child.
本文介绍了为帮助那些婴儿过度哭闹的父母而开发的两种医疗保健干预措施。干预措施1包括向照料者提供建议，以实现日常婴儿护理的规律性和一致性，并减少外部刺激。干预措施2是同样的建议，并伴有睡眠时包裹婴儿的指导。护士可以轻松地向父母传授这些干预措施。目标是帮助婴儿建立稳定的睡眠-觉醒节律，使过度疲劳消失，过度哭闹停止。该方法基于提供可预测性，这有助于培养婴儿的自我调节能力。如果干预成功，情况通常如此，婴儿哭闹减少，饮食充足，能够自行入睡并获得充足睡眠，因此不再过度疲劳。父母的压力得以减轻，这可能转化为家庭健康状况的改善以及父母与孩子之间互动质量的提高。
