Department of Pediatrics, School of Medicine, Yale University, New Haven, Connecticut, USA.
Acad Pediatr. 2011 Nov-Dec;11(6):481-6. doi: 10.1016/j.acap.2011.08.001. Epub 2011 Sep 21.
Shaken baby syndrome (SBS) is the leading cause of traumatic infant death. We examined whether the message about not shaking an infant should be included in the newborn anticipatory guidance provided by pediatric residents. The aim of this study was to determine the impact of an educational intervention (Take 5 Safety Plan for Crying) delivered by pediatric residents at newborn hospital discharge on beliefs about infant crying and knowledge of SBS among caregivers of young infants being treated in an urban primary care center.
Structured interviews were done in one convenience sample of caregivers before (historical control group) and in a second set of different caregivers after (intervention group) an educational intervention was implemented at hospital discharge. Logistic regression was used to calculate adjusted associations between the intervention and caregivers' beliefs/knowledge.
One hundred ten caregivers were in the historical control group and 112 in the intervention group. The intervention group had more mothers and the infants were younger. Controlling for these differences, intervention group caregivers were more likely to state they would take a break if frustrated with infant crying (OR 3.10, 95% CI, 1.62-5.93), were more likely to state frustration caused infant shaking (OR 2.21, 95% CI, 1.20-4.20), and to state their knowledge of SBS was from hospital staff (OR 3.39, 95% CI, 1.61-4.20).
This targeted postpartum intervention incorporated into newborn anticipatory guidance can influence caregivers' beliefs about infant crying and knowledge of SBS.
摇晃婴儿综合征（SBS）是导致婴儿创伤性死亡的主要原因。我们研究了关于不应摇晃婴儿的信息是否应包含在儿科住院医师提供的新生儿预期指导中。本研究旨在确定儿科住院医师在新生儿出院时提供的教育干预措施（哭泣的 5 安全计划）对在城市初级保健中心接受治疗的幼儿照顾者对婴儿哭泣的信念和 SBS 知识的影响。
在实施教育干预措施之前（历史对照组）和之后（干预组），对一组方便的照顾者进行了结构化访谈。使用逻辑回归来计算干预与照顾者信念/知识之间的调整关联。
历史对照组有 110 名照顾者，干预组有 112 名。干预组中母亲更多，婴儿年龄更小。在控制这些差异后，干预组的照顾者更有可能表示如果对婴儿哭泣感到沮丧，他们会休息一下（OR 3.10，95%CI，1.62-5.93），更有可能表示沮丧会导致婴儿摇晃（OR 2.21，95%CI，1.20-4.20），并且表示他们对 SBS 的了解来自医院工作人员（OR 3.39，95%CI，1.61-4.20）。
纳入新生儿预期指导的这种针对性产后干预措施可以影响照顾者对婴儿哭泣的信念和对 SBS 的了解。
