de Luca Federico, Hinde Andrew
School of Social Sciences: Social Statistics & Demography, University of Southampton, Southampton, UK.
Southampton Statistical Sciences Research Institute, University of Southampton, Southampton, UK.
BMJ Open. 2016 Sep 30;6(9):e011435. doi: 10.1136/bmjopen-2016-011435.
From the late 1980s 'Back-to-Sleep' (BTS) campaigns were run in most developed countries to increase awareness of the supine position's protective effect against sleep-related infant deaths. Once the media awareness-raising action associated with these campaigns ended, healthcare professionals' role became crucial. The goal of this paper is to determine if healthcare professionals' knowledge and parent advice consistent with evidence-based infant sleep recommendations have changed over the past 20 years.
All studies investigating healthcare professionals' knowledge and/or advice to parents were included in a systematic review. The search was performed in PubMed and in MEDLINE, and 21 studies were identified.
The correctness of healthcare professionals' knowledge and parent advice about the supine sleeping position increased over the past 20 years. However, the percentage of those aware that parents should avoid putting their babies to sleep in a prone position is decreasing over time: from about 97% in the 1990s to about 90% at the end of the 2000s.
The effectiveness of the BTS campaigns in publicising the benefits of the supine position is confirmed by this paper. More and more healthcare professionals know that it is the best position to reduce the risk of sleep-related deaths and they recommend it exclusively. However, the decrease in the knowledge about non-prone positions suggests that the campaigns may not have focused enough on the dangers of the prone position.
从20世纪80年代末起，大多数发达国家开展了“仰卧睡眠”（BTS）运动，以提高人们对仰卧姿势预防婴儿睡眠相关死亡的保护作用的认识。一旦与这些运动相关的媒体宣传行动结束，医疗保健专业人员的作用就变得至关重要。本文的目的是确定在过去20年中，医疗保健专业人员的知识以及向家长提供的与循证婴儿睡眠建议一致的建议是否发生了变化。
所有调查医疗保健专业人员知识和/或向家长提供的建议的研究都纳入了一项系统评价。检索在PubMed和MEDLINE中进行，共识别出21项研究。
在过去20年中，医疗保健专业人员关于仰卧睡眠姿势的知识以及向家长提供的建议的正确性有所提高。然而，知晓家长应避免让婴儿俯卧睡眠的人员比例随时间下降：从20世纪90年代的约97%降至21世纪末的约90%。
本文证实了BTS运动在宣传仰卧姿势益处方面的有效性。越来越多的医疗保健专业人员知道仰卧是降低睡眠相关死亡风险的最佳姿势，并且他们只推荐这一姿势。然而，关于非俯卧姿势知识的减少表明，这些运动可能对俯卧姿势的危险性关注不足。
