Hanafin S
School of Nursing and Midwifery Trinity College Dublin, Dublin, Ireland.
Child Care Health Dev. 2018 May;44(3):470-475. doi: 10.1111/cch.12539. Epub 2017 Dec 12.
There is an increasing recognition that sleep is an important aspect of health and well-being, and this is particularly the case in infancy and early childhood where sleep behaviours and patterns can result in substantial problems.
This paper draws on Wave 1, 2, and 3 data from Growing Up in Ireland, the national longitudinal study of children in Ireland to provide an overview of sleep patterns in a population of children aged 9 months (n = 11,112), 3 years (n = 9,790), and 5 years (n = 8,996). The anonymised data made available through the Irish Social Science Data Archive were analysed using descriptive statistics.
Findings from the analysis show that about two thirds of infants (66.9%; n = 7,433) and just under 3 quarters of children aged 3 years (72.8%; n = 7,127) go to sleep between 7:00 p.m. and 9:00 p.m. and about 3 quarters (78.6%; n = 7,070) of 5-year-old children are in bed by 9:00 p.m. Just under half of infants (48.5%; n = 5,000) wake up between 7:00 a.m. and 8:00 a.m. and 13.5% (n = 1,500) wake up between 6:00 a.m. and 7:00 a.m. More than 80% (n = 8,889) of mothers report their 9-month-old infant wakes up at least occasionally and 13.8% report it happens every night. Almost all infants nap during the daytime, with the majority (56.0%; n = 6,222) doing so for between 1 and 2 hours. About one third (65.4%; n = 6,402) of 3-year-olds take daytime naps, but only 5.0% (n = 449) of 5-year-olds do so. Substantial proportions of mothers report children's sleep patterns are at least a small problem for them (ranging from about 30% (n = 3,333) in infancy to 22% (n = 2,444) at 3 years and 12% (n = 1,079) at 5 years).
These findings highlight a substantial unmet need, and it is suggested that public health nurses and health visitors have a key role to play in supporting positive sleep patterns in early childhood.
人们越来越认识到睡眠是健康和幸福的一个重要方面,在婴儿期和幼儿期尤其如此,因为睡眠行为和模式可能会导致严重问题。
本文利用爱尔兰全国儿童纵向研究“在爱尔兰成长”的第1、2和3波数据,概述了9个月大(n = 11112)、3岁(n = 9790)和5岁(n = 8996)儿童群体的睡眠模式。通过爱尔兰社会科学数据存档提供的匿名数据采用描述性统计方法进行分析。
分析结果显示,约三分之二的婴儿(66.9%;n = 7433)和略少于四分之三的3岁儿童(72.8%;n = 7127)在晚上7点至9点之间入睡,约四分之三(78.6%;n = 7070)的5岁儿童在晚上9点前上床睡觉。略少于一半的婴儿(48.5%;n = 5000)在早上7点至8点之间醒来,13.5%(n = 1500)在早上6点至7点之间醒来。超过80%(n = 8889)的母亲报告说她们9个月大的婴儿至少偶尔会醒来,13.8%的母亲报告说这种情况每晚都会发生。几乎所有婴儿白天都会小睡,大多数(56.0%;n = 6222)小睡1至2小时。约三分之一(65.4%;n = 6402)的3岁儿童白天会小睡,但5岁儿童中只有5.0%(n = 449)会这样做。相当比例的母亲报告说,孩子的睡眠模式对她们来说至少是个小问题(从婴儿期的约30%(n = 3333)到3岁时的22%(n = 2444)和5岁时的12%(n = 1079))。
这些发现凸显了一个巨大的未满足需求,建议公共卫生护士和健康访视员在支持幼儿养成积极的睡眠模式方面发挥关键作用。