Zundo Kristyn, Richards Elizabeth A, Ahmed Azza H, Codington Jennifer A
Pediatr Nurs. 2017 Mar-Apr;43(2):83-91.
Despite educational programs, sudden infant death syndrome (SIDS) rates remain unacceptably high, especially among low-income and African-American populations. The purpose of this review is to examine reasons for parental noncompliance with supine sleep recommendations. A database search in Cochrane Database of Systematic Reviews, PubMed, EBSCOhost, and CINAHL was conducted using keywords SIDS, prevention and control, parental compliance, nursing, supine position, Back to Sleep campaign, and Safe to Sleep campaign. Literature was included from 2002 to 2014. Types of studies included randomized control trials, literature reviews, and descriptive studies. Literature from academic journals was also included. Included literature discussed parental knowledge, the Back to Sleep and the Safe to Sleep campaigns, compliance with recommendations from the American Academy of Pediatrics (AAP), and interventions and education. Seventeen studies were included that used data collection methods, including surveys, focus groups, face-to-face interviews, and questionnaires. Major trends identified as being associated with noncompliance included parent knowledge, sources of advice, infant comfort and quality of infant sleep, safety concerns (i.e., choking), race/ethnicity, education level, and income. Noncompliance was highest among single, less-educated, low-income, or African-American parents.
尽管开展了教育项目，但婴儿猝死综合征（SIDS）的发生率仍然高得令人无法接受，尤其是在低收入人群和非裔美国人中。本综述的目的是探讨父母不遵守仰卧睡眠建议的原因。使用关键词婴儿猝死综合征、预防与控制、父母依从性、护理、仰卧位、“仰睡运动”和“安全睡眠运动”在考克兰系统评价数据库、PubMed、EBSCOhost和护理及健康领域数据库（CINAHL）中进行了数据库检索。纳入了2002年至2014年的文献。研究类型包括随机对照试验、文献综述和描述性研究。还纳入了学术期刊的文献。纳入的文献讨论了父母的知识、“仰睡运动”和“安全睡眠运动”、对美国儿科学会（AAP）建议的依从性以及干预措施和教育。纳入了17项使用数据收集方法的研究，包括调查、焦点小组、面对面访谈和问卷调查。确定与不依从相关的主要趋势包括父母知识、建议来源、婴儿舒适度和婴儿睡眠质量、安全问题（即窒息）、种族/族裔、教育水平和收入。不依从在单身、受教育程度较低、低收入或非裔美国父母中最为常见。
