婴儿床配送项目中的安全睡眠知识及所提供婴儿床的使用情况

Safe Sleep Knowledge and Use of Provided Cribs in a Crib Delivery Program.

作者信息

Engel Matthew, Ahlers-Schmidt Carolyn R, Suter Bonita

机构信息

University of Kansas School of Medicine-Wichita, Department of Pediatrics.

Van Buren Intermediate School District, Lawrence, MI.

出版信息

Kans J Med. 2017 Aug 30;10(3):1-8. eCollection 2017 Aug.

PMID:29472971

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5733451/

Abstract

BACKGROUND

Risk of infant sleep-related death can be reduced through safe sleep practices. Barriers to infant safe sleep have been mitigated through education and crib distribution, however, previous studies have not explored whether distributed cribs are put to use.

METHODS

In a rural Michigan county, the Great Start Sleep Initiative supplied cribs and education shortly after infant birth to families with high-risk of infant mortality, as assessed through comprehensive interviews with families by program staff. Participant knowledge was evaluated using structured pre- and post-assessments before and after education. Further, a home visit was conducted to evaluate the infant's sleeping environment. Data from the program, collected between January 2012 and December 2014, was evaluated.

RESULTS

Cribs and concomitant education were delivered to 75 caregivers. Knowledge of safe sleep practices increased significantly at follow-up with 67 caregivers (89%) affirming back positioning, 68 (91%) endorsing removal of unsafe items or soft objects, such as blankets, from the sleeping area, and 42 (56%) renouncing bed-sharing. At the home visit, 74 caregivers (99%) were using a crib to put their infant down to sleep, 70 (93%) were using the provided crib, and 67 (89%) had no unsafe items in the child's sleeping area.

CONCLUSIONS

Providing education to high-risk mothers resulted in improved safe sleep knowledge and provided cribs are used in these homes.

摘要

背景

通过安全睡眠措施可降低婴儿睡眠相关死亡风险。通过教育和分发婴儿床，婴儿安全睡眠的障碍已得到缓解，然而，以往研究尚未探讨分发的婴儿床是否得到使用。

方法

在密歇根州一个乡村县，“良好开端睡眠倡议”项目在婴儿出生后不久，就通过项目工作人员与家庭进行全面访谈评估出有婴儿死亡高风险的家庭，并为其提供婴儿床和教育。通过在教育前后使用结构化的预评估和后评估来评估参与者的知识。此外，还进行了家访以评估婴儿的睡眠环境。对2012年1月至2014年12月期间收集的该项目数据进行了评估。

结果

向75名照料者提供了婴儿床及相关教育。随访时，安全睡眠措施的知识显著增加，67名照料者（89%）确认采用仰卧睡姿，68名（91%）认可从睡眠区域移除不安全物品或柔软物品，如毯子，42名（56%）放弃同床共眠。在家访中，74名照料者（99%）使用婴儿床让婴儿入睡，70名（93%）使用提供的婴儿床，67名（89%）在孩子睡眠区域没有不安全物品。