Rohana Jaafar, Ishak Shareena, Wan Nurulhuda Wan Md Zin
Department of Paediatrics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Pediatr Int. 2018 Aug;60(8):710-713. doi: 10.1111/ped.13605. Epub 2018 Jul 10.
Preterm infants are at higher risk of sudden infant death syndrome (SIDS) compared with term born infants and the risk is inversely proportional to the gestational age and birthweight. Parents of these infants should have adequate knowledge and practise the recommended SIDS risk reduction measures.
A survey was conducted between December 2016 and August 2017 at Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur. Parents of preterm infants ≤36 weeks' gestation were invited to answer a self-administered questionnaire to assess their knowledge and practise regarding SIDS risk reduction.
Forty-nine (61.33%) of the 80 parents had heard of SIDS prior to the interview, with social media being the commonest source of information (67.3%). Only 35 (43.7%) correctly answered at least five of nine questions on knowledge of SIDS risk reduction ("good knowledge"). When compared with the group of parents who answered less than five questions correctly ("poor knowledge"), there was no significant difference in the demographic and infant characteristics between the groups. The majority (68.8%) of parents practised bed sharing with their infants, and this was significantly more common in the group of parents with poor knowledge (P = 0.01). Household smoking was also significantly more common in the group of parents with poor knowledge (P = 0.048).
Knowledge on SIDS risk reduction measures was generally poor among parents of preterm infants in this study. Cigarette smoking, bed sharing and non-supine sleep positions, which are associated with increased risk of SIDS, were common practise among the present subjects.
与足月儿相比，早产儿患婴儿猝死综合征（SIDS）的风险更高，且该风险与胎龄和出生体重成反比。这些婴儿的父母应具备足够的知识并践行推荐的降低SIDS风险的措施。
2016年12月至2017年8月在吉隆坡马来西亚国民大学医学中心进行了一项调查。邀请孕周≤36周的早产儿父母回答一份自填式问卷，以评估他们关于降低SIDS风险的知识和行为。
80名父母中有49名（61.33%）在访谈前听说过SIDS，社交媒体是最常见的信息来源（67.3%）。在关于降低SIDS风险知识的9个问题中，只有35名（43.7%）父母至少正确回答了5个问题（“知识良好”）。与正确回答少于5个问题的父母组（“知识匮乏”）相比，两组在人口统计学和婴儿特征方面没有显著差异。大多数（68.8%）父母与婴儿同床共眠，这在知识匮乏的父母组中更为常见（P = 0.01）。在知识匮乏的父母组中，家庭吸烟情况也更为常见（P = 0.048）。
在本研究中，早产儿父母对降低SIDS风险措施的知识普遍较差。与SIDS风险增加相关的吸烟、同床共眠和非仰卧睡眠姿势在本研究对象中很常见。
