Alahmadi Turki S, Sobaihi Mrouge, Banjari Maysaa A, Bakheet Kholoud Mohammed A, Modan Alghamdi Sara Ali, Alharbi Adel S
Pediatric Department, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.
Pediatric Department, Faculty of Medicine, King Abdulaziz University, Rabigh, SAU.
Cureus. 2020 Dec 17;12(12):e12133. doi: 10.7759/cureus.12133.
Background Sudden infant death syndrome (SIDS) is defined as the sudden unexpected death of an infant, even after investigations and autopsy. SIDS is related to many factors, such as the baby's position and objects in the crib. Adherence to safe sleep recommendations in Saudi Arabia is unclear. This study aims to assess caregivers' implementation of safe sleep practices and if they received any safe sleep education through health care workers. Methods This was a cross-sectional, descriptive study. Inclusion criteria included all infants below the age of one year. Exclusion criteria included infants who were born premature, used ventilation, had a tracheostomy, any anomaly in the upper airway, or underwent spine surgery. A semi-structured questionnaire was used. Data were collected from mothers who had infants visiting the outpatient department of King Abdulaziz University Hospital in Jeddah, Saudi Arabia. An electronic survey was also created and published on a social platform. Statistical analysis was conducted with the aid of the Statistical Package for Social Sciences (SPSS) software, version 26 (IBM SPSS Statistics, Armonk, NY). Results Among 506 participants, only 22.5% were found to receive education about safe practices from health care providers. Fortunately, most of the infants (63.2%) were found to sleep in a supine position most of the nights. Adherent caregivers to placing the child in a designated baby bed and in a supine position most nights represented 44.86% of the sample. However, when asked about placing any of the following objects in the bed (pillows, blankets, soft toys, hard toys, and electric wires), the percentage of adherence dropped down to only 1.58%. Conclusion There was an obvious non-adherence among caregivers and a possible lack of knowledge of safe sleep recommendations for infants. This highlights the need for optimal education by health care workers and the rule of media and campaigns is obvious and essential to improving their practices and, hopefully, decreasing the risk of SIDS.
背景
婴儿猝死综合征（SIDS）被定义为即使经过调查和尸检后，婴儿仍突然意外死亡。SIDS与许多因素有关，例如婴儿的睡姿和婴儿床内的物品。沙特阿拉伯对安全睡眠建议的遵守情况尚不清楚。本研究旨在评估看护者对安全睡眠做法的实施情况，以及他们是否通过医护人员接受过任何安全睡眠教育。
方法
这是一项横断面描述性研究。纳入标准包括所有一岁以下的婴儿。排除标准包括早产、使用呼吸机、进行气管造口术、上呼吸道有任何异常或接受过脊柱手术的婴儿。使用了一份半结构化问卷。数据收集自带着婴儿前往沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院门诊部就诊的母亲。还创建了一份电子调查问卷并在一个社交平台上发布。借助社会科学统计软件包（SPSS）26版（IBM SPSS Statistics，纽约州阿蒙克）进行统计分析。
结果
在506名参与者中，只有22.5%的人从医护人员那里接受过安全做法方面的教育。幸运的是，大多数婴儿（63.2%）大多数夜晚都仰卧睡觉。大多数夜晚坚持将孩子放在指定婴儿床并仰卧睡觉的看护者占样本的44.86%。然而，当被问及是否在床上放置以下任何物品（枕头、毯子、软玩具、硬玩具和电线）时，坚持的比例降至仅1.58%。
结论
看护者明显未遵守规定，并且可能对婴儿安全睡眠建议缺乏了解。这凸显了医护人员进行优化教育的必要性，媒体和宣传活动的作用明显且对于改善他们的做法至关重要，有望降低婴儿猝死综合征的风险。
