2021年德西镇政府医疗机构中参加疫苗接种服务的母亲的安全婴儿睡眠习惯及相关因素

Safe Infant Sleep Practices and Associated Factors Among Mothers Attending Vaccination Service at Dessie Town Governmental Health Care Facilities, 2021.

作者信息

Goshiye Debrnesh, Gedamu Sisay

机构信息

Department of Pediatric and Child Health Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Department of Comprehensive Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

出版信息

Clin Med Insights Pediatr. 2024 Sep 2;18:11795565241275854. doi: 10.1177/11795565241275854. eCollection 2024.

DOI:10.1177/11795565241275854

PMID:39234493

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11372766/

Abstract

BACKGROUND

Babies spend a lot of their time with sleeping thus they need to have a safe sleep. Inadequate sleeping arrangements might heighten the likelihood of Sudden Unexpected mortality in Infancy (SUDI), including SIDS and lethal sleeping mishaps, which continue to be the most prevalent cause of mortality for individuals aged 1 to 1 year.

OBJECTIVE

The study aimed to assess safe baby sleep practices and associated factors among women receiving immunizations at government healthcare facilities in Dessie Town.

DESIGN

An institution-based cross-sectional study.

METHODS

We conducted interviews with a total of 392 mothers using semi-structured questionnaires at public health facilities of Dessie town, in 2021. After the data were entered into the EPI data version 3.1, SPSS 23 was utilized for the analysis. Additionally, multivariate and binary logistic regression analyses were carried out. In multivariate analysis, a -value less than .05 indicate a significant association.

RESULTS

About 38.3%, 21.9%, and 14.7% had safe infant sleep practice regarding sleep position, no soft-bedding and sleep arrangement respectively. Significant association was observed between safe infant sleep position with baby age less than 3 months (AOR = 2.96, 95% CI = 1.50-5.84), baby age of 7 to 9 months (AOR = 3.84, 95% CI = 2.15-6.85), maternal level of education(AOR = 4.48, 95% CI = 1.87-10.76), relative/friend as their source of information (AOR = 1.98, 95% CI = 1.14-3.44), grandmother as their source of information (AOR = 1.89, 95% CI = 1.00-3.57).Additionally, baby age 4 to 6 months (AOR = 0.93, 95% CI = 0.19-0.94) and maternal level of education (AOR = 0.19, 95% CI = 0.04-0.92) shows a significant safe infant bed arrangement practice. Furthermore, baby age of 10 to 12 months (AOR = 0.49, 95% CI = 0.25-0.98) and maternal education level of college and above (AOR = 3.44, 95% CI = 1.18-10.03) also shows significant association with safe soft-bedding practice.

CONCLUSION

Mothers' safe infant sleep practices were found to be low in Dessie town. Therefore, efforts should be made to enhance mothers' attentiveness and engagement. This will help them follow healthy infant sleep practices.

摘要

背景

婴儿大部分时间都在睡觉，因此他们需要有安全的睡眠环境。睡眠安排不当可能会增加婴儿期意外猝死（SUDI）的可能性，包括婴儿猝死综合征（SIDS）和致命的睡眠事故，这些仍然是1岁以下儿童最常见的死亡原因。

目的

本研究旨在评估德西镇政府医疗机构中接受免疫接种的妇女的安全婴儿睡眠习惯及相关因素。

设计

一项基于机构的横断面研究。

方法

2021年，我们在德西镇的公共卫生机构对392名母亲进行了半结构化问卷调查访谈。数据录入EPI数据3.1版本后，使用SPSS 23进行分析。此外，还进行了多变量和二元逻辑回归分析。在多变量分析中，P值小于0.05表示存在显著关联。

结果

分别有38.3%、21.9%和14.7%的母亲在婴儿睡眠姿势、无柔软床上用品和睡眠安排方面有安全的婴儿睡眠习惯。安全的婴儿睡眠姿势与小于3个月的婴儿年龄（优势比[AOR]=2.96，95%置信区间[CI]=1.50-5.84）、7至9个月的婴儿年龄（AOR=3.84，95%CI=2.15-6.85）、母亲教育水平（AOR=4.48，95%CI=1.87-10.76）、亲属/朋友作为信息来源（AOR=1.98，95%CI=1.14-3.44）、祖母作为信息来源（AOR=1.89，95%CI=1.00-3.57）之间存在显著关联。此外，4至6个月的婴儿年龄（AOR=0.93，95%CI=0.19-0.94）和母亲教育水平（AOR=0.19，95%CI=0.04-0.92）显示出安全的婴儿床安排习惯有显著关联。此外，10至12个月的婴儿年龄（AOR=0.49，95%CI=0.25-0.98）和大专及以上学历的母亲教育水平（AOR=3.44，95%CI=1.18-10.03）也与安全的柔软床上用品使用习惯有显著关联。