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新生儿病房出院后婴儿的睡眠:专家和家长认可的策略。

Sleep for infants after discharge from a neonatal ward: Expert- and parent endorsed strategies.

作者信息

de Groot Eline R, van den Hoogen Agnes, Ryan Mary Anne J, L'Hoir Monique P, Kanits Floortje, Sierksma Nathalia E, van der Schoor Sophie R D, Quante Mirja, Gliniak Christy, Dudink Jeroen

机构信息

Department of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands.

Utrecht University, Utrecht, the Netherlands.

出版信息

Pediatr Res. 2025 Jan 18. doi: 10.1038/s41390-025-03811-w.

Abstract

BACKGROUND

This study aims to outline sleep strategies grounded in scientific research and endorsed by sleep experts, integrating parental input into the evaluation process, to assist parents in supporting infant sleep after discharge from a neonatal ward.

METHODS

A Delphi method, consisting of three rounds, was employed. Sleep strategies based on scientific literature were presented to sleep experts and parents of infants discharged from a neonatal ward.

RESULTS

A literature search identified 11 sleep strategies. These strategies were incorporated in Delphi round 1. Out of 17 sleep experts, 13 reviewed and revised these 11 sleep strategies, resulting in a list of 8 sleep strategies. In round 2, these strategies were ranked by 14 out of 17 sleep experts, with "knowledge gathering" being ranked the most important sleep strategy. In round 3, the same list of 8 sleep strategies was ranked by 35 parents. They found "sleep hygiene" and "swaddling" the most important strategies.

CONCLUSION

This study offers 8 sleep strategies that are grounded in scientific research, supported by experts, and evaluated by parents. Experts and parents prioritize sleep strategies differently. Therefore, healthcare professionals should offer practical and customized sleep strategies that align with the unique needs of each family.

IMPACT

Experts and parents prioritize sleep strategies differently. This study offers a summary of sleep strategies that are grounded in scientific research, supported by experts, and include parental feedback in the evaluation process. Healthcare professionals can use these strategies to offer practical and customized sleep advise that aligns with the unique needs of each family.

摘要

背景

本研究旨在概述基于科学研究并得到睡眠专家认可的睡眠策略,将家长的意见纳入评估过程,以帮助家长在婴儿从新生儿病房出院后支持其睡眠。

方法

采用了由三轮组成的德尔菲法。将基于科学文献的睡眠策略呈现给睡眠专家和从新生儿病房出院的婴儿的家长。

结果

文献检索确定了11种睡眠策略。这些策略被纳入第一轮德尔菲法。17名睡眠专家中有13名对这11种睡眠策略进行了审查和修订,得出了一份包含8种睡眠策略的清单。在第二轮中,17名睡眠专家中的14名对这些策略进行了排序,“知识收集”被列为最重要的睡眠策略。在第三轮中,35名家长对同样的8种睡眠策略清单进行了排序。他们发现“睡眠卫生”和“襁褓包裹”是最重要的策略。

结论

本研究提供了8种基于科学研究、得到专家支持并经过家长评估的睡眠策略。专家和家长对睡眠策略的优先级排序不同。因此,医疗保健专业人员应提供符合每个家庭独特需求的实用且定制化的睡眠策略。

影响

专家和家长对睡眠策略的优先级排序不同。本研究总结了基于科学研究、得到专家支持且在评估过程中纳入家长反馈的睡眠策略。医疗保健专业人员可以利用这些策略提供符合每个家庭独特需求的实用且定制化的睡眠建议。

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