Gibson E, Cullen J A, Spinner S, Rankin K, Spitzer A R
Thomas Jefferson University, Department of Pediatrics, Philadelphia, PA 19107, USA.
Pediatrics. 1995 Jul;96(1 Pt 1):69-72.
This report examines the response of families to the American Academy of Pediatrics June 1992 recommendation that healthy term infants be put to sleep on their back or side to decrease the risk of sudden infant death syndrome. Parents at two clinics and private practices were interviewed to ascertain sleep position practices.
Parents of infants from 1 to 6 months of age who were in the waiting room for a well-child visit were eligible for study. A total of 760 interviews were conducted using a closed-ended questionnaire. Parents were asked about sleep position, positional changes during sleep, and factors that influenced their decision to position their infant prone, side, or supine. Interviews were conducted from September 1993 through April 1994. This interval was divided into two equal, 4-month time intervals. Sleep practices were compared during the first and second time periods. Differences between practice and clinic groups were measured. Groups were compared using the chi-square test, with results considered significant at P < .05.
The number of infants placed side or supine for sleep increased significantly since the inception of the study, from 38.1% to 59.1%. Despite this increase, parents reported that the impetus for changing position came from family or the media, rather than from health professionals. Initially, the proportion of infants in private practices placed side or supine was greater than that of clinic patients. That difference disappeared by the end of the study. Prone positioning continued to be more prevalent in the 3- to 6-month-old infants than in the 1- to 3-month-old group. The majority of infants at all ages awoke in the same position that they were put to sleep.
Side and supine positioning for sleep increased in all socioeconomic groups. A small number of infants placed side or supine for sleep are found prone on awakening. Health professionals need to increase their role in providing sleep position guidance. As the proportion of the population positioning their infants side or supine for sleep increases, it should be possible to examine the effect on the sudden infant death syndrome rate.
本报告探讨了家庭对美国儿科学会1992年6月建议的反应，该建议是让健康足月儿仰卧或侧卧睡觉，以降低婴儿猝死综合征的风险。对两家诊所和私人执业机构的家长进行了访谈，以确定睡眠姿势习惯。
在候诊室等待进行健康儿童检查的1至6个月大婴儿的家长符合研究条件。使用封闭式问卷共进行了760次访谈。询问家长关于睡眠姿势、睡眠期间的姿势变化以及影响他们将婴儿俯卧、侧卧或仰卧的决定的因素。访谈于1993年9月至1994年4月进行。该时间段分为两个相等的4个月时间段。比较了第一和第二个时间段的睡眠习惯。测量了不同习惯和诊所组之间的差异。使用卡方检验对组进行比较，结果在P <.05时被认为具有显著性。
自研究开始以来，侧卧或仰卧睡觉的婴儿数量显著增加，从38.1%增至59.1%。尽管有这种增加，但家长报告说改变姿势的动力来自家庭或媒体，而非健康专业人员。最初，私人执业机构中侧卧或仰卧的婴儿比例高于诊所患者。到研究结束时，这种差异消失了。3至6个月大的婴儿俯卧姿势仍然比1至3个月大的婴儿组更普遍。所有年龄段的大多数婴儿醒来时的姿势与入睡时相同。
所有社会经济群体中侧卧和仰卧睡觉的情况都有所增加。少数侧卧或仰卧睡觉的婴儿醒来时被发现俯卧。健康专业人员需要在提供睡眠姿势指导方面发挥更大作用。随着让婴儿侧卧或仰卧睡觉的人群比例增加，应该可以研究其对婴儿猝死综合征发生率的影响。
