Hudak B B, O'Donnell J, Mazyrka N
Department of Pediatrics, State University of New York at Buffalo, USA.
Pediatrics. 1995 Jan;95(1):55-8.
The American Academy of Pediatrics' (AAP) recommendation for side or supine sleep position in healthy babies has generated much controversy. We surveyed primary care physicians to determine the effect of the AAP statement on physician attitude toward infant sleep position and advice to parents.
We sent a 23-question survey to 194 physicians in Western New York. The survey addressed their attitude toward the AAP recommendations and its impact on their advice to parents.
Of the 149 physicians treating newborns, 121 (82%) completed the questionnaire; 98% were aware of the AAP statement. The most common sources of information were the AAP (86%) and professional literature (77%). Of the respondents, 79% agreed with the AAP statement. Reasons for reservation were lack of data (64%), potential adverse consequences of supine position (52%), and their own experience (47%). Gender, years in practice, and type of reimbursement did not influence attitude toward the AAP recommendation. The AAP statement increased the frequency with which physicians routinely discussed sleep position from 34 to 70% (P < .02). Physicians recommending the prone position decreased from 57 to 7% (P < .001), while those recommending supine sleep position increased from 10 to 42% (P < .001).
Most physicians agreed with the AAP statement and more frequently discussed sleep position following the AAP recommendations. However, they did not routinely recommend supine sleep position. The majority (69%) recommended the side position even though it is unstable. Although the AAP statement has increased discussion of infant sleep position by primary care physicians in WNY, only a minority recommend that infants sleep supine.
美国儿科学会（AAP）关于健康婴儿侧卧或仰卧睡眠姿势的建议引发了诸多争议。我们对基层医疗医生进行了调查，以确定AAP声明对医生关于婴儿睡眠姿势的态度以及向家长提供的建议的影响。
我们向纽约西部的194名医生发送了一份包含23个问题的调查问卷。该调查涉及他们对AAP建议的态度及其对向家长提供建议的影响。
在149名治疗新生儿的医生中，121名（82%）完成了问卷；98%的医生知晓AAP声明。最常见的信息来源是AAP（86%）和专业文献（77%）。在受访者中，79%同意AAP声明。持保留意见的原因包括缺乏数据（64%）、仰卧姿势的潜在不良后果（52%）以及他们自己的经验（47%）。性别、从业年限和报销类型并未影响对AAP建议的态度。AAP声明使医生常规讨论睡眠姿势的频率从34%提高到了70%（P < 0.02）。推荐俯卧姿势的医生从57%降至7%（P < 0.001），而推荐仰卧睡眠姿势的医生从10%增至42%（P < 0.001）。
大多数医生同意AAP声明，并在遵循AAP建议后更频繁地讨论睡眠姿势。然而，他们并未常规推荐仰卧睡眠姿势。大多数（69%）推荐侧卧姿势，尽管该姿势不稳定。虽然AAP声明增加了纽约西部基层医疗医生对婴儿睡眠姿势的讨论，但只有少数医生建议婴儿仰卧睡眠。
