目的 评估海淀街道6月龄婴儿的夜晚睡眠-觉醒模式及其影响因素,为进一步评估指导婴儿早期睡眠提供参考依据。方法 通过Actiwatch腕表式活动记录仪评估6月龄婴儿的夜晚睡眠-觉醒模式,同时对影响夜晚睡眠的相关因素进行分析。结果 6月龄婴儿夜晚睡眠时间为(477.43±60.24)min,夜晚最长连续睡眠时间为 (312.60±106.00)min,夜晚入睡潜伏期为(19.06±14.53)min,夜晚平均觉醒次数为(2.24±1.21)次;单因素分析结果提示睡前1 h唱催眠曲(t=-2.158,P=0.039)是影响夜晚睡眠时间的因素;性别(t=-2.57,P=0.016)、喂养方式(t=-2.391,P=0.028)、睡前1 h抚触(t=-2.133,P=0.027)是影响夜晚最长连续睡眠时间的因素;是否同一时间放到床上(t=2.882,P=0.011)、睡前1 h洗澡或洗臀部(t=-2.314,P=0.026)、抚触(t=-2.888,P=0.011)是影响夜晚入睡潜伏期的影响因素;单独一人在小床上入睡(t=-2.091,P=0.045)是夜醒次数的影响因素;多因素结果提示夜晚睡眠时间与入睡前抚触呈线性相关(t=-2.158,P=0.039),夜晚最长连续睡眠时间与婴儿性别呈线性相关(t=-2.083,P=0.047),夜醒次数与单独一人在小床上睡眠呈线性相关(t=-2.091,P=0.045)。结论 家长的睡眠养育行为是影响婴儿的夜晚睡眠-觉醒模式的重要因素,加强对婴幼儿正确睡眠养育行为习惯的宣教力度,纠正不良的睡眠养育行为,促进婴儿夜晚睡眠能力的发展。
Abstract
Objective To understand the status and the influencing factors of the nocturnal sleep-wake pattern in six-month-old infants,in order to provide information for the clinical assessment of infantile sleep. Methods Actiwatch was used to track the sleep-wake pattern development trajectory of six-month-old infants.Meanwhile,the influencing factors of nocturnal sleep-wake pattern of infants were analyzed. Results The nighttime sleep was (477.43±60.24)minutes,the longest continuous sleeping interval at the sixth month was (312.60±106.00)minutes,the latency of infants' nighttime sleep onset at sixth month was (19.06±14.53)minutes,and the numbers of nighttime awakening at sixth month were (2.24±1.21)times.Single-factor analysis showed that singing lullabies one hour before bedtime (t=-2.158,P=0.039) was associated with the nighttime sleep significantly.And sex (t=-2.57,P=0.016),feeding patterns (t=-2.391,P=0.028) and touching one hour before bedtime (t=-2.133,P=0.027) were associated with the longest continuous sleeping interval significantly;Sleeping in bed at the same time (t=2.882,P=0.011),taking a bath one hour before bedtime (t=-2.314,P=0.026) and touching (t=-2.888,P=0.011) were significantly associated with the latency of infants' nighttime sleep onset and sleeping alone in the crib (t=-2.091,P=0.045) was associated with the numbers of nighttime awakening significantly.Multiple linear regression showed that touching one hour before bedtime was related to the nighttime sleep (t=-2.158,P=0.039),sex related with the longest continuous sleeping interval (t=-2.083,P=0.047) and sleeping alone in the crib related with the numbers of nighttime awakening (t=-2.091,P=0.045). Conclutions Sleep nurturing behaviors are the important influencing factors of the nocturnal sleep-wake pattern in infants.It should be strengthened to correct sleep inappropriate nurturing behaviors habits in order to make the nocturnal sleep capability improved.
关键词
6月龄婴儿 /
夜晚睡眠-觉醒模式 /
影响因素
Key words
infant aged six months /
nocturnal sleep-wake pattern /
influencing factors
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参考文献
[1] Galland BC,Taylor BJ,Elder DE,et al.Normal sleep patterns in infants and children:a systematic review of observational studies[J].Sleep Med Rev,2012,16(3):213-222. [2] Ednick M,Cohen A,McPhail G.A review of the effects of sleep during the first year of life on cognitive,psychomotor,and temperament development[J].Sleep,2009,32(11):1449-1458.
[3] WERNER H,Molinari L,Guyer C,et al.Agreement rates between actigraphy,diary and children's sleep patterns[J].Arch PediatrAdolesc Med,2008,162(4):354-356.
[4] Buchanan GF.Timing,sleep,and respiration in health and disease[J].Prog Mol Biol Transl Sci,2013,119(2):191-219.
[5] Mindell JA,Ameltzer LJ.Behavioural sleep disorders in children and adolescents[J].Ann Acad Med Singapoore,2008,37(8):722-728.
[6] 董叔梅,林青敏,朱丽霞,等.婴儿睡眠发展模式及其相关因素的队列研究[J].中国心理卫生杂志,2016,30(10):721-727.
[7] Sadeh A,Mindell JA,Luedtke K,et al.Sleep and sleep ecology in the first 3 years:a web-based study[J].J Sleep Res,2009,18(1):60-73.
[8] Shellhaas RA,Burns JW,Barks JD,et al.Quantitative sleep stage analyses as a window to neonatal neurologic function[J].Neurology,2014,82(5):390-395.
[9] Henderson JM,France KG,Blampied NM.The consolidation of infants' nocturnal sleep across the first year of life[J].Sleep Med Rev,2011,15(4):211-220.
[10] 黄小娜,冯围围,赵艳桃,等.基于Actiwatch的婴儿期夜晚睡眠-觉醒模式纵向观察[J].中华儿科杂志,2015,53,(6):445-447.
[11] Bruni O,Baumgartner E,Sette S,et al.Longitudinal study of sleep behavior in normal infants during the first year of life[J].J Clin sleep Med,2014,10(10):1119-1127.
[12] Henderson JM,France KG,Blampied NM.The consolidation of infants' nocturnal sleep across the first year of life[J].Sleep Med Rev,2011,15(4):211-220.
[13] Tikotzky L,Sadeh A.Maternal sleep-related cognitions and infant sleep:a longitudinal study from pregnancy through the 1st year[J].Child Dev,2009,80(3):860-874.
[14] Ramamurthy MB,Sekartini R,Ruangdaraganon N,et al.Effect of current breastfeeding on sleep patterns in infants from Asia-pacific region[J].J Paediatr Child Health,2012,48(8):669-674.
[15] Volkovich E,Ben-Zion H,Karny D,et al.Sleep patterns of co-sleeping and solitary sleeping infants and mothers:a longitudinal study[J].Sleep Med,2015,16(11):1305-1312.
基金
中国疾病预防控制中心妇幼保健中心立项基金(2010-FU-001)
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