【目的】 通过对婴儿睡眠情况的调查,了解西安市婴儿睡眠问题现况,探讨婴儿母亲可能影响婴儿睡眠的危险因素,为促进婴儿健康睡眠提供科学依据。 【方法】 对2011年9-11月在陕西省妇幼保健院儿童保健门诊体检的1 196名1~12个月龄健康婴儿进行睡眠评估,对其中1、6、12月婴儿母亲采用匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)量表和抑郁自评(Self-Rating Depression Scale,SDS)量表分别进行睡眠质量和抑郁症状评估。 【结果】 西安市婴儿睡眠问题发生率为40.47%;睡眠问题组婴儿的母亲PSQI总分整体高于正常组婴儿母亲,主要表现在睡眠质量、睡眠时间、睡眠效率和日间功能等因子上,以及睡眠障碍因子(6月)和入睡时间因子(12月)得分高于正常组;1月、6月睡眠问题组婴儿母亲SDS标准分明显高于正常组。 【结论】 1~12月婴儿睡眠问题的发生率较高,婴儿睡眠问题与母亲的睡眠质量和情绪状态有关,应及时发现不良因素,以预防婴儿睡眠问题的发生,促进婴儿健康发育。
Abstract
【Objective】 To explore infant sleep problems through the study of infant sleep status in Xian,and analyze the risk factors.To provide a scientific basis to solve infant sleep problems for children health care work. 【Methods】 Totally,1 196 normal children,without severe illness and abnormal delivery history,aged 1 to 12 months.Under strict quality control system,their parents were interviewed with questionnaire to look into the sleep-related factors.Pittsburgh sleep quality index (PSQI) and Self-Rating Depression Scale (SDS) were adopted to assess sleep quality and depression on the mothers of 1,6,12 months infants. 【Results】 Prevalence of sleep problems in infants was 40.47% in Xian.PSQI results showed: the mothers with infants of sleep problems had higher scores than those of normal group,which had significant differences between the two groups.Mothers of infants with sleep problems reported higher scores in SDS than those of normal group. 【Conclusion】 Prevalence of sleep problems in infants was high.Maternal sleep quality and depression could infect sleep of infants directly.It is necessary to provide practical guidances to prevent the sleeping problem.
关键词
睡眠问题 /
母亲 /
睡眠质量 /
抑郁 /
婴儿
Key words
sleep problems /
mother /
sleep quality /
depression /
infants
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参考文献
[1] Stanley Graven.Sleep and brain development[J].Clin Perinatol,2006,33(3):693-706.
[2] Kennedy HP,Gardiner A,Gay C,et al.Negotiating sleep:a qualitative study of new mothers[J].J Perinat Neonatal Nurs,2007,21(2):114-122.
[3] Owens JA,Fernando S,Mc Guinn M.Sleep disturbance and injury risk in young children[J].Behav Sleep Med,2005,3:18-31.
[4] 江帆,颜崇淮,吴胜虎,等.1~23个月儿童睡眠问题的流行病学研究[J].中华预防医学杂志,2003,37(6):435-438.
[5] So K,Adamson TM,Horne RS.The use of actigraph for assessment of the development of sleep/wake patterns in infants during the first 12 months of life[J].J Sleep Res,2007,16:181-187.
[6] 刘贤臣.匹兹堡睡眠质量指数(Pittsburgh Sleep QualityIndex,PSQI)[J].中国心理卫生杂志,1999,13(S):31-35.
[7] 王春芳.抑郁自评量表SDS对1340例正常人评定分析[J].中国神经精神疾病杂志,1986,5(3):267-268.
[8] 黄小娜,蒋竞雄,马渝燕,等.0~5岁儿童睡眠习惯及睡眠障碍的现状研究[J].中国儿童保健杂志,2006,14(6):585-587.
[9] 卢云,吴晓庆,王艳娟,等.连云港市0~2岁儿童睡眠状况及相关因素调查分析[J].中国校医,2011,25(2):89-90.
[10] 杜亚梅,韩春玲,杨健梅,等.宝鸡市城区240例婴儿睡眠状况调查[J].中国儿童保健杂志,2008,12(16):721-723.
[11] Meltzer LJ,Mindell JA.Relationship between child sleep disturbances and maternal sleep,mood,and parenting stress:a pilot study[J].J Fam Psychol,2007,21(1):67-73.
[12] Carvalho LB,Prado LB,Silva L,et al.Cognitive dysfunction in children with sleep disorders[J].Arq Neuropsiquiatr,2004,62(2A):212-216.
[13] Perlman CA,Johnson SL,Mellman TA.The prospective impact of sleepduration on depression and mania[J].Bipolar Disord,2006,8(3):271-274.
[14] Owens JA,Fernando S,Mc Guinn M.Sleep disturbance and injury risk in young children[J].Behav Sleep Med,2005,3(1):18-31.
基金
中国疾病预防控制中心妇幼保健中心项目(2010-FU-001)