Analysis of the status and influencing factors of the nocturnal sleep-wake pattern of six-month-old infants

doi:10.11852/zgetbjzz2018-26-01-03

Abstract

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.

Key words: infant aged six months, nocturnal sleep-wake pattern, influencing factors

摘要： 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。

关键词: 6月龄婴儿, 夜晚睡眠-觉醒模式, 影响因素

CLC Number:

R179

WEN Fang, HUANG Xiao-na, FENG Wei-wei, ZHANG Liang-fen. Analysis of the status and influencing factors of the nocturnal sleep-wake pattern of six-month-old infants[J]. journal1, 2018, 26(1): 7-10.

闻芳, 黄小娜, 冯围围, 张良芬. 6月龄婴儿夜晚睡眠-觉醒模式现状及影响因素分析[J]. 中国儿童保健杂志, 2018, 26(1): 7-10.

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