教育生物学杂志2025，Vol.13Issue(4)：246-251,6.DOI:10.3969/j.issn.2095-4301.2025.04.002
睡眠家庭养育指导对早产儿或低出生体质量儿早期睡眠状况的影响及效果评价
Influence and effectiveness evaluation of family-centered sleep parenting guidance on early sleep patterns of preterm or low birth weight infants
摘要
Abstract
Objective To evaluate the intervention effects of family-centered sleep parenting guidance on early sleep patterns in preterm or low birth weight infants,and provide evidence-based recommendations for clinical practice.Methods Using a prospective randomized controlled trial(RCT)design,we enrolled 120 preterm or low birth weight infants who visited the Department of Child Health,Luzhou Maternal and Child Health Hospital between October 2021 and July 2022.Participants were randomly assigned to either an intervention group or a control group using a random number table method.Then,22 cases(18.3%)were lost to follow-up,resulting in a final sample of 98 infants.Infants in the intervention group(n=50)received family-centered sleep parenting guidance in addition to routine home care,while those in the control group(n=48)received routine home care only.At 0,1,2,3,and 4 months of age,both groups were assessed using the Chinese infant sleep assessment scales(ISAS),and the results were compared and analyzed.Results At baseline(0 month),no statistically significant differences were observed between the two groups in total ISAS scores or any subscale score(all P>0.05).However,at 1,2,3,and 4 months of age,the intervention group demonstrated significantly lower total ISAS scores compared to the control group(all P<0.05).At 1 month,the intervention group showed significantly lower scores in the sleep rhythm dimension(P<0.05).At 2,3,and 4 months,the intervention group exhibited significantly lower scores in the sleep rhythm,sleep-onset behavior,and night waking dimensions compared to the control group(all P<0.05).Conclusion Family-centered sleep parenting guidance effectively improves early sleep outcomes in preterm and low birth weight infants by stabilizing sleep rhythms,reducing problematic sleep-onset behaviors,and decreasing night wakings.关键词
睡眠/中国婴儿睡眠状况评估量表/家庭养育/早产儿/低出生体质量儿Key words
sleep/Chinese infants sleep assessment scales/family nurture:preterm infants/low birth weight infants引用本文复制引用
张璐,赵利娟,郑辉,王涛..睡眠家庭养育指导对早产儿或低出生体质量儿早期睡眠状况的影响及效果评价[J].教育生物学杂志,2025,13(4):246-251,6.基金项目
国家自然科学基金(81701888) （81701888）
中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目(2022FYH014) （2022FYH014）
四川省科技厅重点研发项目(2023YFS0206) （2023YFS0206）
四川省妇幼医学科技创新课题(FXYB02) （FXYB02）
