睡眠护理干预对婴儿睡眠状态及大动作发育的影响

Zeng-xin Zhang
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The control group received general family nursing intervention, while the experimental group received sleep nursing intervention.The whole intervention lasted for 56 consecutive natural days.Before and after the intervention, polysomnography (PSG) was used to monitor the electrophysiology during sleep, and Gesell development assessment scale was used to assess the gross motor development of the subjects. \n \n \nResults \nThere were no significant difference in sleep duration ((79.6±15.0)min, (78.3±20.4)min), REM sleep ((28.3±5.9)%, (28.2±9.0)%), NREM sleep((71.2±3.6)%, (72.6±5.1)%), deep sleep ((13.0±2.7)%, (13.6±3.7)%), sleep latency ((9.1±3.6)min, (8.7±2.9)min)and sleep efficiency ((78.6±1.9)%, (84.4±5.5)%)before and after the intervention in the control group (all P>0.05). The sleep duration ((82.7±13.4) min, (95.6±12.1) min), the proportion of deep sleep((10.4±4.7)%, (16.6±3.0)%), the proportion of NREM period((74.9±1.6)%, (76.9±1.0)%), the sleep efficiency((82.3±2.6)%, (89.4±3.7)%) in the experimental group were significantly different before and after the intervention(P<0.05). The differences value of the total sleep duration, NREM sleep proportion, deep sleep proportion and sleep efficiency before and after the intervention in the experimental group were significantly higher than those in the control group (P<0.05). 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引用次数: 1

摘要

目的探讨睡眠护理干预对婴幼儿睡眠状况及大动作发育的影响。方法89例8 ~ 9月龄正常婴儿随机分为实验组(45例)和对照组(44例)。对照组接受一般家庭护理干预,实验组接受睡眠护理干预。整个干预期为连续56自然日。干预前后采用多导睡眠图(PSG)监测睡眠电生理,采用Gesell发育评定量表评估被试大肌肉运动发育。结果对照组睡眠时间((79.6±15.0)min、(78.3±20.4)min、REM睡眠((28.3±5.9)%、(28.2±9.0)%、NREM睡眠((71.2±3.6)%、(72.6±5.1)%)、深度睡眠((13.0±2.7)%、(13.6±3.7)%)、睡眠潜伏期((9.1±3.6)min、(8.7±2.9)min)、睡眠效率((78.6±1.9)%、(84.4±5.5)%)干预前后差异均无统计学意义(P < 0.05)。实验组睡眠时间((82.7±13.4)min,(95.6±12.1)min)、深度睡眠比例((10.4±4.7)%,(16.6±3.0)%)、NREM期比例((74.9±1.6)%,(76.9±1.0)%)、睡眠效率((82.3±2.6)%,(89.4±3.7)%)干预前后差异均有统计学意义(P<0.05)。实验组干预前后总睡眠时间、NREM睡眠比例、深度睡眠比例、睡眠效率的差异值均显著高于对照组(P<0.05)。干预前后两组大肌肉运动发育差异值有统计学意义(试验组(6.0±3.0),对照组(2.0±1.5),t=4.687, P<0.05)。结论睡眠护理干预可提高婴幼儿深度睡眠比例,提高粗大运动发育水平。社区卫生服务可根据不同家庭和婴幼儿心理发展情况制定睡眠护理干预方案,优化婴幼儿深度睡眠,促进大动作发育水平。关键词:睡眠;家庭护理;大肌肉运动发展
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Effect of the sleep nursing intervention on sleep status and gross motor development of infants
Objective To explore the effect of sleep nursing intervention on infants' sleep status and gross motor development. Methods Eighty-nine normal infants aged 8-9 months were randomly divided into two groups: experimental group (n=45) and control group (n=44). The control group received general family nursing intervention, while the experimental group received sleep nursing intervention.The whole intervention lasted for 56 consecutive natural days.Before and after the intervention, polysomnography (PSG) was used to monitor the electrophysiology during sleep, and Gesell development assessment scale was used to assess the gross motor development of the subjects. Results There were no significant difference in sleep duration ((79.6±15.0)min, (78.3±20.4)min), REM sleep ((28.3±5.9)%, (28.2±9.0)%), NREM sleep((71.2±3.6)%, (72.6±5.1)%), deep sleep ((13.0±2.7)%, (13.6±3.7)%), sleep latency ((9.1±3.6)min, (8.7±2.9)min)and sleep efficiency ((78.6±1.9)%, (84.4±5.5)%)before and after the intervention in the control group (all P>0.05). The sleep duration ((82.7±13.4) min, (95.6±12.1) min), the proportion of deep sleep((10.4±4.7)%, (16.6±3.0)%), the proportion of NREM period((74.9±1.6)%, (76.9±1.0)%), the sleep efficiency((82.3±2.6)%, (89.4±3.7)%) in the experimental group were significantly different before and after the intervention(P<0.05). The differences value of the total sleep duration, NREM sleep proportion, deep sleep proportion and sleep efficiency before and after the intervention in the experimental group were significantly higher than those in the control group (P<0.05). The difference value of gross motor development between the two groups before and after intervention was statistically significant (test group (6.0±3.0), control group (2.0±1.5), t=4.687, P<0.05). Conclusion Sleep nursing intervention can improve the proportion of deep sleep in infants and improve the development level of gross exercise.The community health service can make sleep nursing intervention plan according to different families and infants' psychological development to optimize infants' deep sleep and promote the level of gross motor development. Key words: Sleep; Family nursing; Gross motor development
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期刊介绍: "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.
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