NICU Visitation Time and Adherence to Safe Sleep Practices Among Mothers of Very Preterm Infants.
NICU Visitation Time and Adherence to Safe Sleep Practices Among Mothers of Very Preterm Infants.
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DOI：
10.1097/anc.0000000000001066
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发表时间：
2023-08-01
影响因子：
1.7
通讯作者：
Bourque, Stephanie L.
中科院分区：
文献类型：
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作者：
Hwang, Sunah S.;Weikel, Blair W.;Palau, Mauricio A.;Greenfield, Jennifer C.;Klawetter, Susanne;Neu, Madalynn;Roybal, Kristi L.;Scott, Jessica;Shah, Pari;Bourque, Stephanie L.
睡眠相关的婴儿死亡是美国新生儿后期死亡的主要原因。早产儿与睡眠相关的死亡风险较高，但母亲坚持安全睡眠习惯的比例低于足月婴儿的母亲。关于产妇新生儿重症监护病房（NICU）探视时间是否影响出院后的安全睡眠依从性的数据缺乏。对于早产婴儿的母亲，调查每周在新生儿重症监护病房的时间与出院后坚持安全睡眠习惯的关系。一项前瞻性观察研究对109名来自科罗拉多州4个新生儿重症监护病房的母亲进行了调查，这些母亲在出院后6周完成了一项关于婴儿睡眠习惯的调查。母亲在新生儿重症监护病房的时间定义为婴儿住院期间每周在新生儿重症监护病房的平均天数，并记录在电子病历中。多变量逻辑回归模型评估了在新生儿重症监护病房的时间与安全睡眠依从性之间的关系。协变量包括双变量分析中显著P < 0.2水平的母婴特征。所有婴儿安全睡眠习惯依从性的预测因子包括：公共/无保险与私人保险的比较（调整优势比[AOR] 0.29； 95%可信区间[CI] 0.09-0.96），大专/大专学历与学士学位的比较（AOR 5.88; 95% CI 1.21-28.67），以及抑郁/焦虑症状（AOR 0.37; 95% CI 0.14-0.97）。新生儿重症监护病房探视天数与坚持安全睡眠习惯无关。产妇探视天数与出院后婴儿安全睡眠习惯的依从性无关，这突出表明有必要确定障碍和促进因素，使家庭参与减少sud风险的行为。
Sleep-associated infant death is the leading cause of postneonatal mortality in the United States. Preterm infants are at higher risk for sleep-associated death, but maternal adherence to safe sleep practices is lower than for mothers of full-term infants. Data are lacking on whether maternal neonatal intensive care unit (NICU) visitation time impacts safe sleep compliance after hospital discharge. For mothers of preterm infants, to investigate the association of time days per week spent in the NICU and adherence to safe sleep practices after discharge. A prospective observational study of 109 mothers with infants born at less than 32 weeks from 4 Colorado NICUs who completed a survey at 6 weeks after discharge about infant sleep practices. Maternal time spent in the NICU was defined as the average number of days spent in the NICU per week of infant hospitalization, as documented in the electronic medical record. Multivariable logistic regression models assessed the relationship between time in the NICU and safe sleep adherence. Covariates included maternal/infant characteristics significant at P < .2 level in bivariate analysis. Predictors of compliance with all safe infant sleep practices included public/no insurance compared with private insurance (adjusted odds ratio [AOR] 0.29; 95% confidence interval [CI] 0.09-0.96), some college/associate-level education versus bachelor’s degree (AOR 5.88; 95% CI 1.21-28.67), and depression/anxiety symptoms (AOR 0.37; 95% CI 0.14-0.97). NICU visitation days was not associated with adherence to safe sleep practices. Maternal visitation days was not associated with adherence to safe infant sleep practices after discharge, highlighting the need to identify barriers and facilitators to engaging families about SUID risk-reducing behaviors.
影响因子：
3.1
作者：
Smith LA;Geller NL;Kellams AL;Colson ER;Rybin DV;Heeren T;Corwin MJ
通讯作者：
Corwin MJ
DOI：
10.1038/s41372-020-00896-5
发表时间：
2021-08
期刊：
Journal of perinatology : official journal of the California Perinatal Association
影响因子：
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作者：
Hwang SS;Parker MG;Colvin BN;Forbes ES;Brown K;Colson ER
通讯作者：
Colson ER