Effectiveness of the 'Back-to-Sleep' campaigns among healthcare professionals in the past 20 years: a systematic review.

Effectiveness of the 'Back-to-Sleep' campaigns among healthcare professionals in the past 20 years: a systematic review.
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DOI:
10.1136/bmjopen-2016-011435
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发表时间:
2016-09-30
期刊:
影响因子:
2.9
通讯作者:
Hinde A
Hinde A
中科院分区:
医学3区
文献类型:
--
作者:
de Luca F;Hinde A

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从20世纪80年代末开始,大多数发达国家开展了“重返睡眠”运动,以提高人们对仰卧姿势对预防与睡眠有关的婴儿死亡的保护作用的认识。一旦与这些运动相关的媒体提高认识行动结束,医疗保健专业人员的作用就变得至关重要。本文的目的是确定在过去的20年里,医疗保健专业人员的知识和父母的建议是否与基于证据的婴儿睡眠建议相一致。所有调查医疗保健专业人员的知识和/或对父母的建议的研究都被纳入系统评价。检索在PubMed和MEDLINE中进行,并确定了21项研究。在过去的20年中,医疗保健专业人员对仰卧睡姿的知识和家长建议的正确性有所增加。然而,随着时间的推移,意识到父母应该避免让孩子俯卧睡觉的比例正在下降:从20世纪90年代的约97%降至本世纪末的约90%。防弹少年团宣传仰卧位益处的有效性已被本文证实。越来越多的医疗保健专业人士知道,这是减少睡眠相关死亡风险的最佳姿势,他们专门推荐这种姿势。然而,关于非俯卧姿势的知识的减少表明,这些活动可能没有足够关注俯卧姿势的危险。
From the late 1980s ‘Back-to-Sleep’ (BTS) campaigns were run in most developed countries to increase awareness of the supine position's protective effect against sleep-related infant deaths. Once the media awareness-raising action associated with these campaigns ended, healthcare professionals' role became crucial. The goal of this paper is to determine if healthcare professionals' knowledge and parent advice consistent with evidence-based infant sleep recommendations have changed over the past 20 years. All studies investigating healthcare professionals' knowledge and/or advice to parents were included in a systematic review. The search was performed in PubMed and in MEDLINE, and 21 studies were identified. The correctness of healthcare professionals' knowledge and parent advice about the supine sleeping position increased over the past 20 years. However, the percentage of those aware that parents should avoid putting their babies to sleep in a prone position is decreasing over time: from about 97% in the 1990s to about 90% at the end of the 2000s. The effectiveness of the BTS campaigns in publicising the benefits of the supine position is confirmed by this paper. More and more healthcare professionals know that it is the best position to reduce the risk of sleep-related deaths and they recommend it exclusively. However, the decrease in the knowledge about non-prone positions suggests that the campaigns may not have focused enough on the dangers of the prone position.
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