Accurate Assessment of Mother & Infant Sleep: How Many Diary Days Are Required?

Accurate Assessment of Mother & Infant Sleep: How Many Diary Days Are Required?
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DOI:
10.1097/01.nmc.0000357921.63971.9e
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发表时间:
2009-07-01
影响因子:
2.4
通讯作者:
Burr, Robert L.
Burr, Robert L.
中科院分区:
医学4区
文献类型:
--
作者:
Thomas, Karen A.;Burr, Robert L.

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用途:本研究的目的是确定需要可靠地测量母亲和婴儿的睡眠-觉醒pattern.Study设计和方法:20个健康的成年母亲和他们的健康足月妊娠婴儿年龄4至10周出生后参加了一个单一的组,横断面设计的日记数据收集的天数。母亲们完成了一个纸和铅笔睡眠醒来日记分为15分钟的时间段。在4天的时间内在家庭环境中收集数据。母亲和婴儿的睡眠和觉醒以及婴儿喂养和哭泣进行了总结和比较,使用1至4天的数据。可靠性进行了评估,从1到4天的data.Results:母亲和婴儿的睡眠和活动变量的平均值没有显着不同的一天得到的相关结果。当使用3天的数据时,使用增加的数据天数计算的值之间的相关性显示出足够的可靠性(r >= 0.80)。由于母亲和婴儿的睡眠-觉醒模式每天都在变化,超过1天收集的日记可能无法提供足够的睡眠信息。这些研究结果表明,3天的日记数据足以可靠地测量母亲和婴儿的睡眠模式。在临床实践或临床研究中使用日记评估母婴睡眠-觉醒模式时,建议以3天为周期。
Purpose: The purpose of the study was to determine the number of days of diary data collection needed to reliably measure mother and infant sleep-wake pattern.Study Design and Methods: Twenty healthy adult mothers and their healthy term gestation infants age 4 to 10 weeks postnatal participated in a single group, cross-sectional design. Mothers completed a paper and pencil sleep-wake diary divided into 15-minute time periods. Data were collected in the home environment over a 4-day period. Mother and infant sleep and wake as well as infant feeding and cry were summarized and compared using between 1 and 4 days of data. Reliability was evaluated by correlating results obtained using from 1 to 4 days of data.Results: Mean values for mother and infant sleep and activity variables did not differ significantly by day. Correlation among values calculated using increases in number of days of data showed adequate reliability (r >= 0.80) when 3 days of data were used.Clinical Implications: Clinical measures should be valid and reliable. Due to day-to-day changes in maternal and infant sleep-wake pattern, a diary collected over 1 day may not provide adequate sleep information. These study findings indicate that 3 days of diary data are sufficient to reliably measure mother and infant sleep patterns. When using a diary to assess maternal and infant sleep-wake pattern in clinical practice or in clinically-based research, a 3-day period is suggested.