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芜湖市0~3岁儿童睡眠情况及影响因素调查分析

Investigation and analysis on sleep status and influencing factors of children aged 0-3 years in Wuhu city

  • 摘要: 目的 了解安徽省芜湖市0~3岁儿童睡眠情况及其影响因素。方法 采用分层抽样方法,选取芜湖市的芜湖县、无为县、镜湖区、鸠江区4个县区,再随机抽取年活产数400人以上的11个社区卫生服务中心,对前来进行健康检查的儿童家长发放调查问卷进行调查。结果 芜湖市0~3岁儿童睡眠问题发生率为23.09%,不同性别儿童睡眠问题发生率差异无显著性,睡眠时用口呼吸、尖叫、哭喊等睡眠问题发生率城市高于农村,差异具有统计学意义(P<0.05)。单因素分析,晚上入睡前情绪、睡眠姿势、是否患有呼吸系统疾病、睡前吃东西、睡前含奶头或其他物品、家庭居住地、看护人经常变换、服用维生素D对0~3岁儿童睡眠问题的影响具有统计学意义(P<0.05)。通过多因素Logistic回归分析,有8个变量最后进入儿童睡眠问题回归方程,与儿童睡眠问题有关因素为睡前平静情绪、侧卧的睡眠姿势、睡前不吃东西、睡前不含奶头或其他物品、家庭居住地城市、看护人固定不变、偶尔服用维生素D。讨论 芜湖市儿童睡眠问题发生率与全国水平一致,要保障儿童良好的睡眠质量,医务工作者要多宣教,使儿童家长能够掌握正确的养护知识。

     

    Abstract: Objective To investigate the sleep status and influencing factors of children aged 0-3 years in Wuhu city.Methods Stratified sampling method was adopted to select 4 counties and districts in Wuhu county,Wuwei county,Jinghu district and Jiujiang district,and then 11 community health service centers with more than 400 live births per year were randomly selected. Questionnaires were distributed to parents of children who came for health examination.Results The incidence of sleep problems in children aged 0-3 years in Wuhu city was 23.09%. There was no difference in the incidence of sleep problems between children of different genders. The incidences of sleep problems such as mouth breathing,screaming and crying during sleep were higher in urban areas than those in rural areas,and the difference was statistically significant(P<0.05). According to univariate analysis,the effects of mood,sleep posture,respiratory diseases,eating before sleep,teats or other items before sleep,family residence,frequent changes of caregivers,and vitamin D consumption on sleep problems of children aged 0-3 years old were statistically significant(P<0.05). Through the multifactor logistic regression analysis,there are 8 variables into the regression equation of the children's sleep problems,factors related to children's sleep problems for lateral calm mood,sleep positions before sleeping,not eat before bed,not contain nipple or other items before bed,living city,caregivers unchanging,occasionally taking vitamin D.Conclusion The incidence of sleep problems among children in Wuhu is consistent with the national level. To ensure a good sleep quality for children,medical workers should educate more,so that parents of children can master the correct maintenance knowledge.

     

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