Durmiendo Seguro: Una Intervención Educativa de Enfermería para favorecer la seguridad del lactante menor / Safe Sleeping: An Educational Nursing Intervention to promote the safety of the infant child

Objetivo: Evaluar el efecto de la intervención educativa de enfermería "Durmiendo Seguro" comparada con la intervención informativa habitual sobre la Práctica de Sueño Seguro como estrategia para favorecer la seguridad del lactante menor, en un grupo de madres que asisten a una institución de salud de Barranquilla. Materiales y Métodos: Estudio cuasi experimental,prest- post test con grupo de comparación realizado con un grupo de 120 madres. La intervención Durmiendo Seguro, administrada al grupo experimental incluyó sesiones educativas, seguimiento telefónico y visita domiciliaria. Para la recolección de la información se utilizaron 3 formatos construidos ad hoc para la investigación con base en las recomendaciones de la Academia Americana de Pediatría y el Assessment of Safe Sleep Validation of the Parent Newborn Sleep. Se realizó análisis descriptivo y comparativo de los aspectos sociodemográficos y de las variables de conocimiento y adherencia a las prácticas de sueño seguro. Resultado: A través de la prueba de Kruskal Wallis se exploraron las diferencias en la distribución estadística del puntaje global entre momentos de medición. La distribución estadística de los puntajes en la medición inicial fue idéntica en ambos grupos (valor p = 0.069). Se observó que en el seguimiento telefónico y en la visita domiciliaria, la distribución del puntaje global presentaba diferencias estadísticamente significativas entre los grupos (valor p ≤ 0.000) Conclusiones: En el grupo experimental que recibió la intervención "Durmiendo Seguro", se observó un aumento significativo en el conocimiento y la adherencia a las recomendaciones con relación a la práctica de sueño seguro con relación al grupo de comparación. (AU)

Objective: Evaluate the effect of the nursing educational intervention "Safe Sleeping" compared to the usual informative intervention on Safe Sleep Practice as a strategy to promote the safety of the young infant, in a group of mothers who attend a health institution of Barranquilla. Materials and Methods: Quasi-experimental study, post-test with comparison group carried out with a group of 120 mothers. The Safe Sleeping intervention, administered to the experimental group, included educational sessions, telephone follow-up, and home visits. For the collection of the information, 3 adhoc constructed formats were used for the research based on the recommendations of the American Academy of Pediatrics and the Assessment of Safe Sleep Validation of the Parent Newborn Sleep. Descriptive and comparative analysis of sociodemographic aspects and variables of knowledge and adherence to safe sleep practices were performed. Result: The Kruskal Wallis test explored the differences in the statistical distribution of the global score between measurement moments. The statistical distribution of the scores in the initial measurement was identical in both groups (p-value = 0.069). It was observed that in the telephone follow-up and in the home visit, the distribution of the global score presented statistically significant differences between the groups (p value ≤ 0.000) Conclusions: In the experimental group that received the "Safe Sleeping" intervention, a significant increase in knowledge and adherence to the recommendations regarding safe sleep practice was observed in relation to the comparison group. (AU)

Depression and marital intimacy level in parents of infants with sleep onset association disorder: a preliminary study on the effect of sleep education / 소아과

PURPOSE: Sleep onset association disorder (SOAD) is a form of behavioral insomnia observed in children that is caused by inappropriate sleep training. SOAD typically disturbs the sleep of not only infants and children but also their parents. We investigated levels of depression and marital intimacy among parents of infants with typical SOAD, to understand the influence of SOAD on family dynamics, as well as examine ways for improving depression and marital intimacy through behavioral training. METHODS: Depression and marital intimacy were assessed using the Beck Depression Inventory (BDI) and Waring Intimacy Questionnaire (WIQ). These measures were administered to 65 parents of infants (n=50) diagnosed with SOAD. We conducted sleep education and behavioral training for the parents and compared levels of depression and marital intimacy after 2-6 weeks of training. RESULTS: The 65 parents consisted of 50 mothers and 15 fathers. Depressive symptoms were higher among mothers than fathers (P =0.007). Marital intimacy was negatively correlated with depressive symptoms. Twenty-six parents were assessed again after sleep training. We found that mothers' depressive symptoms and marital intimacy improved post training. CONCLUSION: SOAD can be detrimental to both infants and parents, especially for parents who sleep with their infants. For instance, disruption of sleep patterns in such parents can reduce marital intimacy. However, behavioral modification is an effective treatment for infants with frequent nighttime waking, as well as for diminishing the depressive symptoms of sleep-deprived parents.