Effect of early sleep intervention strategy on infantile physical growth and sleep awakening mode / 重庆医学

ABSTRACT

Objective To investigate the influence of intervention method on infantile physical growth and sleep awakening mode and its effect on infantile sleep problem.Methods Six hundreds healthy infants aged 1 month old voluntarily receiving health mangement in this hospital fnom May to August 2014 were selected and divided into the intervention group and control group.The sleep questionnaire was filled.All infants monthly received the common child health care conventional guidance follow up until 6 months old.The intervention group conducted the sleep cognition education and sleep problem consultation by the sleep specialist physicians issuing the infantile sleep health care education propaganda leaflets,then the the infants with sleep problems conducted the comprehensive intervention according to the sleep hel ath prescription.Results In the comparison of the infantile physical growth indicators,sleep awakening mode indicators and sleep problem occurrence rate between the two groups:(1) the infantile body height in the intervention group had obvious difference compared with the control group(P＜0.05).(2)The night waking frequency,night waking time,daytime sleep frequency and daytime sleep total time in the intervention group were significantly lower than those in the control group(P＜0.05),the night total sleep time in the intervention group was increased compared with the control group(P＜0.05),and the sleep latency,time to falling asleep and daytime naps time had no statistical difference between the intervention group and control group(P＞0.05).(3) In the sleep problems at 6 months old,the intervention group was significantly lower than the control group in the aspectof excessive night waking(P＜0.05),but the aspects of falling asleep overtime,awakening/going to bed rhythm disorder had no obvious difference between the two groups.Conclusion The early intervention strategy of cognitive behavioural intervention and health education can generate the favorable effect on the physical growth and sleep awakening mode in 0-6 months old infants and can reduce the occurrence of infantile sleep problems.