婴儿早期睡眠/觉醒状况与气质相关性的研究

目的在家庭自然环境下,对6个月婴儿的睡眠/觉醒状况率先进行客观监测和气质分析,揭示婴儿早期睡眠与气质的相关性。方法采用腕表式睡眠活动记录仪,对39例健康足月婴儿的睡眠/觉醒状况进行连续监测,采用婴儿气质问卷(CITQ)评估气质类型和气质维度。结果 39例健康足月中,合并麻烦型气质9例,合并平易型气质30例。两组婴儿间各项睡眠参数分别进行统计分析,其结果无显著性差异(P>0.05)。在控制性别因素后,足月儿气质维度中的趋避性与夜间觉醒次数正相关(r=0.439,P=0.005),与夜间最长连续睡眠时间负相关(r=-0.324,P=0.044);情绪本质与睡眠效率正相关(r=0.347,P=0.035)。结论不同气质类型婴儿的睡眠/觉醒状况在本研究中尚未发现显著性差异。趋避性与夜间觉醒次数及夜间最长连续睡眠时间相关,情绪本质与睡眠效率相关;养育者应针对婴儿不同的气质特点采取相应的睡眠抚育方式,以促进婴儿健康睡眠的形成和身心的全面发展。

Relationship between the early sleep/wake and temperament of infants

ObjectiveTo explore the relationships between the sleep/wake and temperament of infants aged 6 months in the natural environment of family.Methods The 39 normal infants were enrolled in this study. The sleep/wake data was collected by actigraphy. The temperament were assessed by Chinese Infant Temperament Questionnaire.ResultsAmong the 39 infants, there were 9 coordinated Difficult type and 30 coordinated Easy type. After all sleep parameters comparison, no statistical significance between two groups. There was positive correlation between approachability and the number of night waking, there was negative correlation between approachability and the longest nocturnal sleep duration. There were also positive correlation between mood and the sleep efficiency.Conclusions Infants with different temperament types had no significant difference between all of sleep parameters in the study. The emotional nature and persistence were associated with sleep efficiency, the number of night waking and the longest nocturnal sleep duration respectively. The parents of infants should change their child rearing behaviors to promote the formation of children＇s healthy sleep and the development of body and mind.