嬰兒夜醒及其有關因素之初步探討

A Preliminary Study on Night Waking and Its Associated Factors in Infants

朱曉慧(Shaw-Hwae Ju)

《Acta Paediatrica Sinica》 29卷3期 (1988/06) Pp. 184-191

摘要

Questionaires about infant sleep patterns were sent by mail to a sample of 547 8-to 12-month-old infants who were born in the National Taiwan University Hospital. Returned questionaires (40%) indicated that 45.6% of the infants woke 3 or more nights a week. They were called wakers. The rest of the infants (54.4%) either regularly slept through the night or woke less than 3 nights a week (non-wakers). There were more boys among wakers (M:F=2:l)(p＜0.05). Significantly more wakers were breast fed beyond 4 months of age (p＜0.05). Age, birth order, socioeconomic status (SES) of the family and sleep arrangements did not differ significantly between the 2 groups of infants. 97% of the infants slept with parents either in the same bed or in the same room but in different beds.
Mothers of 37 wakers and their non-waker controls matched with age, sex, birth order, and SES were interviewed by telephone. Mean bedtime was 10:30 PM in 2 groups of infants and 39% of the infants went to beds after 11 PM. Significantly more wakers fell asleep out of bed (p＜0.05) and needed soothing by parents at bed time (p＜0.0l). There was no distinction between wakers and non-wakers in the use of pacifiers and transitional objects. When parents were awakened by the infants in the night, 51% of the infants were crying, 27% were playing alone or calling parents' attention and 22% were only turning over or making meanless sounds in the state of partial waking. Parents usually responded promptly. Bottles were most commonly used to sooth the infants, and the next were pacifiers.
This study showed night waking in infancy probably is a very common problem in our culture. According to the factors associated with night waking, possible ways of intervention were discussed which include providing parents with knowledge of normal infant sleep patterns and helping them to establish good sleep habits in their infants.

並列摘要

Questionaires about infant sleep patterns were sent by mail to a sample of 547 8-to 12-month-old infants who were born in the National Taiwan University Hospital. Returned questionaires (40%) indicated that 45.6% of the infants woke 3 or more nights a week. They were called wakers. The rest of the infants (54.4%) either regularly slept through the night or woke less than 3 nights a week (non-wakers). There were more boys among wakers (M:F=2:l)(p＜0.05). Significantly more wakers were breast fed beyond 4 months of age (p＜0.05). Age, birth order, socioeconomic status (SES) of the family and sleep arrangements did not differ significantly between the 2 groups of infants. 97% of the infants slept with parents either in the same bed or in the same room but in different beds.
Mothers of 37 wakers and their non-waker controls matched with age, sex, birth order, and SES were interviewed by telephone. Mean bedtime was 10:30 PM in 2 groups of infants and 39% of the infants went to beds after 11 PM. Significantly more wakers fell asleep out of bed (p＜0.05) and needed soothing by parents at bed time (p＜0.0l). There was no distinction between wakers and non-wakers in the use of pacifiers and transitional objects. When parents were awakened by the infants in the night, 51% of the infants were crying, 27% were playing alone or calling parents' attention and 22% were only turning over or making meanless sounds in the state of partial waking. Parents usually responded promptly. Bottles were most commonly used to sooth the infants, and the next were pacifiers.
This study showed night waking in infancy probably is a very common problem in our culture. According to the factors associated with night waking, possible ways of intervention were discussed which include providing parents with knowledge of normal infant sleep patterns and helping them to establish good sleep habits in their infants.

並列關鍵字

Infant sleep ； night waking ； cosleeping ； sleep habits