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首页> 外文期刊>Journal of paediatrics and child health >The Pēpi‐Pod study: Overnight video, oximetry and thermal environment while using an in‐bed sleep device for sudden unexpected death in infancy prevention
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The Pēpi‐Pod study: Overnight video, oximetry and thermal environment while using an in‐bed sleep device for sudden unexpected death in infancy prevention

机译：Pēpi-pod研究：在使用床上睡眠装置的同时，在婴儿预防下使用床上睡眠装置进行床上睡眠装置的床上睡眠装置

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Aim The aim of this study was to identify the potential risks and benefits of sleeping infants in a Pēpi‐Pod distributed to families with high risk of sudden unexpected death in infancy compared to a bassinet. Methods Forty‐five mostly indigenous Māori mothers who were referred by local health providers to receive a Pēpi‐Pod were surveyed at recruitment, 1 and 3 months. A sleep study at 1 month included infrared video, oximetry and temperature measures. Results When compared with 89 historical bassinet controls, an intention‐to‐treat analysis of questionnaires showed no increase in direct bed sharing but demonstrated significantly less sharing of the maternal bedroom at both interviews, with the majority of those not sleeping in the maternal bedroom, actually sleeping in the living room. The 1 month ‘as‐used’ analysis showed poorer maternal sleep quality. The ‘as‐used’ analysis of video data (24 Pēpi‐Pod and 113 bassinet infants) also showed no increase in direct bed sharing, head covering or prone/side sleep position. Differences in oxygen saturation were not significant, but heart rate was higher in the Pēpi‐Pod infants by 8.37 bpm (95% confidence interval 4.40, 12.14). Time in the thermal comfort zone was not different between groups despite Pēpi‐Pod infants being situated in significantly warmer rooms. Conclusions Overall, we found that most differences in infant risk behaviours in a Pēpi‐Pod compared to a bassinet were small, with confidence intervals excluding meaningful differences. We noted poorer maternal sleep quality at 1 month. Higher infant heart rates in the Pēpi‐Pod group may be related to higher room temperatures. The Pēpi‐Pod appears physiologically safe but is associated with lower reported maternal sleep quality.
机译：目的这项研究的目的是识别睡眠婴儿在Pēpi-Pod中的潜在风险和益处，与婴儿床相比，在婴儿期间突然意外死亡的家庭分发。方法在招聘，1和3个月内调查了当地卫生供应商被当地卫生提供商接受PēPI-POD的第四十五次毛利母亲。 1个月内的睡眠研究包括红外视频，血氧血管和温度措施。结果与89个历史摇篮对照相比，对问卷的意图分析显示出直接床分享没有增加，但在两次访谈中，母体卧室的分担明显不那么少，其中大多数未在母乳卧室睡觉，实际上睡在客厅里。 1个月的AS-used'分析显示较差的产妇睡眠质量。视频数据（24PēPI-POD和113个Bassinet婴儿）的“用途”分析还显示出直接床共享，头部覆盖物或易于/侧睡眠位置的增加。氧饱和度的差异不显着，但PēPI-POD婴儿的心率较高8.37bpm（95％置信区间4.40,12.14）。尽管Pēpi-pod婴儿位于明显温暖的房间，但在群体之间的时间在舒适区的时间与群体不同。结论总体而言，我们发现，与屠杀相比，婴幼儿风险行为的大多数差异都小，置信间隔不包括有意义的差异。我们在1个月内注意到母亲睡眠质量较差。 Pēpi-pod组中的婴儿心率较高可能与更高的室温有关。 Pēpi-pod出现生理安全，但与报告的母体睡眠质量较低有关。

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