婴幼儿睡眠障碍发生率及其影响因素的Meta分析

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Incidence and influencing factors of sleep disorders in infants：a Meta-analysis

WANG Ying1，2，CHEN Sisi1，2，XIAN Qingzhao1，2，LI Xin1，2，SUN Hongyan1，2*

1.School of Nursing，Southwest Medical University，Sichuan 646000 China；2.The Affiliated Hospital of Southwest Medical University

* Corresponding Author  SUN Hongyan，E-mail：shy2002@swmu.edu.cn

Abstract Objective：A systematic review on the prevalence and influencing factors of sleep disorders in healthy infants and toddlers aged 0⁃3 years，providing a theoretical basis for the prevention of sleep problems in young children.Methods：Relevant articles on the influencing factors of sleep disorders in infants and young children was retrieved from databases including the CBM，VIP，CNKI，WanFang Database，PubMed，EMbase，the Cochrane Library，and Web of Science. The search period spanned from the establishment of each database to January 2024. Meta-analysis was performed using Stata 14.0 software.Results：A total of 21 articles were included. The Meta⁃analysis results showed that the prevalence of sleep disorders among infants and young children aged 0⁃3 years was 39.1% （95%CI 32.4%⁃45.8%，P<0.001）.Risk factors for infant sleep disorders included low maternal education level （OR=1.60，95%CI 1.26⁃2.03，P<0.001），frequent nighttime feedings （OR=3.13，95%CI 2.08⁃4.72，P<0.001），co⁃sleeping with parents （OR=1.65，95%CI 1.43⁃1.90，P<0.001），postpartum depression （OR=1.14，95%CI 1.07⁃1.21，P<0.01），poor parental sleep quality （OR=1.67，95%CI 1.26⁃2.23，P<0.001），postpartum anxiety （OR=1.08，95%CI 1.02⁃1.15，P=0.005），and daily electronic screen exposure time >1 hour （OR=2.03，95%CI 1.58⁃2.59，P<0.001）.Conclusion：Current evidence indicates that the prevalence of sleep disorders in infants and young children is relatively high. Major risk factors include low maternal education level，frequent nighttime feedings，co⁃sleeping with parents，postpartum depression，postpartum anxiety，poor parental sleep quality，and daily electronic screen exposure time >1 hour. Targeted nursing interventions can be developed in the future to address these risk factors and improve the sleep quality of infants and young children.

Keywords  sleep disorder；influencing factors；infants；Meta⁃analysis；evidence⁃based nursing

摘要  目的：系统评价0～3岁健康婴幼儿睡眠障碍的发生率和影响因素，为预防婴幼儿睡眠问题提供理论依据。（剩余13649字）