[[alternative]]Caregivers’ attitudes and practices toward sleep-related risk factors for sudden infant death syndrome

[[abstract]]嬰兒猝死之原因目前仍不明確，依據衛生福利部統計處的統計資料，嬰兒猝 死症總是在嬰兒前十大死因之列，歸納先前文獻得知，多數父母雖然知道嬰兒安 全睡眠環境的重要性卻難以落實，且國內的育兒環境，父母親由於工作因素無法 全天照顧嬰兒，許多家庭有托育的需求。然而，嬰兒的睡眠時間相當長，嬰兒猝 死的風險相對高，故探討照顧者(父母親及保母)擁有正確的嬰兒安全睡眠環境 態度及實踐行為是有其重要性。本研究採結構式問卷調查雙北區域 83 位父親、126 位母親及 202 位保母對於安全睡眠風險因子的態度及實踐行為，探討不同照顧者 間對於嬰兒睡眠環境的態度及實踐是否存在差異性。本研究藉描述性統計分析樣本資料分佈情形後，以重要-表現分析法評估項目 中相對態度與實踐程度，再以獨立樣本 t 檢定用於不同群體在態度及實踐的差異 情形，單因子變異數分析探討母親、父親及保母對於嬰兒安全睡眠環境各項目的 重視程度與實踐程度的差異情形。研究分析顯示不同照顧者在基本人口學的部分 無明顯差異，但在嬰兒安全睡眠環境的態度及實踐行為上確實有落差存在，特別 是嬰兒的用品及臥位部分;另照顧者對於嬰兒安全睡眠環境的實踐程度上母親及 保母優於父親(p < .001)。由本研究可得知嬰兒安全睡眠環境有關的預防教育宣導有其重要性，未來於 保母的在職訓練課程及父母親的衛教應持續推動，且父親或母親皆有機會單獨照 護嬰兒，須具有相同正確的嬰兒安全睡眠注意事項的態度及實踐行為，來降低照 護上的疏失。[[abstract]]Despite its unknown origin, sudden infant death syndrome (SIDS) is consistently listed among the top-ten causes of infant death. Literature has suggested that parents often fail to establish a safe infant sleeping environment, even though most are aware of its importance. In Taiwan, parents cannot take care of their babies all day due to work, which raises the issue of babysitting needs. However, infants need lots of sleep and are at a relatively high risk of SIDS. Therefore, it is crucial to ensure that caregivers have correct attitudes and practice behaviors toward establishing a safe infant sleeping environment. This study adopted a structured questionnaire survey to collect data on the attitudes and practice behaviors of caregivers (83 fathers, 126 mothers, and 202 babysitters) in Taipei City and New Taipei City toward the risk factors for safe sleep. It also explored whether differences existed in the attitudes and practices of different caregivers toward the infant's sleeping environment.After analyzing the distribution of the sample data using descriptive statistics, the study used importance-performance analysis to assess the relative attitude and degree of practice of the research subjects. It used the independent sample t-test to investigate the differences in the attitudes and practices of diverse groups, and one-way analysis of variance to ascertain variations in the attached importance and practices of caregivers toward multiple aspects of establishing a safe infant sleeping environment. The results showed no significant difference between the basic demographics of various groups. However, significant differences were observed between different caregivers’ attitudes and practice behaviors toward establishing a safe infant sleeping environment, especially in arrangement of baby’s bedding accessories and sleep position. In addition, both mothers and babysitters had more practice in establishing a safe infant sleeping environment than fathers (p < .001).The results of this study have shown that it is very important to continuously educate the babysitters and the parents in providing a safe sleep environment for the infant in the future. Furthermore, either mothers or fathers will have chances to take care of their infant alone, so they must have accurate attitudes and practices toward infant safe sleep to avoid the risk of care