護理師向準媽媽衛教新生兒安全,下列有關預防嬰兒猝死症候群(SIDS)的內容何者正確?(選所有適合的)
A nurse is teaching a group of expectant mothers about newborn safety. Which information regarding SIDS prevention should the nurse emphasize? (Select all that apply.)
- APlace the infant on their back for sleep✓ 正解讓嬰兒仰臥睡覺
- BUse a firm mattress in the crib✓ 正解使用堅硬的床墊
- CPlace soft blankets and stuffed animals in the crib在床內放置柔軟的毯子和填充動物玩具
- DKeep the baby in a smoke-free environment✓ 正解讓嬰兒處於無煙環境
- EAvoid overheating the baby✓ 正解避免嬰兒過熱
預防嬰兒猝死症候群(SIDS)的核心在於營造安全的睡眠環境(Safe Sleep)。根據美國兒科學會(AAP)指引,嬰兒應仰睡以維持呼吸道通暢,並使用符合安全規範的堅硬床墊。床上應移除所有軟墊、枕頭、絨毛玩具或寬鬆毯子,避免阻塞呼吸道或導致過熱。此外,懷孕期間及產後應嚴禁暴露於二手菸環境,並透過調整衣物層次避免嬰兒過熱,以降低 SIDS 風險。
The cornerstone of SIDS prevention is creating a safe sleep environment. According to American Academy of Pediatrics (AAP) guidelines, infants should be placed on their back to maintain a patent airway and on a firm mattress that meets safety standards. All soft padding, pillows, stuffed animals, and loose blankets must be removed from the crib to avoid airway obstruction or overheating. In addition, exposure to tobacco smoke during pregnancy and after birth should be strictly avoided, and infant clothing should be adjusted in layers to prevent overheating, thereby reducing the risk of SIDS.
在美國,AAP 對於 Safe Sleep 的教育非常嚴格,護理師衛教時必須強調「ABC」原則:Alone(單獨睡)、Back(仰睡)、Crib(嬰兒床空無一物)。台灣部分傳統家庭仍有「側睡可防溢奶」的錯誤觀念,護理師需特別糾正。