Volume 24 Issue 1
Jan.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(1): 155-159
HUANG Xiaoxia, GAO Ping, HU Sisi, ZHENG Bingqing, CHEN Shuang, XU Xiaoqun. Application of a sleep management program based on the stepwise nursing model in premature infants in the NICU[J]. Chinese Journal of General Practice, 2026, 24(1): 155-159. doi: 10.16766/j.cnki.issn.1674-4152.004351
Citation: HUANG Xiaoxia, GAO Ping, HU Sisi, ZHENG Bingqing, CHEN Shuang, XU Xiaoqun. Application of a sleep management program based on the stepwise nursing model in premature infants in the NICU[J]. Chinese Journal of General Practice, 2026, 24(1): 155-159. doi: 10.16766/j.cnki.issn.1674-4152.004351
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Application of a sleep management program based on the stepwise nursing model in premature infants in the NICU

doi: 10.16766/j.cnki.issn.1674-4152.004351

  • Neonatal Intensive Care Unit, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325015, China

Funds:

 2023KY144

  • Received Date: 2025-01-27
    Available Online: 2026-04-01
    Abstract
  •   Objective  To develop and evaluate a stepped-care-based sleep protocol for preterm infants, with a view to guiding clinical sleep protection and intervention.  Methods  From September to December of 2023, a total of 60 infants born preterm (as defined by a gestational age of less than 37 weeks) were enrolled in the study. These infants were recruited from a designated neonatal unit and were subsequently divided into two groups comprising 30 individuals each. The control group received routine care, while the intervention group received the sleep protocol in addition to routine care. The outcomes encompassed a range of metrics, including 24 h/daytime/nighttime sleep duration, weight gain velocity, heart rate, number of days spent in hospital, and oxygen saturation levels.  Results  The intervention group exhibited a greater duration of average sleep over a 24-h period [(18.40±1.87) hours] and during daytime [9.00 (8.75, 10.00) hours] vs. control group [(16.00±2.45) hours and 7.00 (6.00, 8.00) hours, both P < 0.001]. Nighttime sleep showed no difference [9.00(8.00, 10.00)h vs. 9.00(8.00, 10.00) h, P>0.05]. A significant difference was observed in weight gain velocity [(20.50±0.43) g/(kg·d) vs. (16.37±0.50) g/(kg·d)] and heart rate [(135.83±13.91) times/min vs. (145.07±12.25) times/min] (P < 0.05). Hospitalization days [25.50 (20.00, 32.00) d vs. 30.00 (25.00, 37.00) d] and oxygen saturation [(95.13±3.15) % vs. (96.20±2.80) %] were comparable (P>0.05).  Conclusion  The stepped-care protocol has been demonstrated to enhance sleep duration, heart rate, and weight gain in preterm infants, thus offering significant clinical benefits in terms of promotion..

     

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