家庭亲子训练在晚期早产儿早期干预中的应用研究

doi:10.11852/zgetbjzz2024-0057

摘要/Abstract

摘要： 目的探讨家庭亲子训练对早产儿生长和神经心理发育的影响,为丰富早产儿早期干预具体实施方法提供线索。方法选取2022年10月—2023年5月在昆山市妇幼保健院早产儿门诊就诊的87例矫正月龄为0～3月龄的晚期早产儿为研究对象,根据随机数字表法分为两组,对照组48例实施常规跟踪随访,干预组39例在常规跟踪随访的基础上定期参加家庭亲子训练课程。比较两组早产儿矫正3月龄时神经运动发育情况、矫正6月龄时身高、体重、头围、神经心理发育情况以及家庭养育环境。结果矫正6月龄时,干预组儿童与对照组儿童的体格发育情况差异无统计学意义(P＞0.05)。干预组儿童的Griffiths量表总量表得分(DQ)显著高于对照组儿童,差异有统计学意义(t=3.632, P=0.001)。其中各领域裸分也均高于对照组儿童,但差异无统计学意义(P＞0.05)。干预组儿童的家庭养育问卷各维度及总得分均高于对照组儿童,但仅人际互动/喂养维度得分差异具有统计学意义(t=3.516, P=0.001)。结论家庭亲子训练不仅能促进晚期早产儿的运动、语言、认知等方面的全面发展,同时能有效改善儿童家庭养育环境,提高家长的养育照护能力,从而更好地促进早产儿的早期健康发展。

关键词: 晚期早产儿, 早期干预, 家庭养育环境, 神经心理发育

Abstract: Objective To explore the effects of family-based parent-child training on the growth and neuropsychological development of premature infants, in order to provide clues for enriching the specific implementation methods of early intervention for premature infants. Methods A total of 87 late-preterm infants aged 0 - 3 months corrected age, who visited the outpatient department of premature infants at Kunshan Institute of Maternal and Child Health Care from October 2022 to May 2023, were selected as study subjects, and were divided into two groups based on the random number table method. The control group (n=48) received routine follow-up, while the intervention group (n=39) participated in regular family-based parent-infant training courses in addition to routine follow-up. The neuromotor development at 3 months corrected age, height, weight, head circumference, and neuropsychological development at 6 months corrected age, as well as the family rearing environment, were compared between the two groups. Results At 6 months corrected age, there was no statistically significant difference in physical development between the intervention group and the control group (P>0.05).The total developmental quotient (DQ) score of Griffiths Scale in the intervention group was significantly higher than that of the control group(t=3.632, P=0.001). Although the raw scores in all domains of the Griffiths Scale were also higher in the intervention group than in the control group, the differences were not statistically significant (P>0.05). The scores of all dimensions and the total score of the family rearing questionnaire were higher in the intervention group than in the control group, but only the difference in the interpersonal interaction/feeding dimension score was statistically significant (t=3.516, P=0.001). Conclusion Family-based parent-child training can not only promote the comprehensive development of late-preterm infants in terms of motor skills, language, and cognition, but also effectively improve the family rearing environment and enhance parental caregiving abilities, thereby better promoting the early healthy development of premature infants.

Key words: late-preterm infants, early intervention, family rearing environment, neuropsychological development

中图分类号:

R174

周膻, 徐素香. 家庭亲子训练在晚期早产儿早期干预中的应用研究[J]. 中国儿童保健杂志, 2025, 33(3): 324-328.

ZHOU Shan, XU Suxiang. Application of family-based parent-child training in early intervention of late-preterm infants[J]. Chinese Journal of Child Health Care, 2025, 33(3): 324-328.

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