目的 评估3~12月龄引导式家庭教育训练对早产儿及足月儿认知-运动发育水平的干预效果。方法 选取2014年10月-2015年10月期间来本院儿童保健门诊健康体检的婴儿273例作为干预组研究对象,选取同时期在上海市另外一家妇幼保健院及江苏省某妇保院健康体检的婴儿1 572例为对照组研究对象,对干预组研究对象的家长发放认知-运动发育训练计划并由医生向家长讲解和督促其对婴儿开展训练,对照组研究对象不做任何干预措施。应用“年龄与发育进程问卷(第三版)”(Ages and Stages Questionnaire-Third edition,ASQ-3)作为婴儿认知-运动发育水平的评估工具,通过构建回归方程对干预措施的效果进行评估。结果 在足月儿人群中,干预组和对照组婴儿的ASQ-3总得分差异无统计学意义(P>0.05);而在早产儿人群中,干预组婴儿的ASQ-3总得分较对照组平均高5.554分(P<0.01)。结论 在儿童保健门诊对婴儿家长进行引导式家庭教育训练在提高早产儿认知-运动发育水平方面效果明显。

Objective To evaluate the effectiveness of family-based conductive education training on cognitive-motor development among 3~12 month old premature and full-term infants. Methods 273 infants who went to child health clinic of our hospital during the period of October 2014 to October 2015 were distributed to the intervention group and 1 572 infants who went to child health clinic of other hospitals were distributed to the control group.Intervention was only conducted among intervention group infants.Cognitive-motor developmental level was measured by ASQ-3 and compared through regression equation between intervention group and control group. Results The ASQ total score existed none statistical difference(P>0.05) between intervention group and control group among full-term infants;On the contrary,there existed significant statistical difference (P<0.01) between intervention group and control group among the preterm population,the ASQ total score of intervention group was higher than that in the control group with an average of 5.554 points. Conclusion The family-based conductive education training intervention on cognitive-motor development is effective for the premature infants and it is worthy to be popularized.