目的 分析ABCD快乐育儿法对婴儿智能和体格发育的影响, 为促进儿童早期发展提供科学依据。方法 选取2017年6月-2019年2月出生的婴儿, 在马鞍山市妇幼保健院儿童保健门诊进行42 d体检时, 自愿参加ABCD快乐育儿法指导的婴儿61例作为干预组, 另选取同期出生并在本院进行保健的61例作为对照组。随访至9月龄, 测量两组婴儿的体重、身长、头围, 并采用“0~6岁儿童智能筛查测验量表(DST)”评估婴儿的智能发育水平。通过《安徽省马鞍山市儿童保健管理健康检查表》获取社会人口统计学和儿童信息。使用χ2检验、t检验、线性回归模型进行分析。结果 干预组在发育商(DQ)和智力指数(MI)的得分分别为99.25±12.13和102.98±10.10, 比对照组平均高6.45分和5.78分, 差异有统计学意义(t=3.100、3.174, P＜0.05), 且线性回归分析显示, ABCD快乐育儿法的早期教育理念是婴儿智能发育水平的独立影响因素(DQ:B＝0.263, 95%CI:1.96~10.51, P<0.05;MI:B=0.243, 95%CI:1.37~8.73, P<0.05)。但两组婴儿在9个月时体重、身长、头围比较, 差异无统计学意义(t=0.382、-0.254和-1.873, P＞0.05)。结论 婴幼儿保健融合ABCD快乐育儿法的早期教育理念对智能发展具有积极的促进作用, 该方法适于进一步的推广和应用。
Abstract
Objective To explore the effect of the Abecedarian (ABCD) approach on intelligence and physical development of infants, in order to provide scientific reference for facilitating the early development of children. Methods A total of 61 infants who was born from June 2017 to February 2019, took the first 42 days of physical examination in Maanshan Maternal and Child Health Hospital, and voluntarily participate in ABCD training, were enrolled as intervention group.And 61 infants at the same period were as control group.All infants were followed up to 9 months old.Data of body weight, length and head circumference were collected, and intellectual development was assessed using developmental screening test(DST) for child under six.Child health care management checklist was used to collect data on social demography and infant information.Chi-square, t-test and linear regression were used to analyze data. Results The scores of development quotient (DQ) and mental index (MI) in the intervention group were 99.25±12.13 and 102.98±10.10, respectively, which were 6.45 in DQ and 5.78 in MI significantly higher than the control group(t=3.100, 3.174, P<0.05).Linear regression analysis showed that the intervention was a determinant of infant intelligence development (DQ:B=0.263, 95%CI:1.96—10.51, P<0.05;MI: B=0.243, 95%CI:1.37—8.73, P<0.05).However, there was no significant difference on body weight, length and head circumference between the two groups at 9 months old (t=0.382, -0.254, -1.873, P>0.05). Conclusion Infant health care integrated with the abecedarian approach (ABCD) has a positive role in promoting the development of intelligence, which is suitable for further promotion and application.
关键词
儿童早期发展 /
婴儿 /
ABCD快乐育儿法 /
教育
Key words
early childhood development /
infant /
Abecedarian approach /
education
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参考文献
[1] 朱宗涵, 徐海青.儿童早期发展总论[M].北京:人民卫生出版社, 2014:4.
[2] 鲍秀兰, 孙金涛, 刘维民.医教结合塑造最佳人生开端[J].教育生物学杂志, 2015, 3(2):65-70.
[3] García JL, Heckman JJ, Ziff AL.Early childhood education and crime[J].Infant Ment Health J, 2019, 40(1):141-151.
[4] Luo Y, Hétu S, Lohrenz T, et al.Early childhood investment impacts social decision-making four decades later[J].Nat Commun, 2018, 9(1):4705.
[5] Campbell F, Conti G, Heckman JJ, et al.Early childhood investments substantially boost adult health[J].Science, 2014, 343(6178):1478-1485.
[6] Campbell FA, Pungello EP, Burchinal M, et al.Adult outco mes as a function of an early childhood educational program:an Abecedarian Project follow-up[J].Dev Psychol, 2012, 48(4):1033-1043.
[7] 余文, 吕毅, 张佩英, 等.“0～6岁发育筛查测验”测验报告[J].中国心理卫生杂志, 1997, 11(5):267-268.
[8] Sparling J, Lewis I, Ramey C, et al.Partners, a curriculum to help premature, low-birthweight infants get off to a good start[J].Top Early Child Spec, 1991, 11(1):36-55.
[9] Ramey CT, Bryant DM, Wasik BH, et al.Infant health and development program for low birth weight, premature infants:program elements, family participation, and child intelligence[J].Pediatrics, 1992, 89(3):454-465.
[10] Sparling J, Meunier K.Abecedarian:an early childhood education approach that has a rich history and a vibrant present[J].IJEC, 2019, 51(2):207-216.
[11] Ramey CT, Haskins R.The modification of intelligence thr ough early experience[J].Intelligence, 1981, 5(1):5-19.
[12] Campbell FA, Wasik BH, Pungello E, et al.Young adult outcomes of the Abecedarian and CARE early childhood educational interventions[J].Early Child Res Q, 2008, 23:452-466.
[13] Megan L.Cock, Lisa Murray, Tricia Eadie, et al.An abecedarian approach with aboriginal families and their young children in australia:playgroup participation and developmental outcomes[J].Int J Early Childhood, 2019, 51(2):233-250.
基金
国家自然科学基金青年科学基金项目(81602872)
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