Objective To analyse the influences of integrated early child development services combined with parent child paradise on the physical and intelligent developments of premature infants,and explore ways to promote the physical and intelligent development of premature infants through community and family. Methods Using the methods of prospective cohort study,232 cases of premature infants with health examinations were checked in the child healthcare department of Kuangquan street community health service center in Yuexiu district of Guangzhou city from October 1,2011 to September 30,2012,were divided into 3 intervention groups[the integrated early child development services group (group Ⅰ),the parent child paradise services group (group Ⅱ),the integrated early child development services combined with parent child paradise services group (group Ⅲ)] and 1 control group[basic health services group (group Ⅳ)] in accordance with their parents' intend,and followed up to the correction of age of 12 months.All the premature infants were measured and compared the physical and the intelligent development levels in the correction of age of 3 months,6 months and 12 months. Results In the correction of age of 12 months,there were statistically significant differences in the physical development between group Ⅰ and group Ⅱ,group Ⅰ and group Ⅳ,group Ⅲ and group Ⅳ,group Ⅲ and group Ⅱ,but no statistically significant difference between group Ⅰ and group Ⅲ,group Ⅱand group Ⅳ.In the correction of age of 6 months or 12 months,there was statistically significant difference in intelligent development (except for the part of social behavior) between group Ⅰ and group Ⅳ(P<0.05),there was statistically significant difference in intelligent developments between group Ⅱ and group Ⅳ (P<0.05),there was obvious statistical significance difference in intelligent development between group Ⅲ and group Ⅳ (P<0.01). Conclusion Integrated early child development services combined with parent child paradise services could significantly improve the physical and intelligent development of premature infants.
Key words
premature infants /
integrated early child development service /
parent child paradise /
physical development /
intelligence development
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References
[1] 张会巧,于风琴.促进早产儿智能发育的家庭早期干预[J].中国实用医刊,2008,35(19):40-41.
[2] 鲍秀兰.0~3岁儿童最佳的人生开端[M].北京:中国发展出版社,2006:104-173.
[3] 林子雄,林丽军,郑燕玲,等.广州市越秀区儿童早期综合发展项目服务效果评价[J].海南医学,2012,23(13):50-52.
[4] 肖玉联,都萍,谭美珍,等.早期综合发展指导对0~24个月儿童发育的影响[J].实用医学杂志,2013,29(10):1652-1654.
[5] 陈冬玲,黄宇婷,王召娟,等.儿童早期综合发展方式对婴儿发育影响的临床研究[J].黑龙江医学,2014,38(5):590-591.
[6] 金岩,徐海青,熊忠贵,等.早期综合干预对早产低体重儿体格发育和早期发展影响的探讨[J].中国儿童保健杂志,2012,20(8):739-742.
[7] 谢笑英,马晓丽,林美英,等.早期综合发展指导在社区儿童保健工作中的应用[J].中国初级卫生保健,2012,26(3):67-68.
[8] 姚淑萍.婴幼儿早期综合发展在社区儿童保健中对婴儿生长发育的影响[J].中国医药指南,2013,11(22):188-189.
[9] 穆凤霞,于洋,戴耀华,等.早期干预对婴幼儿社会情绪发展的影响[J].中国妇幼健康研究,2012,23(4):413-415.
[10] 鲁利群,赵聪敏.丰富环境与神经可塑性[J].中国临床康复,2005,9(16):141-143.
[11] Anderson LM,Shinn C,Fullilove MT,et al.The effectiveness of early childhood development programs.A systematic review[J].American Journal of Preventive Medicine,2003,24(Suppl 3):32-46.
[12] 赵亚楠,郝晓莉.早期教育对小儿智能发育的影响[J].中国妇幼保健,2006,21(1):79.
[13] 裴菊英,闫承生,马敏,等.早期教育对婴幼儿社会适应能力影响的研究[J].中国儿童保健杂志,2004,12(4):354-355.
[14] 潘昊.早期教育对儿童气质和适应行为的影响[J].中国儿童保健杂志,2002,10(4):236-237.
[15] 何红,郭丽,陈慧,等.0~6月龄婴儿早期教育综合干预模式的试验研究[J].中国儿童保健杂志,2011,19(10):960-962.