Don N, McMahon C, Rossiter C
Tresillian Family Care Centres, Belmore, Australia.
J Paediatr Child Health. 2002 Dec;38(6):563-7. doi: 10.1046/j.1440-1754.2002.00042.x.
To ascertain the effectiveness of an individualized multidisciplinary residential programme for managing young unsettled infants and whether changes in unsettled behaviour were maintained.
One hundred and nine clients of a Tresillian residential unit with singleton infants aged less than 20 weeks were studied before, during and after intervention. Mothers completed a 24 h infant activity record prior to admission, during the stay and 1 month after discharge. Intervention consisted of settling techniques, parent education, support and counselling.
By day 4 of admission, the mean duration of unsettled (fussing, crying) behaviour had decreased significantly and mean sleeping time and awake/content times both increased significantly (P < 0.001). These changes were maintained 1 month after discharge. Changes in behaviour were particularly marked for very unsettled infants.
In the absence of formal controls, the individualized programme appears effective in managing the behaviour of unsettled infants.
确定一项针对难以安抚的婴幼儿的个体化多学科住院治疗方案的有效性，以及难以安抚行为的改变是否能得以维持。
对特里西里安住院部的109名客户进行研究，这些客户均为单胎婴儿，年龄小于20周，研究涵盖干预前、干预期间及干预后。母亲们在入院前、住院期间及出院后1个月完成一份24小时婴儿活动记录。干预措施包括安抚技巧、家长教育、支持及咨询。
入院第4天时，难以安抚（烦躁、哭闹）行为的平均持续时间显著减少，平均睡眠时间及清醒/安静时间均显著增加（P<0.001）。这些变化在出院后1个月得以维持。行为改变在非常难以安抚的婴儿中尤为明显。
在缺乏正规对照的情况下，该个体化方案似乎对管理难以安抚婴儿的行为有效。
