两种母亲实施的干预措施期间早产儿参与和脱离行为的频率
Frequency of Premature Infant Engagement and Disengagement Behaviors During Two Maternally Administered Interventions.
作者信息
White-Traut Rosemary, Wink Teresa, Minehart Tali, Holditch-Davis Diane
机构信息
Dr. Rosemary White-Traut, University of Illinois at Chicago College of Nursing, Department Head of Women, Children, and Family Health Science, 845 South Damen Avenue (M/C 802), Chicago, IL 60612-7350.
出版信息
Newborn Infant Nurs Rev. 2012 Sep;12(3):124-131. doi: 10.1053/j.nainr.2012.06.005.
Although sensitive maternal behaviors improve later quality of mother-infant interaction and subsequently infant development, little is known regarding how an intervention might promote early premature infant social interactive behavior. This study compared the frequency of premature infant engagement and disengagement behaviors during two maternally administered interventions, the multi-sensory auditory, tactile, visual and vestibular intervention (ATVV) and kangaroo care (KC) for 26 infants between 31 and 46 weeks PMA. The ATVV intervention elicited more disengagement (M = 24 vs. 12, p = .0003), trended toward more engagement (M = 21 vs. 15.7, p = .06) and more potent engagement (M = 24 vs. 12, p = .0003), subtle disengagement (M = 25 vs. 11.9, p < .0001), and potent disengagement (M = 22.9 vs. 14, p = . 006) behaviors than did KC. The ATVV intervention may be an intervention to promote the infant's learning how to regulate engagement and disengagement behaviors.
尽管敏感的母亲行为会改善母婴互动的后期质量，并进而促进婴儿发育，但对于干预措施如何促进早产婴儿早期社会互动行为，我们却知之甚少。本研究比较了26名孕龄在31至46周的早产婴儿在两种母亲实施的干预措施（多感官听觉、触觉、视觉和前庭干预（ATVV）和袋鼠式护理（KC））过程中参与和脱离行为的频率。与KC相比，ATVV干预引发了更多的脱离行为（均值=24对12，p = 0.0003），参与行为呈增加趋势（均值=21对15.7，p = 0.06）且更有效力的参与行为（均值=24对12，p = 0.0003）、细微的脱离行为（均值=25对11.9，p < 0.0001）以及更有效力的脱离行为（均值=22.9对14，p = 0.006）。ATVV干预可能是一种促进婴儿学习如何调节参与和脱离行为的干预措施。
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