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利用护士的技能和语言营养的力量,为儿童确保更美好的未来。

Leveraging the Skills of Nurses and the Power of Language Nutrition to Ensure a Better Future for Children.

作者信息

Darcy Mahoney Ashley, Zauche Lauren Head, Hallowell Sunny, Weldon Arianne, Stapel-Wax Jennifer

机构信息

George Washington University School of Nursing, and George Washington Autism and Neurodevelopmental Disorders Institute, George Washington University, Washington, District of Columbia (Dr Darcy Mahoney); Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia (Dr Head Zauche); Villanova School of Nursing, Pennsylvania (Dr Hallowell); Get Georgia Reading-Campaign for Grade Level Reading, Atlanta, Georgia (Ms Weldon); and Department of Pediatrics, Emory University School of Medicine, and Marcus Autism Center, Children's Healthcare of Atlanta, Atlanta, Georgia (Dr Stapel-Wax).

出版信息

Adv Neonatal Care. 2017 Feb;17(1):45-52. doi: 10.1097/ANC.0000000000000373.

DOI:10.1097/ANC.0000000000000373
PMID:28079529
Abstract

BACKGROUND

Early language exposure is critical for language acquisition and significantly influences a child's literacy skills. However, preterm infants may experience language deprivation in the neonatal intensive care unit. Nurses are vital to helping parents understand their critical role in early language development.

PURPOSE

To discuss the impact of language-rich interactions and interventions that promote early language exposure, or Language Nutrition, by parents and caregivers on the long-term developmental, language, and educational outcomes of high-risk infants.

METHODS/SEARCH STRATEGY: A literature search was conducted using PubMed and Web of Science to identify articles that examined the influence of language interactions with high-risk infants on developmental outcomes. Recent campaigns touting the importance of early language exposure were identified through the Bridging the Word Gap Research Network.

FINDINGS/RESULTS: Increasing preterm infants' exposure to Language Nutrition improves their language development, promotes parent-infant attachment, and decreases parent stress. In addition, it may result in greater neuroplasticity and volume of the auditory cortex. Several campaigns have been developed to increase children's access to Language Nutrition and can be implemented into everyday pediatric and neonatal care.

IMPLICATIONS FOR PRACTICE

Pediatric, neonatal nurses and advanced practice nurses are uniquely positioned to play a transformational role in high-risk infants' developmental trajectory by educating parents about the importance of Language Nutrition and supporting parents as they engage with their infant.

IMPLICATIONS FOR RESEARCH

Studies investigating the population-level impact of interventions aimed at increasing infants' access to Language Nutrition as well as studies identifying effective ways to communicate messages about Language Nutrition are warranted.

摘要

背景

早期语言接触对语言习得至关重要,并显著影响儿童的读写能力。然而,早产儿在新生儿重症监护病房可能会经历语言剥夺。护士对于帮助家长理解他们在早期语言发展中的关键作用至关重要。

目的

探讨家长和照顾者进行丰富语言互动及干预(即促进早期语言接触,或语言营养)对高危婴儿长期发育、语言和教育成果的影响。

方法/检索策略:使用PubMed和Web of Science进行文献检索,以确定研究与高危婴儿语言互动对发育成果影响的文章。通过弥合词汇差距研究网络确定了近期宣传早期语言接触重要性的活动。

研究结果

增加早产儿对语言营养的接触可改善其语言发展,促进亲子依恋,并减轻家长压力。此外,这可能会导致更大的神经可塑性和听觉皮层体积。已经开展了多项活动以增加儿童获得语言营养的机会,并且可以将其纳入日常儿科和新生儿护理中。

对实践的启示

儿科、新生儿护士和高级实践护士在高危婴儿的发育轨迹中具有独特的地位,可通过向家长宣传语言营养的重要性并在家长与婴儿互动时提供支持,发挥变革性作用。

对研究的启示

有必要开展研究,调查旨在增加婴儿获得语言营养机会的干预措施对人群层面的影响,以及确定有效传达语言营养信息的方法的研究。

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