Chernego Daria I, McCall Robert B, Wanless Shannon B, Groark Christina J, Vasilyeva Marina J, Palmov Oleg I, Nikiforova Natalia V, Muhamedrahimov Rifkat J
St. Petersburg State University, RF.
University of Pittsburgh, USA.
Infants Young Child. 2018 Jan;31(1):37-52. doi: 10.1097/IYC.0000000000000108. Epub 2018 Jan 1.
This study examined the effect of a social-emotional intervention implemented in one St. Petersburg (Russian Federation) institution (called a Baby Home, BH) on the general behavioral development of preterm children (gestational ages of 30-36 weeks) during their first two years of life. The intervention consisted of training caregivers and implementing structural changes to create a more family-like environment. The study included preterm ( = 56) and full-term ( = 93) children from one BH that implemented the intervention and from another BH with no intervention. Children were assessed at 3, 6, 9, 12, 18 and 24 months of age with the Battelle Development Inventory (LINC Associates, 1988). The results showed that the intervention positively influenced the general behavioral development of BH preterm children throughout their first two years of life compared to preterms from the no-intervention BH. Also, results indicated that the intervention effect was developmentally similar for preterm and for full-term children, but preterm children consistently scored lower than full-terms during their first two years living in the BH. In general, our research emphasizes the crucial role of warm, sensitive, and responsive interactions with a constant and emotionally available caregiver for healthy child development for both term and preterm children.
本研究考察了在圣彼得堡(俄罗斯联邦)的一家机构(称为婴儿之家,BH)实施的社会情感干预对早产儿童(胎龄30 - 36周)出生后头两年总体行为发展的影响。该干预包括培训护理人员并进行结构调整以营造更像家庭的环境。研究纳入了来自实施干预的一家婴儿之家的早产儿童(n = 56)和足月儿童(n = 93),以及来自另一家未实施干预的婴儿之家的儿童。在儿童3、6、9、12、18和24个月大时,使用巴特尔发育量表(LINC Associates,1988)进行评估。结果显示,与未干预婴儿之家的早产儿童相比,该干预对婴儿之家早产儿童出生后头两年的总体行为发展产生了积极影响。此外,结果表明,该干预对早产儿童和足月儿童的发展影响相似,但在婴儿之家生活的头两年里,早产儿童的得分始终低于足月儿童。总体而言,我们的研究强调了与持续且情感上可亲近的护理人员进行温暖、敏感和有回应的互动对足月和早产儿童健康发展的关键作用。