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一项社会情感干预对机构养育早产儿发育的影响。

The Effect of a Social-Emotional Intervention on the Development of Preterm Infants in Institutions.

作者信息

Chernego Daria I, McCall Robert B, Wanless Shannon B, Groark Christina J, Vasilyeva Marina J, Palmov Oleg I, Nikiforova Natalia V, Muhamedrahimov Rifkat J

机构信息

St. Petersburg State University, RF.

University of Pittsburgh, USA.

出版信息

Infants Young Child. 2018 Jan;31(1):37-52. doi: 10.1097/IYC.0000000000000108. Epub 2018 Jan 1.

DOI:10.1097/IYC.0000000000000108
PMID:29398781
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5793907/
Abstract

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.

摘要

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。

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Gaze Behaviors of Preterm and Full-Term Infants in Nonsocial and Social Contexts of Increasing Dynamics: Visual Recognition, Attention Regulation, and Gaze Synchrony.早产儿和足月儿在动态增加的非社交和社交情境中的注视行为:视觉识别、注意力调节和注视同步
Infancy. 2011 Jan;16(1):69-90. doi: 10.1111/j.1532-7078.2010.00037.x.
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An educational intervention improves developmental progress of young children in a Romanian orphanage.一项教育干预措施改善了罗马尼亚一家孤儿院中幼儿的发育进程。
Infant Ment Health J. 2005 Mar;26(2):127-142. doi: 10.1002/imhj.20040.
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Characteristics of environments, caregivers, and children in three Central American orphanages.中美洲三家孤儿院的环境、照料者及儿童的特征
Infant Ment Health J. 2011 Mar;32(2):232-250. doi: 10.1002/imhj.20292.
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Developmental Outcomes of Late Preterm Infants From Infancy to Kindergarten.晚期早产儿从婴儿期到幼儿园阶段的发育结局
Pediatrics. 2016 Aug;138(2). doi: 10.1542/peds.2015-3496.
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Risk of developmental delay: Comparison of late preterm and full term Canadian infants at age 12 months.发育迟缓风险:加拿大晚期早产儿与足月儿12个月大时的比较。
Early Hum Dev. 2016 Oct;101:27-32. doi: 10.1016/j.earlhumdev.2016.04.004. Epub 2016 Jul 9.
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Feasibility of a Preventive Parenting Intervention for Very Preterm Children at 18 Months Corrected Age: A Randomized Pilot Trial.针对矫正年龄为18个月的极早产儿的预防性育儿干预措施的可行性:一项随机试点试验。
J Pediatr. 2016 Sep;176:79-85.e1. doi: 10.1016/j.jpeds.2016.05.071. Epub 2016 Jul 9.
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Infant born preterm have delayed development of adaptive postural control in the first 5 months of life.早产婴儿在出生后的前5个月中适应性姿势控制发育延迟。
Infant Behav Dev. 2016 Aug;44:49-58. doi: 10.1016/j.infbeh.2016.05.002. Epub 2016 Jun 7.
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Born early and born poor: An eco-bio-developmental model for poverty and preterm birth.早产与贫困:一个关于贫困和早产的生态生物发展模型。
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