家庭资源量表筛查工具测量的社会支持缺乏与极低出生体重儿早期不良认知结局相关。
Lack of social support as measured by the Family Resource Scale screening tool is associated with early adverse cognitive outcome in extremely low birth weight children.
机构信息
Division of Neonatology, Department of Pediatrics, University of California San Diego, San Diego, CA, USA.
RTI International, Research Triangle Park, North Carolina, NC, USA.
出版信息
J Perinatol. 2019 Nov;39(11):1546-1554. doi: 10.1038/s41372-019-0462-2. Epub 2019 Aug 20.
OBJECTIVE
Extremely low birth weight children are at high risk for cognitive impairment.
STUDY DESIGN
Cognitive outcome of extremely low birth weight children participating in a Neonatal Research Network, randomized trial was evaluated at 18 and 30 months corrected age using the Bayley Scales of Infant Development, 2nd ed. Family resources and social support were assessed using a Family Resource Scale parent questionnaire. Regression analysis was used to determine independent demographic, medical, and family resource factors influencing longitudinal cognitive outcome.
RESULT
Higher Family Resource Scale scores at 18 months were associated with greater improvement in cognitive scores between 18 and 30 months. Cognitive outcome was most adversely affected in children whose families had the least resources and social support. The adverse effect of poor social support was independent of family income.
CONCLUSION
Poor interpersonal social support has an independent, adverse impact on cognitive outcomes of extremely low birth weight infants.
目的
极低出生体重儿认知障碍风险高。
研究设计
通过贝利婴幼儿发展量表第二版对参加新生儿研究网络随机试验的极低出生体重儿的认知结果进行评估，在 18 个月和 30 个月校正年龄时进行评估。使用家庭资源量表家长问卷评估家庭资源和社会支持。回归分析用于确定影响纵向认知结果的独立人口统计学、医学和家庭资源因素。
结果
18 个月时家庭资源量表评分较高与 18 至 30 个月认知评分的改善相关。家庭资源和社会支持最少的儿童认知结果受到的影响最不利。较差的社会支持的不利影响独立于家庭收入。
结论
不良人际社会支持对极低出生体重儿的认知结果有独立的不良影响。
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