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婴儿刺激对出生适应的影响:一项随机试验。

Effect of infant stimulation on the adaptation to birth: a randomized trial.

作者信息

Gualdrón Lucy Marcela Vesga, Villalobos María Mercedes Durán de

机构信息

Universidad Nacional de Colombia, Facultad de Enfermería, Sede Bogotá D.C, CO, Colombia.

出版信息

Rev Lat Am Enfermagem. 2019 Oct 7;27:e3176. doi: 10.1590/1518-8345.2896.3176. eCollection 2019.

Abstract

OBJECTIVE

to measure the effect of an infant stimulation therapy (auditory, tactile, visual and vestibular) on the adaptation to postnatal life of the mother-child dyad.

METHOD

an experimental and blind study composed of 120 dyads of first-time mothers and full-term newborns, who practiced breastfeeding. The follow-up was conducted during the first five weeks of life and the evaluation was carried at two different times.

RESULTS

the adaptive capacity was measured in two modes. The physiological adaptive mode (activity and exercise and neonatal nutrition) and the interdependence adaptive mode (appropriate affection and proper development); and statistically significant differences were found in favor of the experimental group. Regression models that show the collaborative relationship between mother and child, and their reciprocity in the process of adaptation were proposed.

CONCLUSION

the early stimulation is a therapy with bidirectional effect, because it has favorable effects on the person who administers it; promotes health and prevents illness in the process of adaptation to birth; especially in contexts of vulnerability. It is recommended its teaching to mothers and its application in the home environment. This study was registered in the Australian New Zealand Clinical Trial Registry (ANZCTR) under protocol number: ACTRN12617000449336.

摘要

目的

测量一种婴儿刺激疗法(听觉、触觉、视觉和前庭刺激)对母婴二元组产后生活适应的影响。

方法

一项实验性双盲研究,由120对初产妇和足月儿二元组组成,这些母婴进行母乳喂养。在出生后的前五周进行随访,并在两个不同时间进行评估。

结果

通过两种方式测量适应能力。生理适应方式(活动与运动以及新生儿营养)和相互依赖适应方式(适当的情感和正常的发育);并且发现有利于实验组的统计学显著差异。提出了显示母婴之间协作关系及其在适应过程中相互作用的回归模型。

结论

早期刺激是一种具有双向作用的疗法,因为它对实施该疗法的人有积极影响;在适应出生的过程中促进健康并预防疾病;尤其是在脆弱环境中。建议向母亲传授该疗法并在家庭环境中应用。本研究已在澳大利亚新西兰临床试验注册中心(ANZCTR)注册,注册号:ACTRN12617000449336。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/668f/6781411/c6829c532319/0104-1169-rlae-27-e3176-gf01.jpg

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