Pisoni Camilla, Provenzi Livio, Moncecchi Michela, Caporali Camilla, Naboni Cecilia, Stronati Mauro, Montirosso Rosario, Borgatti Renato, Orcesi Simona
NICU, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Child Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy.
Acta Paediatr. 2021 Jan;110(1):101-108. doi: 10.1111/apa.15345. Epub 2020 Jun 3.
Although parenting is key to promoting healthy development of at-risk preterm infants, parents have often restricted access to neonatal intensive care units (NICUs). This study aimed to assess the effect of an early parenting intervention on the psychomotor outcome in preterm children at 24 months of corrected age.
Forty-two preterm children and their parents were consecutively recruited at a level III NICU in Northern Italy and randomly allocated to early intervention (two educational peer-group sessions and four individual infant observation sessions) or care as usual (no educational or infant observation sessions). During NICU stay, parents provided information on daily holding and skin-to-skin. Psychomotor development was measured at 24 months of corrected age using the Griffith Mental Development Scales.
There were no significant differences in socio-demographic and clinical variables between early intervention (n = 21; 13 females) and care as usual (n = 21; 12 females) groups. At 24 months of corrected age, children in the early intervention arm had greater scores for global psychomotor development as well as for Hearing-Speech and Personal-Social sub-scales, compared to those in the care as usual group.
The present NICU parenting intervention was found to be associated with better psychomotor outcomes in preterm children at 24-month age. The effects were especially evident for domains related to language and socio-emotional functioning. Results are promising and should be retested with more heterogeneous and representative preterm sample.
尽管育儿对促进高危早产儿的健康发育至关重要，但家长进入新生儿重症监护病房（NICU）的机会常常受到限制。本研究旨在评估早期育儿干预对矫正年龄为24个月的早产儿心理运动发育结局的影响。
在意大利北部的一家三级NICU连续招募了42名早产儿及其父母，并将他们随机分为早期干预组（两次教育性同伴小组会议和四次个体婴儿观察会议）或常规护理组（无教育或婴儿观察会议）。在NICU住院期间，家长提供了关于每日抱持和皮肤接触的信息。使用格里菲斯心理发展量表在矫正年龄24个月时测量心理运动发育情况。
早期干预组（n = 21；13名女性）和常规护理组（n = 21；12名女性）在社会人口统计学和临床变量方面没有显著差异。在矫正年龄24个月时，与常规护理组相比，早期干预组儿童在整体心理运动发育以及听力-言语和个人-社会子量表上的得分更高。
本研究发现，目前的NICU育儿干预与矫正年龄24个月的早产儿更好的心理运动结局相关。对于与语言和社会情感功能相关的领域，效果尤为明显。结果很有前景，应该用更具异质性和代表性的早产儿样本进行重新测试。
