Belanger Roxanne, Leroux Dominique, Lefebvre Pascal
School of Speech-Language Pathology, Laurentian University, Sudbury, Ontario.
Paediatr Child Health. 2019 Oct 21;26(1):e17-e24. doi: 10.1093/pch/pxz124. eCollection 2021 Feb.
Infants born prematurely can display impairments that negatively impact the early years of their development. Compared to their peers born at term, preterm children have higher risks of cerebral palsy, sensory deficits, learning disabilities, cognitive and language deficits, as well as difficulties related to attention and behaviour. Following discharge, parents of preterm children are often supported through neonatal follow-up programs or by community health care practitioners. Through assessment and consultation, professionals foster parental resilience by teaching them about their child's development. Research shows a large volume of literature on improving outcomes for preterm infants, but less attention has been given to the impact and potential importance of education of parents regarding the care they provide from the home.
A scoping review was completed to determine the best practices for early intervention in premature children regarding the development of language skills during the preschool years.
The review followed the guidelines for the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA).
Four general themes emerged from the review and included the importance of providing (1) parental training in the care of an infant born prematurely during neonatal intensive care unit stay; (2) education on the development of language and the importance of parental responsiveness; (3) provision of activities to support child language learning; and (4) overall and ongoing monitoring and support by qualified health professionals.
The conclusions drawn will provide guidance to health care professionals regarding the education of parents on best practices for stimulating language development in their child.
早产婴儿可能会出现一些对其早期发育产生负面影响的损伤。与足月儿同龄人相比,早产儿患脑瘫、感觉缺陷、学习障碍、认知和语言缺陷以及注意力和行为相关问题的风险更高。出院后,早产儿的父母通常会通过新生儿随访项目或社区医疗保健从业者获得支持。通过评估和咨询,专业人员通过向父母传授有关孩子发育的知识来增强他们的适应能力。研究表明,有大量关于改善早产儿预后的文献,但对于父母在家中提供护理的教育的影响和潜在重要性关注较少。
完成一项范围综述,以确定学龄前早产儿语言技能发展早期干预的最佳实践。
该综述遵循系统评价和Meta分析的首选报告项目(PRISMA)指南。
综述得出了四个总体主题,包括提供以下方面的重要性:(1)在新生儿重症监护病房住院期间对早产儿护理的父母培训;(2)关于语言发展以及父母反应能力重要性的教育;(3)提供支持儿童语言学习的活动;(4)由合格的卫生专业人员进行全面和持续的监测与支持。
得出的结论将为医疗保健专业人员在教育父母关于促进孩子语言发展的最佳实践方面提供指导。