通过新生儿抱抱护理项目改善新生儿重症监护病房的语言环境。
Enhancing the NICU language environment with a neonatal Cuddler program.
作者信息
Hersey Alicia, Hoffman Laurie, Tucker Richard, Vohr Betty
机构信息
Department of Pediatrics, Brown University, Providence, RI, USA.
Women & Infants Hospital of Rhode Island, Providence, RI, USA.
出版信息
J Perinatol. 2021 Aug;41(8):2063-2071. doi: 10.1038/s41372-021-01037-2. Epub 2021 Mar 26.
OBJECTIVE
To compare effects of a language intervention on Cuddler and parent adult word counts (AWC), and to compare Cuddler versus parent and nurse-care times.
DESIGN
Prospective pilot cohort intervention study. Twelve Cuddler-low-visit (≤2/week) infant pairs and 17 high-visit (≥3/week) parent-infant pairs were enrolled. Each had a 16-hour baseline recording (R1) followed by a language curriculum with linguistic feedback and an outcome recording (R2) 1 week later. Bivariate group analyses and longitudinal negative binomial regressions were run.
RESULTS
After the intervention, there were non-significant increases in AWC/h for Cuddlers and high-visit parents. Cuddler AWCs were similar to high-visit parents and significantly higher than nurse-care times on both recordings. Within the low-visit group, hourly AWCs were higher when Cuddlers were present versus absent (R1 = 1779 versus 552, R2 = 2530 versus 534, p < 0.0001).
CONCLUSIONS
NICU language environments are different for low-visit and high-visit infants and Cuddlers can increase infant language exposure in the NICU.
目的
比较语言干预对抱抱者和家长成人词汇量（AWC）的影响，并比较抱抱者与家长以及护士的护理时间。
设计
前瞻性试点队列干预研究。招募了12对抱抱者低探访次数（≤每周2次）的婴儿和17对高探访次数（≥每周3次）的母婴对。每组在基线期进行16小时的记录（R1），随后接受带有语言反馈的语言课程，并在1周后进行结果记录（R2）。进行了双变量组分析和纵向负二项回归。
结果
干预后，抱抱者和高探访次数家长的每小时AWC有不显著增加。抱抱者的AWC与高探访次数家长相似，且在两次记录中均显著高于护士护理时间。在低探访次数组中，抱抱者在场时的每小时AWC高于不在场时（R1 = 1779对552，R2 = 2530对534，p < 0.0001）。
结论
新生儿重症监护病房（NICU）中低探访次数和高探访次数婴儿的语言环境不同，抱抱者可增加NICU中婴儿的语言接触。
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