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基于小组的早期家长教育对早产儿发育的影响。

The Effect of Group-Based Early Parent Education on Development in Preterm Infants.

作者信息

Lee Joon Hee, Lee Nam Hyun, Yoon In Jin, Hong Mi Jin, Choi Eun Jung, Jang Baek Hee, Chang Jong Yoon, Lee Byong Sop, Jung Euiseok, Sung In Young, Ko Eun Jae

机构信息

Department of Rehabilitation Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul 05505, Republic of Korea.

Department of Rehabilitation Medicine, Asan Medical Center, Seoul 05505, Republic of Korea.

出版信息

Children (Basel). 2024 Nov 29;11(12):1461. doi: 10.3390/children11121461.

Abstract

OBJECTIVES

This study explored how group-based early parent education impacts development in preterm infants.

METHODS

This retrospective cohort study, with a historical control group, included preterm infants (n = 246) with corrected ages (CAs) of 0-3 months. Those visiting the clinic between July 2017 and December 2018 formed the control group (n = 145), whereas those visiting between January 2019 and February 2020 (n = 101) constituted the education group. The education group received six education sessions performed by a physical therapist, and two sessions conducted by an occupational therapist at CAs of 0-6 months. Assessments included the following: Alberta Infant Motor Scale at CA 3, 6, 9, and 12 months; Bayley Scales of Infant Development II at CA 12 and 24 months; and the Sequenced Language Scale for Infants at CA 24 months.

RESULTS

The education group, which initially showed greater developmental delay than the control group, showed no significant delay after education sessions. Developmental improvements were more prominent in infants born before 28 weeks' gestational age, and in infants with no, or mild, brain injury.

CONCLUSIONS

Group-based early parent education improved development at CA 24 months in preterm infants, especially in infants born before 28 weeks gestational age, and in infants with no, or mild, brain injury. This approach may enhance developmental outcomes in preterm infants.

摘要

目的

本研究探讨基于小组的早期家长教育如何影响早产儿的发育。

方法

这项回顾性队列研究设有一个历史对照组,纳入了矫正年龄(CA)为0至3个月的早产儿(n = 246)。2017年7月至2018年12月期间到诊所就诊的婴儿组成对照组(n = 145),而2019年1月至2020年2月期间到诊所就诊的婴儿(n = 101)构成教育组。教育组在矫正年龄0至6个月时接受了由一名物理治疗师进行的六次教育课程,以及由一名职业治疗师进行的两次课程。评估包括以下内容:矫正年龄3、6、9和12个月时的艾伯塔婴儿运动量表;矫正年龄12和24个月时的贝利婴儿发展量表第二版;以及矫正年龄24个月时的婴儿语言顺序量表。

结果

教育组最初比对照组表现出更大的发育延迟,但在接受教育课程后未显示出明显延迟。在妊娠28周前出生的婴儿以及没有或仅有轻度脑损伤的婴儿中,发育改善更为显著。

结论

基于小组的早期家长教育改善了早产儿矫正年龄24个月时的发育,尤其是在妊娠28周前出生的婴儿以及没有或仅有轻度脑损伤的婴儿中。这种方法可能会提高早产儿的发育结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c10/11674982/b2f068a03d5d/children-11-01461-g001.jpg

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