Minde K, Whitelaw A, Brown J, Fitzhardinge P
Dev Med Child Neurol. 1983 Dec;25(6):763-77. doi: 10.1111/j.1469-8749.1983.tb13845.x.
A total of 184 infants in a neonatal intensive care unit with birthweights less than 1501 g were rated daily on a Morbidity Scale covering the 20 most common diseases and pathophysiological states in neonatology, the severity of each condition being rated on a scale of 0 to 3. To measure the impact of various degrees of complications on parental caretaking style, 20 infants with serious medical complications were paired with 20 infants who had a comparatively easy medical course. Both groups were observed during maternal visits to the hospital and again during a feeding three months after discharge home. Sick infants showed significantly less motor movements when ill but after recovery were similar to well infants of the same age. Parents visiting sick infants interacted far less with their infants than did parents of well babies, and this continued after recovery. It also persisted at home two months after the expected date of delivery. In addition, mothers whose infants had been seriously ill for less than 17 days interacted with them significantly more than mothers whose babies had been ill for over 35 days. While maternal background variables predicted the level of maternal activity with the comparatively well infants and those with short illnesses, they did not do so in the group of infants with long illnesses.
一家新生儿重症监护病房中，共有184名出生体重低于1501克的婴儿每天接受一次发病率评定，评定依据是涵盖新生儿学中20种最常见疾病和病理生理状态的量表，每种病症的严重程度按0至3级进行评定。为了衡量不同程度并发症对父母照料方式的影响，将20名患有严重医疗并发症的婴儿与20名病程相对轻松的婴儿进行配对。在母亲到医院探视期间以及出院回家三个月后的一次喂食过程中，对两组婴儿都进行了观察。患病婴儿在患病期间的运动动作明显较少，但康复后与同龄健康婴儿相似。探视患病婴儿的父母与婴儿的互动远比健康婴儿的父母少，而且康复后这种情况仍持续存在。在预产期后两个月在家中时也是如此。此外，婴儿重病时间少于17天的母亲与婴儿的互动明显多于婴儿患病超过35天的母亲。虽然母亲的背景变量可以预测母亲与病情相对较轻以及患病时间较短的婴儿的互动程度，但在患病时间较长的婴儿组中却并非如此。
