婴儿心脏手术后的母婴双节同步和相互作用模式
Stephanie Tesson1,2,3, Dianne Swinsburg1,3, Claudia Nielson-Jones1,3
1Heart Centre for Children, The Sydney Children's Hospitals Network, Australia.
Journal of pediatric psychology
|October 24, 2023
概括
亲婴关系受到先天性心脏病 (CHD) 的重大影响,大多数母亲和婴儿都表现出关系困难. 早期干预和教育对于支持这些弱势家庭至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 发展心理学 发展心理学
- 母婴健康 母婴健康
背景情况:
- 患有复杂先天性心脏病 (CHD) 的婴儿及其父母由于医疗复杂性而面临重大关系挑战.
- 在冠状动脉疾病群体中,父母婴儿相互作用困难的患病率和性质需要进一步调查.
研究的目的:
- 调查受CHD影响的对母婴双节同步和相互作用模式.
- 为了确定与典型发育的婴儿相比,患有心脏病的婴儿中这些相互作用模式的预测因素.
主要方法:
- 一项前性的纵向队列研究,将110对患有心脏病 (需要在6个月前进行心脏手术) 的母婴对比85对匹配的社区对照对.
- 拍摄的自由游戏互动被使用儿童-成年人关系实验 (CARE) 指数评估,以测量双向同步,母亲的敏感性和婴儿的合作性.
- 评估了从怀孕到产后6个月的多个时间点的母亲和婴儿预测因素.
主要成果:
- 在心脏 (94%) 和对照 (81%) 组中,高比例的相互作用被归类为"高风险"或"不合适".
- 与对照人群相比,患有心脏病的母婴对表现出明显较低的双节同步,母亲的敏感性和婴儿的合作性.
- 在产后6个月的孕产妇创伤性压力预测了CHD组的较低二极同步.
结论:
- 在患有心血管疾病的母婴夫妇中,关系困难非常普遍,在一般社区中也很明显.
- 建议采取广泛的教育举措,提高人们对心血管疾病护理中关系风险增加的认识.
- 针对关系的预防和早期干预计划对于支持这些家庭至关重要.
关键词:
连接方式 连接方式 连接方式结合的结合 结合的结合心脏病学心脏病学心脏病学严重患病的儿童.早期的生活 逆境 逆境婴儿期和早期儿童时期.纵向研究是一种纵向研究.父母的养育方式父母 父母 父母 父母 父母 父母 父母 父母 父母 父母 父母 父母 父母创伤后压力和创伤后的创伤.更多相关视频
11:50Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
26.5K
05:04A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
Published on: September 22, 2023
473
相关概念视频
Cardiomyopathy VII: Pre and Post Operative Nursing Management
15
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
15
Attachment
65
Attachment is vital for infant development, as warm social interactions support growth and well-being. In a classic 1958 study by Harry Harlow, the significance of warmth and comfort in forming attachments was examined. Harlow separated newborn monkeys from their mothers and provided two artificial "mothers": one made of cold wire and the other covered in soft cloth. Despite the wire mother offering food, the infant monkeys preferred the comfort of the cloth mother, demonstrating that...
65
Socioemotional Development during Infancy
59
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
59
Fetal Circulation
1.0K
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
1.0K
