在早产幸存者中,家长报告的学龄前健康结果:基于人口的队列研究
Sydney MacDonald1, Alexandra Stratas2, Anne R Synnes3
1Dalhousie University, Halifax, Nova Scotia, Canada.
Archives of disease in childhood. Fetal and neonatal edition
|December 22, 2023
概括
父母对非常早产婴儿健康状况的担忧与学龄前儿童的神经发育结果只有适度一致. 许多有显著障碍的孩子的父母没有报告严重的担忧.
科学领域:
- 儿科 儿科 儿科
- 发育儿科 发育儿科
- 新生儿科学 新生儿科学
背景情况:
- 在学龄前的早产幸存者中,健康状况 (HS) 和与健康相关的生活质量缺乏研究.
- 在这个人群中,父母报告的HS和标准化的神经发育结果之间的关系还不清楚.
研究的目的:
- 为了评估父母报告的HS结果在36个月的非常早产幸存者.
- 检查这些家长报告的HS结果与标准化的神经发育结果之间的相关性.
主要方法:
- 进行了基于人口的前性队列研究.
- 包括在2014-2016年间在妊娠年龄31周之前出生的婴儿.
- 父母在36个月完成了学前儿童健康状况分类系统问卷,并进行神经发育评估以确定神经发育障碍 (NDI).
主要成果:
- 87%的家长表示他们对孩子的HS担忧.
- 轻度和显著的神经发育障碍 (NDI) 分别在14.4%和11.9%的儿童中被发现.
- 在家长的担忧和NDI状态之间观察到适度的正相关性 (斯皮尔曼相关性=0.46,p<0.0001).
结论:
- 父母对健康状况的担忧的报告显示,与客观神经发育障碍状态的相关性仅为中等.
- 在具有显著NDI的儿童中,只有一半的父母报告了严重的健康状况问题.
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