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在早产儿的日常参与:一个探索性和比较性研究
Sharon Zlotnik1, Ronen Bar-Yoseph2, Kareem Nasser1
1Occupational Therapy Department, Zefat academic college, Israel.
Early human development
|January 18, 2025
概括
即使患有慢性肺部疾病 (支气管肺部发育不良症) 的早产儿童,也能与已满期的同龄人类似地参与日常活动. 然而,早产儿的执行功能挑战需要持续的监测和支持.
科学领域:
- 儿科健康 儿科健康
- 神经发育结果的结果
- 呼吸系统医学 呼吸系统医学
背景情况:
- 过早分娩,尤其是呼吸道并发症,会影响神经发育和日常活动.
- 父母的观点对于了解这些孩子的长期健康和生活质量至关重要.
- 早期识别参与挑战对于及时干预至关重要.
研究的目的:
- 为了比较父母对参与和日常表现的看法,在早产儿和早产儿之间进行比较.
- 评估早期早产婴儿有或没有支气管肺功能障碍 (BPD) 和晚期早产婴儿之间的差异.
- 评估各种早产儿组的执行功能和参与模式.
主要方法:
- 研究包括48名年龄在7-11岁的儿童:按期出生的,有/没有BPD的早期早产儿和晚期早产儿.
- 执行职能使用执行职能行为评级清单 (BRIEF) 进行评估.
- 参与和享受活动是通过儿童参与和享受评估 (CAPE) 来衡量的.
主要成果:
- 非典型的执行功能得分在患有BPD的早产儿中更常见 (14.2%).
- 在所有组中,总体参与率没有显著差异.
- 患有BPD的儿童表现出与按期出生和其他早产儿同龄人相比的参与水平.
结论:
- 过早出生的孩子,包括患有BPD的孩子,尽管处于执行功能挑战之中,但表现出与过期出生的同龄人相似的参与水平.
- 观察到的参与模式可能表明早产儿的补偿策略.
- 长期监测执行职能是必不可少的,特别是学术成功和支持.
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