婴儿重症监护室婴儿压力因素与儿童行为和发展之间的关系
Amy L D'Agata1, Jennifer S Miller, Ji Youn Yoo
1Author Affiliations: College of Nursing, University of Rhode Island, Providence, Rhode Island (Dr D'Agata); and College of Nursing, University of Tennessee, Knoxville, Tennessee (Drs Miller, Yoo, and Groer, and Ms Springer).
概括
在早产婴儿中,新生儿重症监护室 (NICU) 的压力与以后的行为和神经发育结果有关. 减少NICU压力和提供发展支持对于改善长期健康至关重要.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 发展心理学是发展心理学.
- 儿科神经学 儿科神经学
背景情况:
- 过早出生的婴儿在NICU中经历了相当大的压力.
- 新生病重症监护室的压力因素可能会影响关键的大脑发育.
- 这种暴露会导致长期的神经发育影响.
研究的目的:
- 调查NICU应激因素暴露与早产婴儿四岁时神经发育结果之间的关联.
- 分析压力因素得分与儿童行为和发展之间的关系.
主要方法:
- 新生儿应激量表 (NISS) 测量了83名早产婴儿在前六周的每日压力事件.
- 25名儿童在4岁时使用儿童行为检查表 (CBCL) 和Battelle发育指数选测试 (BDI-2 ST) 进行评估.
主要成果:
- 在未经调整的模型中,累计NISS得分与CBCL和BDI-2 ST相关.
- 妊娠年龄和进入肠道养的时间与CBCL得分有关.
- 新生儿生理学与产周延伸 (SNAPPE-II) 的得分与BDI-2 ST尺度相关.
- 层次回归表明了NISS和两个尺度之间的关系,受GA,SNAPPE-II和食持续时间的影响.
结论:
- 新生儿压力的数量和类型可能会影响四岁的神经发育结果.
- 需要进行更大规模的研究来证实这些发现.
- 临床实践应侧重于尽量减少NICU压力,并为这些儿童提供发展支持.
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