家庭养育环境对6月龄高危儿社会性发育的影响  

Effects of Family Rearing Environment on Early Social Development of 6-month-old High-risk Infants

作　　者：王慧 童连[2] 王丽娟 韩倩 王月英 华丹 张卿 WANG Hui;TONG Lian;WANG Li-juan;HAN Qian;WANG Yue-ying;HUA Dan;ZHANG Qing(Public Health Center of Meilong Community Health Service Center,Shanghai,201100,China)

机构地区：[1]上海市闵行区梅陇社区卫生服务中心,上海201100 [2]复旦大学公共卫生学院闵行分院,上海201104

出　　处：《中国初级卫生保健》2022年第11期68-72,共5页Chinese Primary Health Care

基　　金：复旦—闵行康联体合作项目研究(2020FM17)。

摘　　要：目的:从家庭养育角度探索影响高危儿早期社会性发育的因素,并提出有针对性的干预措施,以帮助改善患者预后。方法:采用年龄与发育进程问卷(第3版)(ASQ-3)对2020年3月—2021年2月上海市闵行区梅陇镇出生的383名6月龄高危儿进行个人—社会发育评估。将ASQ-3中个人—社会能区评分≤36.83分者(42人)纳入监测组,将评分>36.83分者(341人)纳入正常组,结合高危儿家庭养育信息,分析影响高危儿早期社会性发育的因素。结果:4~6个月辅食添加情况、是否早产、出生时体重是高危儿个人—社会能区评分低于界值(36.83分)的影响因素(χ2值分别为3.62、4.61和6.28,P值均<0.05)。logistic回归分析结果显示,每日睡眠时间<10小时的高危儿,相对于睡眠时间>14小时者,其个人—社会能区评分低于界值的风险增加了2.82倍。结论:每日睡眠时间对6月龄高危儿早期社会性发育具有一定的影响,4~6个月辅食添加、出生时体重及早产、多胎对高危儿早期社会性发育的影响有待进一步验证。重视高危儿早期睡眠状况有助于促进高危儿早期的社会性发育,帮助改善患儿预后。OBJECTIVE To search the influencing factors in family rearing on early social development in high-risk infants,in order to provide targeted intervention measures and help improve the prognosis of high-risk infants.METHODS Personal-social development assessment was conducted on 6-month-old 383 high-risk children born from March 2020 to February 2021 in Meilong Town,Minhang district of Shanghai using the Age and Developmental Process Questionnaire(ASQ-3).In the ASQ-3,individuals with a social energy zone score of 36.83(42 people)were included in the monitoring group,and those with scores of>36.83(341 people)were included in the normal group.Combined with the family parenting information of high-risk children,the factors affecting the early social development of high-risk children were analyzed.RESULTS The addition of complementary food at 4 to 6 months,whether premature birth,and birth weight were the factors affecting the cut-off score(36.83)(χ~2=3.62,4.61,6.28,P<0.05).The results of logistic regression analysis showed that high-risk children with daily sleep duration<10 hours had a 2.82-fold increased risk of personal-social energy zone score over sleep duration>14 hours,with a significant difference(P<0.05).CONCLUSION Daily sleep time has a certain impact on the early social development of high-risk children at 6 months,and the effects of complementary food supplementation at 4 to 6 months,birth weight and premature birth,and multiple births on the early social development of high-risk children need to be further explored and verified.Paying attention to the early sleep status of high-risk children can help to promote the early social development of high-risk children and help to improve the prognosis of young children.

关 键 词：高危儿 年龄与发育进程问卷(第3版) 家庭养育 社会性发育 

分 类 号：R174[医药卫生—妇幼卫生保健]