多学科协作结合阶段性干预对早产儿发育及母亲亲职压力的影响  

Effects of Multi-disciplinary Collaboration Combined with Phased Intervention on the Development and Maternal Parenting Stress of Premature Infants

作　　者：许津莉[1] 闫慧娟[2] 王晓娜 姚玮[4] 陈杰[5] 张洪艳[6] XU Jinli;YAN Huijuan;WANG Xiaona;YAO Wei;CHEN Jie;ZHANG Hongyan(Department of Neonatology,the First Affiliated Hospital of Hebei North College,Zhangjiakou,Hebei 075000,China;Department of Pediatrics,the First Affiliated Hospital of Hebei North College,Zhangjiakou,Hebei 075000,China;Department of Rehabilitation Medicine,the First Affiliated Hospital of Hebei North College,Zhangjiakou,Hebei 075000,China;Department of Obstetrics,the First Affiliated Hospital of Hebei North College,Zhangjiakou,Hebei 075000,China;Laboratory of Audiology,the First Affiliated Hospital of Hebei North College,Zhangjiakou,Hebei 075000,China;Department of Neurology,the First Affiliated Hospital of Hebei North College,Zhangjiakou,Hebei 075000,China)

机构地区：[1]河北北方学院附属第一医院新生儿科,河北张家口075000 [2]河北北方学院附属第一医院儿内科,河北张家口075000 [3]河北北方学院附属第一医院康复医学科,河北张家口075000 [4]河北北方学院附属第一医院产科,河北张家口075000 [5]河北北方学院附属第一医院听力学实验室,河北张家口075000 [6]河北北方学院附属第一医院神经内科,河北张家口075000

出　　处：《临床误诊误治》2023年第8期94-98,107,共6页Clinical Misdiagnosis & Mistherapy

基　　金：2021年度河北省卫健委指导性课题(20211647)。

摘　　要：目的 探索多学科协作结合阶段性干预对早产儿发育及母亲亲职压力的影响。方法 选取2019年1月—2022年5月100例早产儿,根据干预方案不同分为对照组48例和观察组52例。对照组采用常规干预,观察组采取基于多学科协作的阶段性干预疗法。观察干预前及出院后3、6个月后2组早产儿体格生长、神经行为、耳声发射(OAE)及母亲亲职压力的变化。结果 出院后3、6个月,2组早产儿身长、体质量、头围及精细运动、大运动、适应能力、社交行为、语言评分均较干预前升高,且观察组高于对照组(P<0.05,P<0.01)。出院后3、6个月,2组早产儿OAE通过率比较差异无统计学意义(P>0.05)。出院后3、6个月,2组母亲亲职压力各维度评分均较干预前降低,且观察组低于对照组(P<0.05)。结论 基于多学科协作的阶段性干预疗法可有效降低早产儿母亲亲职压力,改善早产儿体格、神经、心理发育及认知功能,利于提高早产儿生长质量。Objective To explore the effects of multi-disciplinary collaboration combined with phased intervention on the development and maternal parenting stress of premature infants.Methods In total,100 preterm infants from January 2019 to May 2022 were selected and divided into the control group(n=48)and the observation group(n=52)according to different intervention programs.The control group received conventional intervention,and the observation group received phased intervention therapy based on multidisciplinary collaboration.The changes of physical growth,neurobehavior,otoacoustic emission(OAE)of preterm infants and maternal parenting stress were observed before intervention and at 3 and 6 months after discharge.Results At 3 and 6 months after discharge,body length,body weight,head circumference,and the scores of fine motor,gross motor,adaptive ability,social behavior and language of the two groups were higher than those before intervention,and higher in the observation group than in the control group(P<0.05,P<0.01).There was no significant difference in the passing rate of OAE between the observation group and the control group at 3 and 6 months after discharge(P>0.05).At 3 and 6 months after discharge,the scores of all dimensions of maternal parenting stress in the two groups were lower than those before intervention,and lower in the observation group than in the control group(P<0.05).Conclusion The phased intervention therapy based on multidisciplinary collaboration can effectively reduce the maternal parenting stress of preterm infants,improve the physical development,neuropsychological development and cognitive function of preterm infants,and improve the growth quality of preterm infants.

关 键 词：婴儿 早产 多学科 分阶段干预 体格生长 神经行为学表现 耳声发射 亲职压力 人口素质 

分 类 号：R722[医药卫生—儿科]