6~12个月高危儿神经心理行为发育评估结果分析  

Analysis of Neuropsychological and Behavioral Development Assessment Results for High Risk Infants Aged 6~12 Months

作　　者：朱冬梅 ZHU Dongmei(Children's Health Department,Yangzhong City Maternal and Child Health and Family Planning Service Center,Yangzhong,Jiangsu 212200)

机构地区：[1]扬中市妇幼保健计划生育服务中心儿童保健科,江苏扬中212200

出　　处：《智慧健康》2024年第34期50-53,共4页Smart Healthcare

摘　　要：目的根据6~12个月高危儿神经心理行为发育评估结果,判断异常患儿并分析导致这些异常的因素,进而提出早期干预方案。方法随机抽取2022年1月—2023年12月妇幼保健计划生育服务中心儿童保健科收治的200例6~12个月高危儿,采取DST测试、儿童心理行为发育问题预警征象筛查表评估其神经心理行为发育情况,分析造成异常的可能原因。结果200例高危儿均完成评估与随访,其DQ、MI均值与总体均数有显著差异;预警征象筛查结果中出现1项、2项、3项、4项预警征象异常的占比分别为78.57%(33/42)、9.52%(4/42)、7.14%(3/42)、4.76%(2/42),提示大部分高危儿偏异程度较轻。分析风险因素发现,新生儿窒息对患儿发育的影响较为显著。另外,父母文化程度、抚养理念以及温度改变可能对患儿神经心理发育造成影响(P<0.05)。结论6~12个月高危儿神经心理行为发育评估结果可作为对其进行发育预测与早期干预的依据,也是儿童保健的重要内容。建议高危儿家庭定期参与评估活动并接受长期随访,以了解高危儿发育情况并据此调整干预措施,促进患儿的生长发育。Objective To identify abnormal infants,analyze factors of abnormalities and proposes early intervention plans based on neurobehavioral development assessment of high-risk infants aged 6-12 months.Methods The paper chose 200 high-risk infants aged 6~12 months in the Child Health Department of the Maternal and Child Health and Family Planning Service Center from January 2022 to December 2023 randomly,carried out neuropsychological and behavioral development assessment with DST testing and screening form for early warning signs of psychological and behavioral development problems of children and analyzed possible causes of abnormalities.Results The paper completed assessment and follow-up for 200 infants,there was significant difference in the mean DQ and MI values between 200 high-risk infants and overall mean.The proportion of abnormal warning signs in screening data of early warning signs of 1,2,3 and 4,was 78.57%(33/42),9.52%(4/42),7.14%(3/42)and 4.76%(2/42)respectively,indicating degree of abnormality of most high-risk infants was relatively mild.Risk factors analysis showed,neonatal asphyxia had significant effect on the development of infants,and education level of parents,parenting philosophy and temperature changes had effect on their neurological and psychological development(P<0.05).Conclusion Assessment results of neurobehavioral development of high-risk infants aged 6~12 months can be basis for developmental prediction and early intervention,which are important part of child health care.It is recommended that families of high-risk infants regularly participate in assessment activities and receive long-term follow-up to understand development of high-risk infants and adjust intervention measures to promote their growth and development.

关 键 词：6~12个月 高危儿 神经心理行为 发育评估 评估结果 早期干预 

分 类 号：R47[医药卫生—护理学]