早期干预对低出生体重婴儿智能发育及对母亲情绪的影响

doi:10.11852/zgetbjzz2018-1031

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (4): 443-446.DOI: 10.11852/zgetbjzz2018-1031

早期干预对低出生体重婴儿智能发育及对母亲情绪的影响

龚建梅^{1, 2, 3}, 王洁³, 王芳³, 朱琼³, 张劲松², 彭咏梅⁴

1 上海交通大学医学院,上海 200025;
2 上海交通大学医学院附属新华医院,上海 200092;
3 上海市长宁区妇幼保健院,上海 200051;
4 上海市妇幼保健中心,上海 200062

收稿日期:2018-08-05 修回日期:2019-01-13 发布日期:2019-04-20 出版日期:2019-04-20
通讯作者: 张劲松,E-mail:zhangjinsong@xinhuamed.com.cn;彭咏梅, E-mail:ympeng@fudan.edu.cn
作者简介:龚建梅(1979-),女,江苏人,主治医师,硕士在读,主要研究方向为儿童行为发育。
基金资助:
上海市公共卫生体系建设三年行动计划项目(GWIV141)

Effects of early intervention on the intellectual development of low birth weight infants and maternal emotion

GONG Jian-mei^{1, 2, 3}, WANG Jie³, WANG Fang³, ZHU Qiong³, ZHANG Jin-song², PENG Yong-mei⁴

1 Shanghai Jiao Tong University School of Medicine, Shanghai 200025,China;
2 Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092,China;
3 Shanghai Changning Maternal & Infant Health Care Hospital, Shanghai 200051,China;
4 Shanghai Center for Women and Children's Health, Shanghai 200062, China

Received:2018-08-05 Revised:2019-01-13 Online:2019-04-20 Published:2019-04-20
Contact: ZHANG Jin-song, E-mail:zhangjinsong@xinhuamed.com.cn;PENG Yong-mei, E-mail:ympeng@fudan.edu.cn

摘要/Abstract

摘要： 目的分析低出生体重婴儿智能发育及产后母亲情绪变化特点,研究早期干预对低出生体重婴儿智能发育及对母亲情绪的影响。方法 2016年1月-2018年6月选取低出生体重婴儿及其母亲135例,随机分为干预组及对照组,干预组在常规体检的基础上,指导家庭干预训练,分别在婴儿3、9、18月龄时母亲填写抑郁自评量表(SDS)及焦虑自评量表(SAS)进行母亲情绪评估,同时医务人员对婴儿进行Gesell智能发育评估。结果 9月龄时,在大动作、应物及语言能区,干预组与对照组DQ值相比差异有统计学意义(t=2.514、2.032、3.266、P<0.05);18月龄时,在大动作、精细动作、语言能、应物能、应人能5个能区两组差异均有统计学意义(t=2.453、3.063、2.743、2.828、2.853,P<0.05)。用两因素重复测量方差分析对两组DQ值进行整体分析发现:5个能区的时间主效应差异有统计学意义(P<0.05);除粗大动作能区外,其余4个能区干预主效应差异有统计学意义(P<0.05);除语言能区外,其他4个能区的干预因素和时间因素均不存在交互作用(P>0.05)。9月龄时,干预组母亲SDS得分低于对照组,差异有统计学意义(P<0.05)。两组母亲在3、9、18月龄的SDS、SAS得分均呈递减趋势, 时间主效应差异有统计学意义(P<0.05),干预主效应差异无统计学意义(P>0.05)。结论早期干预能够有效促进低出生体重婴儿智能发育,但对改善产后母亲情绪的作用有限。

关键词: 低出生体重, 智能发育, 母亲情绪, 早期干预

Abstract: Objective To analyze the effect of early intervention on the intellectual development of low birth weight infants and maternal emotion. Methods A cohort of 135 low birth weight infants and their mothers was selected from January 2016 to June 2018, and the participants were randomly divided into intervention group and control group.The control group was given routine physical examination, and the intervention group was given family intervention training additionally.At the age of 3,9,18 months old, infants received Gesell intellectual development check, and the mothers filled out the Self-rating Depression Scale (SDS) and the Self-rating Anxiety Scale (SAS) to assess their emotion status at the same time. Results At 9 months old, there were significant differences on the gross motor, adaptive behavior and the language area between intervention group and control group (t=2.514,2.32,3.266,P<0.05).And at the 18 months old, there were statistically significant on the all five major functional areas (t=2.453、3.063、2.743、2.828、2.853,P<0.05). Repeated analysis of variance showed that the time influence on five major functional areas of developmental quotient (DQ) was significant(P<0.05).And the differences on the major functional areas of DQ except the gross motor area between intervention group and control group were significant (P<0.05).There were interactions only on the language areas between the intervention effect and time.In terms of maternal emotion, SDS score of mothers in intervention group was significantly lower than that in control group at the age of 9 months old (P<0.05).The scores of SDS, SAS at the age of 3,9,18 months old in two groups showed a decreasing trend, and the time influence on the scores of SDS and SAS was significant(P<0.05), while the intervention effect was not significantly different(P>0.05). Conclusions Early intervention can promote the intellectual development of low birth weight infants, but has limited influence on improving maternal emotion to some extent.

Key words: low birth weight, intellectual development, maternal emotion, early intervention

中图分类号:

R179

龚建梅, 王洁, 王芳, 朱琼, 张劲松, 彭咏梅. 早期干预对低出生体重婴儿智能发育及对母亲情绪的影响[J]. 中国儿童保健杂志, 2019, 27(4): 443-446.

GONG Jian-mei, WANG Jie, WANG Fang, ZHU Qiong, ZHANG Jin-song, PENG Yong-mei. Effects of early intervention on the intellectual development of low birth weight infants and maternal emotion[J]. journal1, 2019, 27(4): 443-446.

参考文献

[1] Vigod SN, Villegas L, Dennis CL, et al.Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants:a systematic review[J].Bjog, 2010,117(5):540-550.
[2] 杨玉凤.儿童发育行为心理评定量表[M].北京:人民卫生出版社,2016.
[3] 吴雅娟, 吕庆鹏, 何志萍,等.促进早产低体重儿智能及心理发育的综合干预[J].国际精神病学杂志, 2015,42(3):42-45.
[4] Pittle A, Orton J, Anderson PJ, et al.Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants[J].Cochrane Database Syst Rev,2015,24(11):CD005495.
[5] World Health Organization.Thinking healthy:A manual for psychosocial management of perinatal depression (WHO generic field-trial version 1.0)[R].Geneva:WHO,2015.
[6] Borri C, Mauri M, Oppo A, et al.Axis I psychopathology and functional impairment at the third month of pregnancy:Results from the Perinatal Depression-Research and Screening Unit (PND-ReScU) study[J].J Clin Psychiatry, 2008,69(10):1617-1624.
[7] Reck C, Struben K, Backenstrass M, et al.Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders[J].Acta Psychiatr Scand, 2008,118(6):459-468.
[8] Barkmann C, Helle N, Bindt C.Is very low infant birth weight a predictor for a five-year course of depression in parents? A latent growth curve model[J].J Affecti Disord, 2017,229:415-420.
[9] 农雪艳,宋娟, 朱锦渊, 等.母亲心理健康状况对婴儿体格和智能发育的影响[J].中国儿童保健杂志, 2012,20(4) :376-378.
[10] Kaaresen PI, Rønning JA, Tunby J, et al.A randomized controlled trial of an early intervention program in low birth weight children:outcome at 2 years[J].Early Hum Dev, 2008,84(3):201-209.
[11] 王婷雪,李蓓, 徐兵,等.晚期早产儿精神运动发育早期干预效果研究[J].教育生物学杂志, 2015,3(2):71-75.

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早期干预对低出生体重婴儿智能发育及对母亲情绪的影响

Effects of early intervention on the intellectual development of low birth weight infants and maternal emotion

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