关键词: 早产儿, 音乐治疗, 智能发育, 产后抑郁, 亲子关系

Abstract: Objective To analyze the effects of parent-child music intervention on intellectual development, maternal postpartum depression and parent-child relationship of premature infants discharged from neonatal intensive care unit (NICU), so as to provide clinical practice experience and evidence for promoting the intellectual development of premature infants and improving the mental health of their mothers. Methods A total of 61 premature infants at 40 - 44 weeks postmenstrual age (PMA), who were followed up in the Child Rehabilitation Department of Tangshan Maternal and Child Health Hospital from May to December 2020, were enrolled in this study and were divided into parent-child music intervention group(n=30) and control group(n=31).The control group received conventional family guidance, while the premature infants in the parent-child music intervention group were given parent-child music intervention additionally.The intervention lasted for 3 months with the frequency of 15 - 20 min/d.Premature infants were assessed with Gesell Development Scale (GDS) and their mothers were assessed with the Edinburgh Postpartum Depression Scale (EPDS) and the Mother′ Object Relationship Scale [MORS (child)] before and after intervention. Results After intervention, the development quotient of adaptability, gross motor function and language area were significantly higher in parent-child music intervention group than those in control group(t=3.139,3.113,3.612,P<0.05).After intervention, the scores of EPDS assessment in both groups were lower than those before intervention (t=12.286, 16.102, P<0.05), and the change was more significant in parent-child music intervention group (t=2.545, P<0.05).The scores of MORS(Child) in both groups after treatment were higher than those before intervention (t=13.871,9.046,P<0.05), and the score of parent-child music intervention group was significantly higher that those in the control group (t=3.292,P<0.05). Conclusion Parent-child music intervention can promote the intellectual development of premature infants discharged from NICU, and is beneficial to the improvement of maternal postpartum depression and parent-child relationship.

Key words: premature infants, music therapy, intellectual development, postpartum depression, parent-child relationship