基于AIMS评估指导早产儿家庭干预对运动技能发展的研究

doi:10.11852/zgetbjzz2021-0127

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (2): 225-228.DOI: 10.11852/zgetbjzz2021-0127

基于AIMS评估指导早产儿家庭干预对运动技能发展的研究

高淑芝, 李阳, 贾玉凤, 董琰, 张双, 高静云

唐山市妇幼保健院,河北唐山 063000

收稿日期:2021-01-26 修回日期:2021-04-20 发布日期:2022-02-25 出版日期:2022-02-10
通讯作者: 李阳,E-mail:447181308@qq.com
作者简介:高淑芝(1968-),女,河北人,主管护师,本科学历,主要研究方向为早期儿童发育评估与家庭指导。
基金资助:
河北省2018年度医学科学研究重点课题计划 (20181349)

Study on the influence of family intervention based on Alberta Infant Motor Scale on the motor skill development of premature infants

GAO Shu-zhi, LI Yang, JIA Yu-feng, DONG Yan, ZHANG Shuang, GAO Jing-yun

Tangshan Maternal and Child Health Care Hospital, Tangshan, Hebei 063000,China

Received:2021-01-26 Revised:2021-04-20 Online:2022-02-10 Published:2022-02-25
Contact: LI Yang,E-mail:447181308@qq.com

摘要/Abstract

摘要： 目的分析Alberta婴儿运动量表(AlMS)用于指导早产儿超早期家庭干预对早产儿运动技能发展的价值。方法以2018年1月-2020年8月在唐山市妇幼保健院儿童康复科门诊就诊的纠正月龄1个月以内的早产儿70例为研究对象,随机分为干预组(n=34)和对照组(n=36),并进行全身运动(GMs)评估和AIMS评估确定基线。对照组行常规家庭护理指导;干预组在接受常规家庭护理指导的基础上,由专业康复治疗师基于AIMS评估指导家长的家庭干预训练;干预时间为3个月。两组早产儿在纠正4月龄时行GMs评估和AlMS评估,比较两组早产儿运动技能发育情况。结果两组早产儿干预后AlMS评估各体位评分及总分均较干预前提高,差异均有统计学意义(P<0.001);干预后,干预组早产儿AlMS评估俯卧位、仰卧位评分及总分显著高于对照组(t=8.174、3.936、5.619,P<0.001)。结论基于AIMS评估指导的家庭干预对早产儿运动技能发育有一定的促进作用。

关键词: Alberta婴儿运动量表, 康复, 运动技能, 早产儿

Abstract: Objective To explore the effect of the Alberta Infant Motor Scale (AlMS) guiding of ultra-early family intervention on the motor skill development of premature infants. Methods A total of 70 preterm infants with corrected age of less than 1 month were enrolled in this study, and were randomly divided into the intervention group (n=34) and the control group (n=36) from January 2018 to August 2020.The baseline was determined by General Motor Scale (GMS) and AIMS assessment.The control group received routine home nursing instruction.While, parents of preterm infants in the intervention group were instructed by professional rehabilitation therapists to give individualized family intervention training guided by AIMS assessment additionally.Both groups were intervened for 3 months.GMs assessment and AIMS assessment were performed at the corrected age of 4 months in order to compare the motor skill development between the intervention group and control group. Results After intervention, each position score and total score in AIMS assessment was significantly improved in both intervention group and control group (P<0.05).But the scores of prone and supine position and total scores in the intervention group were significantly higher than those in the control group (t=8.174, 3.936, 5.619, P<0.001). Conclusion The individualized family intervention guided by AIMS can promote motor skill development of premature infants.

Key words: Alberta Infant Motor Scale, rehabilitation, motor skill, premature infants

中图分类号:

R174

高淑芝, 李阳, 贾玉凤, 董琰, 张双, 高静云. 基于AIMS评估指导早产儿家庭干预对运动技能发展的研究[J]. 中国儿童保健杂志, 2022, 30(2): 225-228.

GAO Shu-zhi, LI Yang, JIA Yu-feng, DONG Yan, ZHANG Shuang, GAO Jing-yun. Study on the influence of family intervention based on Alberta Infant Motor Scale on the motor skill development of premature infants[J]. Chinese Journal of Child Health Care, 2022, 30(2): 225-228.

参考文献

[1] 李杨,王海娜,岳佳.早产儿神经心理发育及干预研究进展[J].中国儿童保健杂志,2019,27(8):851-853,860.
[2] Soleimani F, Vameghi R, Biglarian A, et al.Prevalence of motor developmental disorders in children in alborz province, iran in 2010[J].Iran Red Crescent Med J,2014,16(12):e16711.
[3] Wang Y, Shi JP, Li YH, et al.AIMS baby movement scale application in high-risk infants early intervention analysis[J].Eur Rev Med Pharmacol Sci, 2016,20(16):3447-3451.
[4] 王翠,黄真.Alberta婴儿运动量表[J].中国康复医学杂志,2009,24(9): 858-861.
[5] Oberg GK, Campbell SK, Girolami GL, et al.Study protocol:an early intervention program to improve motor outcome in preterm infants:a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences[J].BMC Pediatrics,2012,12(2):15-24.
[6] Martha CP,Darrah J.发育中婴儿的运动评估-Alberta婴儿运动量表[M].黄真,李明,译.北京:北京大学医学出版社,2009:39-161.
[7] 高淑芝,董琰,王丽娟,等.全身运动质量评估和0～1岁神经运动20项检查预测高危儿运动发育情况的一致性比较[J].中华物理医学与康复杂志,2020,42(6):550-551.
[8] 王翠,李一芳,黄真,等.Alberta婴儿运动量表与Peabody粗大运动发育量表在高危儿中的预测能力研究[J].中国康复医学杂志,2019,34(3):293-296.
[9] 王慧,李海峰,王江平,等.Alberta婴儿运动量表在脑损伤高危儿康复随访中的应用[J].中华物理医学与康复杂志,2018,40(2):115-117.
[10] 王翠,李一芳,黄真,等.Alberta婴儿运动量表的效度研究[J].中国康复医学杂志,2018,33(1):55-58.
[11] 胡恕香,黄蓉,彭桂兰,等.Alberta婴儿运动量表在高危儿早期干预中的应用分析[J].中国康复医学杂志,2015,30(2):157-159,170.
[12] De Kegel A, Peersman W, Onderbeke K, et al.New reference values must be established for the Alberta Infant Motor Scales for accurate identification of infants at risk for motor developmental delay in Flanders[J].Child Care Health Dev,2013,39(2):260-267.
[13] Bracewell M, Marlow N.Patterns of motor disability in very preterm children[J].Ment Retard Dev Disabil Res Rev,2002,8(4):241-248.
[14] Valentini NC, Pereira KRG, Chiquetti EMDS, et al.Motor trajectories of preterm and full-term infants in the first year of life[J].Pediatr Int,2019,61(10):967-977.
[15] Koldewijn K, van Wassenaer A, Wolf MJ, et al.A neurobehavioral intervention and assessment program in very low birth weight infants:outcome at 24 months[J].J Pediatr,2010,156(3):359-365.
[16] 张国华,袁柳芬,黄巧莲,等.早产儿轻度运动发育迟缓的评定与干预模式研究[J].中国儿童保健杂志,2020,12:1374-1377.

基于AIMS评估指导早产儿家庭干预对运动技能发展的研究

Study on the influence of family intervention based on Alberta Infant Motor Scale on the motor skill development of premature infants

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	张丹, 张军, 杨钰荣, 曹咪, 闫敬敏, 朱璐阳. 肠道菌群与早产儿脑发育及神经认知行为关系的研究[J]. 中国儿童保健杂志, 2023, 31(7): 756-759.
[2]	冯骁, 陈凌, 赵红缨, 黄蕊, 林辰曦, 庄丽娟. 不同脐带挤压方式对极早产儿结局的影响[J]. 中国儿童保健杂志, 2023, 31(7): 794-798.
[3]	仲琛, 胡珊珊, 张恒硕, 张翠, 姚传磊, 宋祺鹏. 水中运动疗法联合常规康复疗法对学龄前痉挛型脑瘫儿童运动功能的影响[J]. 中国儿童保健杂志, 2023, 31(5): 486-490.
[4]	郑亭玉, 张春宇, 杨飞, 郑芳, 张梦霞, 夏露萍, 徐孙超. 营养支持小组管理模式对早产儿生长发育及免疫功能的影响[J]. 中国儿童保健杂志, 2023, 31(5): 555-558.
[5]	夏正龙, 宋燕燕. 支气管肺发育不良早产儿神经发育研究[J]. 中国儿童保健杂志, 2023, 31(4): 390-394.
[6]	李静兰, 孙文强, 朱雪萍. 早产儿支气管肺发育不良相关预测模型研究[J]. 中国儿童保健杂志, 2023, 31(4): 395-398.
[7]	王娜, 李晓莺. 早产儿神经发育评估的进展[J]. 中国儿童保健杂志, 2023, 31(4): 404-407.
[8]	任力, 黑明燕, 齐宇洁, 靳绯, 翁景文, 董世霄, 沈艳华, 姜敏. 早产儿喂养对坏死性小肠结肠炎发病的影响[J]. 中国儿童保健杂志, 2023, 31(4): 438-441.
[9]	陈峰, 张宇. 多胞胎和单胞胎早产儿神经发育的回顾性研究[J]. 中国儿童保健杂志, 2023, 31(4): 451-456.
[10]	王晶, 项思嘉, 鲁莹, 杨蕾, 胡小沙, 钱君, 池霞, 张敏. 早产儿3周岁体格生长及体成分分析[J]. 中国儿童保健杂志, 2023, 31(4): 457-460.
[11]	郑水英, 罗艳赟. 早产儿喂养不耐受的临床表现及相关影响因素[J]. 中国儿童保健杂志, 2023, 31(4): 461-464.
[12]	董海鹏, 杨思渊, 李伟栋, 余婧. 团体社交训练对孤独症谱系障碍儿童康复效果的影响因素及Nomogram预测模型构建[J]. 中国儿童保健杂志, 2023, 31(3): 252-258.
[13]	曹冰冰, 林多华, 杜佩珍, 颜陶, 程建婷. 多种实验室指标和炎性因子表达水平与新生儿神经发育的相关性研究[J]. 中国儿童保健杂志, 2023, 31(2): 205-209.
[14]	何小颖, 吴翠玲, 曾玲艳, 綦美姣, 孙亚莲. 早产儿食物转换对血清营养素水平的影响[J]. 中国儿童保健杂志, 2023, 31(1): 81-85.
[15]	王慧冉, 罗荣, 胡文玲. 2019年3所妇幼保健院早产儿视网膜病变筛查及随访分析[J]. 中国儿童保健杂志, 2023, 31(1): 105-108.