Effect of sequential developmental intervention on early neuromotor development in preterm infants born with gestational age ≤34 weeks
Objective investigate the effect of sequential developmental intervention programme on early neuromotor development of preterm infants born with gestational age≤34 weeks.Methods The clinical data of 120 cases of preterm infants with birth gestational age ≤34 weeks that were hospitalised in the neonatal intensive care unit(NICU)of Jiangyin Hospital affiliated of Nantong University from October 2018 to February 2022 and had their health records established in the child health clinic of the hospital and Jiangyin Maternal and Child Health Care Hospital for follow up until the corrected age of 6 months were retrospectively analysed.According to the intervention method,they were divided into the observation group(60 cases)and the control group(60 cases).The control group applied conventional developmental intervention:breast feeding or preterm infant formula feeding was used during hospitalisation in the NICU without colostrum oral care,oral motor intervention,kangaroo care related measures,and outpatient follow-up guidance and training were conducted according to conventional developmental patterns after discharge.The observation group applied sequential developmental interventions:colostrum oral care,oral motor interventions,and kangaroo care related measures based on breastfeeding or preterm formula feeding during the hospitalisation in the NICU,and general movements(GMs)and 20-item neuromotor examination at the follow-up visit after the hospital discharge as planned,and individualized family interventions were guided based on the results of the examination.The development quotient results of the two groups of preterm infants at the age of 6 months were evaluated with the Child Neuropsychological Development Scale.Results There was no statistically significant difference between the two groups when comparing the birth gestational age,birth weight,birth length,birth head circumference of preterm infants,as well as the distribution of gender,intrauterine growth retardation,preterm rupture of membranes,cesarean section,gestational diabetes mellitus of the mother,multiple births,severe asphyxia,moderately severe bronchopulmonary dysplasia,intracranial haemorrhage(grades Ⅲ-Ⅳ),and invasive mechanical ventilation(all P＞0.05).At the age of 6 months after correction,the growth quotient points of preterm infants in observation group were significantly higher than those in control group[(79.36±7.12)points vs.(75.96±6.93)points,t=2.647,P=0.01),in which gross motor[(86.93±9.06)points vs.(83.67±8.31)points],fine motor[(80.44±7.46)points vs.(76.63±7.86)points],adaptive ability[(76.81±8.39)points vs.(71.95±10.98)points],and adaptive ability[(76.81±8.39)points vs.(76.63±7.86)points],adaptability[(76.81±8.39)points vs.(71.95±10.98)points],and social behaviour[(76.09±9.01)points vs.(72.68± 6.93)points]points were significantly higher than those in control group(t=2.052,2.725,2.722,2.316,respectively,P＜0.05),whereas there was no statistically significant difference in speech scores between the two groups[(77.31±9.50)points vs.(74.84± 9.45)points,t=1.423,P＞0.05)].Corrected for 6 months of age,there was no statistically significant difference in the comparison of weight and length between the two groups of preterm infants(all P＞0.05),but the head circumference development was better in the observation group than in the control group[(42.88±0.74)cm vs.(42.58±0.85)cm,t=2.117,P＜0.05].Conclusion Sequential developmental intervention is helpful to promote the development of early gross motor,fine motor,adaptive ability and social behaviour of preterm infants,which is important for improving the prognosis of neuromotor development of preterm infants at small gestational weeks,and it has significance for the implementation of child health care for preterm infants in primary hospitals.
sequential development interventionpreterm infantsdevelopmental behavioural assessment scale for children aged 0-6 yearsneuromotor development
万方数据
维普
