Objective:To explore the positive role of developmental care measures in promoting the growth and development of premature infants,and analyze their specific effects on improving the sleep duration and quality of prem...Objective:To explore the positive role of developmental care measures in promoting the growth and development of premature infants,and analyze their specific effects on improving the sleep duration and quality of premature infants.Methods:A total of 80 premature infants who met the inclusion criteria were selected by convenient sampling method and divided into an experimental group and a control group,with 40 cases in each group.The experimental group received comprehensive nursing intervention of developmental care during the nursing process;the control group adopted the traditional conventional nursing model.Results:There was no statistically significant difference in various physical indicators between the two groups of premature infants before nursing intervention.After nursing intervention,the scores of intellectual development level,psychomotor development index and various physical indicators of premature infants in the experimental group were significantly higher than those in the control group,and the difference was statistically significant.Conclusion:The implementation of developmental care for premature infants can significantly improve their various developmental indicators,which can not only effectively promote the rapid development of premature infants’mental and physical growth,but also improve their sleep quality.展开更多
Developmental plagiocephaly (DP) has been an increasing problem since the successful “back to sleep campaign”. The referrals for DP have increased by >400% during the years 2004 to 2008. Many infants spend less t...Developmental plagiocephaly (DP) has been an increasing problem since the successful “back to sleep campaign”. The referrals for DP have increased by >400% during the years 2004 to 2008. Many infants spend less time in the prone position nowadays and some of the risk factors for DP are as follows: less than 3 times per day for the tummy time, torticollis and slow achievement of motor milestones. There is a need for better information to the parents but also for other strategies to prevent DP. The aim of this study was to investigate the effect of a special pillow and thus to reduce pressure on the infant head. Method: infants aged zero to two months were included in the study. They were randomized to either intervention group or control group. Head shape was investigated on two occasions, on the second occasion motor development, mobility and muscle function of the neck were also investigated. The parents were asked about tummy time and sleep position. All infants were investigated by the same physical therapist, blinded to group belonging. Result: seven infants had CVAI >3.5 on the last assessment, five of these had not used any method to reduce pressure. Fishers exact test showed a tendency where infants with reduced pressure on the head had less DP (P 0.08). Paired t test showed significant decrease in CVAI for the infants who had had reduced pressure on the head (P 0.01). Among these infants the CVAI was zero for 47% in the last assessment. For the infants who had not had a reduction of pressure on the head, there was no indication of a decrease of CVAI (P 0.45), and only 12% of these infants had a CVAI that was zero in the last assessment. Conclusion: this pilot study shows that a specially designed pillow may prevent DP in young infants. However, a larger sample is needed to confirm or disprove this. The study is planned to go on until there are 200 participants.展开更多
Developmental plagiocephaly (DP) has been an increasing problem since the successful “back to sleep campaign”. The referrals for DP have increased by more than 400% during the years 2004 to 2008. Many infants spend ...Developmental plagiocephaly (DP) has been an increasing problem since the successful “back to sleep campaign”. The referrals for DP have increased by more than 400% during the years 2004 to 2008. Many infants spend less time in the prone position nowadays and some of the risk factors for DP are: tummy time less than 3 times per day, torticollis and slow achievement of motor milestones. Improved information for the parents is needed but also other strategies to prevent DP. This study is a continuum of an earlier pilot study;the aim was to investigate the effect of a pillow, designed to reduce pressure on the infant head. Method: Infants aged zero to two months were included in the study. They were randomized to either intervention group or control group. Head shape was investigated on two occasions, on the second occasion motor development, mobility and muscle function of the neck were also investigated. The parents were asked about tummy time and sleep position. All infants were investigated by the same physical therapist, blinded to group belonging. Result: Fishers exact test showed that it was more common with decreased CVAI among infants in the intervention group (P 0.001). Paired t test showed significant decrease in CVAI for the intervention group (P 0.002), but not for the control group (P 0.96). Conclusion: This study shows that a specially designed pillow can decrease DP in young infants.展开更多
Background/Aim: The present study was directed to investigate the accuracy of ultrasound (USG) in early detection of developmental dysplasia of the hip (DDH) to prevent permanent complications. Material & Methods:...Background/Aim: The present study was directed to investigate the accuracy of ultrasound (USG) in early detection of developmental dysplasia of the hip (DDH) to prevent permanent complications. Material & Methods: A total of 276 infants was investigated;their ages range from 1 - 6 months. Patients referred from the clinic based on clinical assessment (mainly Barlo & Ortolani maneuvers). Then the patient’s hips were examined by expert radiologists in USG scan. After that, dynamic (coronal and transverse) & static ultrasound views evaluated by the same radiologist using Graf’s criteria. Infants with abnormal ultrasound findings suggestive of DDH were followed up after 4 - 6 weeks by the same investigator to monitor the progress. At the same time, the patient referred to a specialist for conservative management from the first positive findings. Results: Among the 276 referred patients, infants with normal stable hips (Graf Type I and Type II a+) were 221 (80%), 155 of them were female and 66 male infants. Infants with unstable hips based on Graf’s criteria (Type II a-, II b, II c and Type III a) were 55 (20%). Out of 55 with abnormal findings, the affected hips on both sides, right and left were: 5 cases (1.8%), 7 (2.5%) and 43 hips (15.5%) consecutively. Out of 55 infants affected;3 referred to tertiary centers for further surgical management while 52 managed conservatively. Conclusion: Delayed treatment rates of DDH and complications could be reduced by the usage of the USG after the first month of life. In addition to physical assessment, USG for high-risk infants will provide more accurate diagnosis and minimize complications.展开更多
BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the deve...BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the development of targeted interventions and policies that enhance parental engagement in neonatal care,thereby improving outcomes for infants and their families.AIM To identify and analyze primary factors influencing parental involvement in their child’s care in a neonatal intensive care unit(NICU).METHODS A literature search was conducted using the PubMed,MEDLINE,and Cochrane Library for systematic reviews databases,with the following search terms:“parental presence neonatology”,“couplet care”,“zero separation neonatal care”,“family integrated care”,“couplet care intervention”,“mother-child separation”,“parents newborn togetherness”,“mother-baby care”,“closeness and separation NICU”,“mother-infant interaction NICU”,“kangaroo care”,“dyad mother-infant”,and“newborn integrated care”.The database search for this literature review began on December 10,2024,with the final search conducted on April 10,2025.RESULTS The literature search yielded 281 articles,out of which 23 were selected for a detailed review.The factors associated with parental presence in NUs were grouped into five main categories:Parents’socio-demographic and cultural traits;the physical layout and care model of the NUs;the quality of parents’relationships with the healthcare staff;their active involvement in neonatal care;and the newborn’s health status.CONCLUSION The identification of factors that affect parental presence in NUs is critical for developing effective strategies aimed at encouraging increased parental involvement and ultimately improving neonatal and family outcomes.展开更多
目的应用结构磁共振成像评估发育性语言障碍(DLD)的早产儿的脑皮层发育的异常变化。方法选取2021年1月至2023年3月本院收治的早产儿39例,将其分为DLD组(20例)和语言发育正常组(19例)。采用3.0 T MRI检查设备在矫正胎龄40~42周行全脑3D-T...目的应用结构磁共振成像评估发育性语言障碍(DLD)的早产儿的脑皮层发育的异常变化。方法选取2021年1月至2023年3月本院收治的早产儿39例,将其分为DLD组(20例)和语言发育正常组(19例)。采用3.0 T MRI检查设备在矫正胎龄40~42周行全脑3D-T_(1)WI MRI检查。应用联影的分割模型及基于脑表面形态学的Infant Freesurfer图像分析软件进行图像处理和皮质表面重建。计算68个脑区的皮质厚度(CT)和皮质表面积(SA),应用SPSS 25.0统计软件对数据进行录入与分析。结果(1)两侧大脑半球CT值比较显示,DLD组显著不对称的脑区是前扣带回峡部、峡状回、下颞叶、外侧枕叶、外侧眶额叶、舌回、副海马、边缘中央回、后中央回、后扣带回、前楔状回、前扣带前回、缘上回(P<0.05);正常组显著不对称的脑区是前扣带回峡部、内嗅、下顶叶、下颞叶、扣带回峡部、外侧枕叶、外侧眶额叶、舌回、副海马、边缘中央回、额下回盖部、前额叶回、后中央回、后扣带回、前扣带前回、缘上回、颞极(P<0.05)。(2)两侧大脑半球SA值比较显示,DLD组显著不对称的脑区为前扣带回峡部、中央额回尾部、下顶叶、扣带回峡部、外侧眶额叶、舌回、内侧眶额叶、中颞叶、副海马、边缘中央回、额下回盖部、额下回眶升支、额下回三角部、后扣带回、顶叶上回、额极、颞横回、岛叶(P<0.05);正常组显著不对称的脑区为前扣带回峡部、中央额回尾部、楔状回、下顶叶、扣带回峡部、外侧眶额叶、内侧眶额叶、中颞叶、副海马、边缘中央回、额下回盖部、额下回眶升支、额下回三角部、后中央回、后扣带回、前楔状回、前扣带前回、颞上回、额极、颞横回、岛叶(P<0.05)。结论DLD早产儿的CT与SA的大脑半球不对称区域较正常组显示较少,表现出较少的左侧偏发育。这表明左侧偏发育减少对DLD早产儿的语言发育具有一定的预测价值,因此应重点关注左侧偏发育减少的早产儿,并及时进行早期干预,以提高其生存质量。展开更多
Recycling of junks is positive for the environmental protection.Along with the proposal of three-child policy,purchase volume of milk powder surely will experience a drastic growth,and the milk powder spoon as an affi...Recycling of junks is positive for the environmental protection.Along with the proposal of three-child policy,purchase volume of milk powder surely will experience a drastic growth,and the milk powder spoon as an affiliated product will win the attention of parents.Against the background of consumption upgrading,consumers have had higher requirements on the humanization and safety design of products.Most of milk powder spoons on the market are plastic,and the disposal of waste milk powder spoon has gradually become a burden for the environment.Based on the environment-friendly and developmental concept,and also the characteristics of infant development,this paper proposed the“in-one”design,applied color and tactile designs into the milk powder design,chose food grade silicone to make the milk powder spoon not only a spoon but also a baby teether toy,so as to expand the service life and functions of the product,meet the requirements of saving energy,protecting environment and developing circular economy,which also to some extent reduces the burden on environment brought by plastics,improves the efficiency of junk recycling,and meet the individualized needs of consumers.展开更多
目的探讨小于胎龄儿(small for gestational age infant,SGA)校正12~24月龄神经心理发育现状及影响因素。方法回顾性收集2018年4月—2023年12月深圳市宝安区妇幼保健院754例校正12~24月龄SGA儿童的临床资料,分析其发育商(developmental ...目的探讨小于胎龄儿(small for gestational age infant,SGA)校正12~24月龄神经心理发育现状及影响因素。方法回顾性收集2018年4月—2023年12月深圳市宝安区妇幼保健院754例校正12~24月龄SGA儿童的临床资料,分析其发育商(developmental quotient,DQ)水平,根据是否发生全面发育迟缓(global developmental delay,GDD)分为GDD组(71例)和对照组(683例),探讨其发生率及影响因素。结果高危早产SGA总DQ及各能区DQ均落后于足月SGA(P<0.017)。GDD总体发生率为9.4%(71/754),胎龄越小,发生率越高(P<0.017)。GDD组男性、低危及高危早产儿、母亲学历为本科以下、多胎、新生儿低血糖、新生儿肺炎、新生儿呼吸窘迫综合征、支气管肺发育不良,以及校正12~24月龄时低体重、生长迟缓、小头的比例高于对照组,新生儿住院时长长于对照组(P<0.05),而出生及校正12~24月龄时年龄别体重Z值、年龄别身长Z值、头围Z值低于对照组(P<0.05)。多因素logistic回归分析显示,男性、母亲学历为本科以下是SGA发生GDD的独立危险因素(P<0.05)。结论早产SGA神经心理发育水平相对落后,母亲学历为本科以下的男性SGA应予重点关注。展开更多
文摘Objective:To explore the positive role of developmental care measures in promoting the growth and development of premature infants,and analyze their specific effects on improving the sleep duration and quality of premature infants.Methods:A total of 80 premature infants who met the inclusion criteria were selected by convenient sampling method and divided into an experimental group and a control group,with 40 cases in each group.The experimental group received comprehensive nursing intervention of developmental care during the nursing process;the control group adopted the traditional conventional nursing model.Results:There was no statistically significant difference in various physical indicators between the two groups of premature infants before nursing intervention.After nursing intervention,the scores of intellectual development level,psychomotor development index and various physical indicators of premature infants in the experimental group were significantly higher than those in the control group,and the difference was statistically significant.Conclusion:The implementation of developmental care for premature infants can significantly improve their various developmental indicators,which can not only effectively promote the rapid development of premature infants’mental and physical growth,but also improve their sleep quality.
文摘Developmental plagiocephaly (DP) has been an increasing problem since the successful “back to sleep campaign”. The referrals for DP have increased by >400% during the years 2004 to 2008. Many infants spend less time in the prone position nowadays and some of the risk factors for DP are as follows: less than 3 times per day for the tummy time, torticollis and slow achievement of motor milestones. There is a need for better information to the parents but also for other strategies to prevent DP. The aim of this study was to investigate the effect of a special pillow and thus to reduce pressure on the infant head. Method: infants aged zero to two months were included in the study. They were randomized to either intervention group or control group. Head shape was investigated on two occasions, on the second occasion motor development, mobility and muscle function of the neck were also investigated. The parents were asked about tummy time and sleep position. All infants were investigated by the same physical therapist, blinded to group belonging. Result: seven infants had CVAI >3.5 on the last assessment, five of these had not used any method to reduce pressure. Fishers exact test showed a tendency where infants with reduced pressure on the head had less DP (P 0.08). Paired t test showed significant decrease in CVAI for the infants who had had reduced pressure on the head (P 0.01). Among these infants the CVAI was zero for 47% in the last assessment. For the infants who had not had a reduction of pressure on the head, there was no indication of a decrease of CVAI (P 0.45), and only 12% of these infants had a CVAI that was zero in the last assessment. Conclusion: this pilot study shows that a specially designed pillow may prevent DP in young infants. However, a larger sample is needed to confirm or disprove this. The study is planned to go on until there are 200 participants.
文摘Developmental plagiocephaly (DP) has been an increasing problem since the successful “back to sleep campaign”. The referrals for DP have increased by more than 400% during the years 2004 to 2008. Many infants spend less time in the prone position nowadays and some of the risk factors for DP are: tummy time less than 3 times per day, torticollis and slow achievement of motor milestones. Improved information for the parents is needed but also other strategies to prevent DP. This study is a continuum of an earlier pilot study;the aim was to investigate the effect of a pillow, designed to reduce pressure on the infant head. Method: Infants aged zero to two months were included in the study. They were randomized to either intervention group or control group. Head shape was investigated on two occasions, on the second occasion motor development, mobility and muscle function of the neck were also investigated. The parents were asked about tummy time and sleep position. All infants were investigated by the same physical therapist, blinded to group belonging. Result: Fishers exact test showed that it was more common with decreased CVAI among infants in the intervention group (P 0.001). Paired t test showed significant decrease in CVAI for the intervention group (P 0.002), but not for the control group (P 0.96). Conclusion: This study shows that a specially designed pillow can decrease DP in young infants.
文摘Background/Aim: The present study was directed to investigate the accuracy of ultrasound (USG) in early detection of developmental dysplasia of the hip (DDH) to prevent permanent complications. Material & Methods: A total of 276 infants was investigated;their ages range from 1 - 6 months. Patients referred from the clinic based on clinical assessment (mainly Barlo & Ortolani maneuvers). Then the patient’s hips were examined by expert radiologists in USG scan. After that, dynamic (coronal and transverse) & static ultrasound views evaluated by the same radiologist using Graf’s criteria. Infants with abnormal ultrasound findings suggestive of DDH were followed up after 4 - 6 weeks by the same investigator to monitor the progress. At the same time, the patient referred to a specialist for conservative management from the first positive findings. Results: Among the 276 referred patients, infants with normal stable hips (Graf Type I and Type II a+) were 221 (80%), 155 of them were female and 66 male infants. Infants with unstable hips based on Graf’s criteria (Type II a-, II b, II c and Type III a) were 55 (20%). Out of 55 with abnormal findings, the affected hips on both sides, right and left were: 5 cases (1.8%), 7 (2.5%) and 43 hips (15.5%) consecutively. Out of 55 infants affected;3 referred to tertiary centers for further surgical management while 52 managed conservatively. Conclusion: Delayed treatment rates of DDH and complications could be reduced by the usage of the USG after the first month of life. In addition to physical assessment, USG for high-risk infants will provide more accurate diagnosis and minimize complications.
文摘BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the development of targeted interventions and policies that enhance parental engagement in neonatal care,thereby improving outcomes for infants and their families.AIM To identify and analyze primary factors influencing parental involvement in their child’s care in a neonatal intensive care unit(NICU).METHODS A literature search was conducted using the PubMed,MEDLINE,and Cochrane Library for systematic reviews databases,with the following search terms:“parental presence neonatology”,“couplet care”,“zero separation neonatal care”,“family integrated care”,“couplet care intervention”,“mother-child separation”,“parents newborn togetherness”,“mother-baby care”,“closeness and separation NICU”,“mother-infant interaction NICU”,“kangaroo care”,“dyad mother-infant”,and“newborn integrated care”.The database search for this literature review began on December 10,2024,with the final search conducted on April 10,2025.RESULTS The literature search yielded 281 articles,out of which 23 were selected for a detailed review.The factors associated with parental presence in NUs were grouped into five main categories:Parents’socio-demographic and cultural traits;the physical layout and care model of the NUs;the quality of parents’relationships with the healthcare staff;their active involvement in neonatal care;and the newborn’s health status.CONCLUSION The identification of factors that affect parental presence in NUs is critical for developing effective strategies aimed at encouraging increased parental involvement and ultimately improving neonatal and family outcomes.
基金Sponsored by 2022 Teaching Reform Project of Lingnan Normal University(000302201830)2022 Model Course of Lingnan Normal University(LingShiJiaoWu(2014)No.125)2023 Undergraduate Students’Innovation and entrepreneurship Planning of Lingnan Normal University(X202310579049X).
文摘Recycling of junks is positive for the environmental protection.Along with the proposal of three-child policy,purchase volume of milk powder surely will experience a drastic growth,and the milk powder spoon as an affiliated product will win the attention of parents.Against the background of consumption upgrading,consumers have had higher requirements on the humanization and safety design of products.Most of milk powder spoons on the market are plastic,and the disposal of waste milk powder spoon has gradually become a burden for the environment.Based on the environment-friendly and developmental concept,and also the characteristics of infant development,this paper proposed the“in-one”design,applied color and tactile designs into the milk powder design,chose food grade silicone to make the milk powder spoon not only a spoon but also a baby teether toy,so as to expand the service life and functions of the product,meet the requirements of saving energy,protecting environment and developing circular economy,which also to some extent reduces the burden on environment brought by plastics,improves the efficiency of junk recycling,and meet the individualized needs of consumers.
文摘目的探讨小于胎龄儿(small for gestational age infant,SGA)校正12~24月龄神经心理发育现状及影响因素。方法回顾性收集2018年4月—2023年12月深圳市宝安区妇幼保健院754例校正12~24月龄SGA儿童的临床资料,分析其发育商(developmental quotient,DQ)水平,根据是否发生全面发育迟缓(global developmental delay,GDD)分为GDD组(71例)和对照组(683例),探讨其发生率及影响因素。结果高危早产SGA总DQ及各能区DQ均落后于足月SGA(P<0.017)。GDD总体发生率为9.4%(71/754),胎龄越小,发生率越高(P<0.017)。GDD组男性、低危及高危早产儿、母亲学历为本科以下、多胎、新生儿低血糖、新生儿肺炎、新生儿呼吸窘迫综合征、支气管肺发育不良,以及校正12~24月龄时低体重、生长迟缓、小头的比例高于对照组,新生儿住院时长长于对照组(P<0.05),而出生及校正12~24月龄时年龄别体重Z值、年龄别身长Z值、头围Z值低于对照组(P<0.05)。多因素logistic回归分析显示,男性、母亲学历为本科以下是SGA发生GDD的独立危险因素(P<0.05)。结论早产SGA神经心理发育水平相对落后,母亲学历为本科以下的男性SGA应予重点关注。
