早产婴儿社会生活适应能力及影响因素的研究

发布时间：2018-06-10 20:30

本文选题：早产儿 + 足月儿　；参考：《重庆医科大学》2012年硕士论文

【摘要】：目的：了解早产儿社会生活适应能力与足月儿的差异，及影响其社会适应能力的因素，有利于寻找有效的干预措施，促进早产儿身心健康发展。方法： 2011年7月至2012年3月，收集至重庆医科大学附属儿童医院儿童保健科门诊随访的93例早产婴儿和126例足月婴儿，按月龄分为6月龄、9月龄、12月龄。用自编《婴儿一般情况问卷》和《婴儿-初中生社会生活能力量表》进行调查,比较早产儿和足月儿社会生活能力得分、得分边缘率和社会适应四方面能力得分，以及影响社会生活能力发展的因素。统计分析用SPSS17.0软件包，，运用秩和检验、卡方检验、多元线性回归、偏相关分析等统计学方法。结果： 1.6月龄、9月龄、12月龄早产和足月婴儿社会适应能力得分存在差别（P值＜0.050）。得分边缘率分别为：早产儿41.9%，足月儿16.3%，两者比较有统计学意义（P值＜0.050）。 2.6月龄、9月龄、12月龄早产儿的社会生活适应能力与足月儿的差距主要体现在交往能力、作业能力、参加集体生活能力、独立生活能力上，除外9月龄早产儿与足月儿在独立生活能力的分值差距无统计学意义（P为0.762＞0.050）、12月龄早产儿与足月儿在作业能力的分值差距无统计学意义（P为0.142＞0.050），其余部分足月儿的分值均明显高于早产儿，差异有统计学意义。 3.婴儿年龄、婴儿性别、胎龄、是否为试管婴儿、带养人是否为母亲、带养人文化程度、母亲文化程度、是否行进食能力训练为婴儿社会生活适应能力的影响因素，各影响因素与社会生活适应能力的相关性由大到小依次为婴儿年龄＞胎龄＞带养人文化程度＞是否行进食能力训练＞带养人是否为母亲＞母亲文化程度＞是否试管婴儿＞婴儿性别。结论： 1.早产儿婴儿期的社会生活适应能力逐渐进步，但落后于同龄足月儿。反映社会生活适应性的交往能力、作业能力、参加集体生活能力、独立生活能力与足月儿的差距随年龄增长呈波动性变化，作业能力有追赶现象，而独立生活能力差距有增大趋势。 2.生理因素、家庭因素与社会生活适应能力有相关性，其中婴儿年龄和胎龄是最重要的影响因素；进食能力训练对早产儿社会适应能力发展有促进作用。
[Abstract]:Purpose :

It is helpful to find effective intervention measures to promote the physical and mental health of preterm infants .

Method :

From July 2011 to March 2012 , 93 preterm infants and 126 full - term infants were collected from outpatient follow - up of the Children ' s Hospital of the Affiliated Children ' s Hospital of Chongqing Medical University , which were divided into 6 - month - old , 9 - month - old and 12 - month - old according to the monthly age .

Results :

1 . There was a difference in the scores of the social adaptation ability scores of 1 . 6 month , 9 month , 12 month old and term infants ( P < 0 . 050 ) . The score margin rates were 41.9 % in preterm infants and 16.3 % in term infants respectively ( P < 0.050 ) .

2 . The difference between the social life adaptability and the term of the term infants in the age of 6 months , the age of 9 months and the age of 12 months is mainly reflected in the ability of communication , ability of operation , participation in collective living ability and independent living ability , except that there is no significant difference between the score difference between premature infant and term infants in independent living ability ( P = 0.762 & gt ; 0.050 ) .

3 . Whether the infant age , the sex of the infant , the gestational age , the test tube baby , the nursing person as the mother , the person with the breadwinner , the degree of the mother ' s culture , whether the feeding ability training is the influencing factor of the adaptability of the infant ' s social life , the correlation between the influencing factors and the social life adaptability is from the big to the small , whether the infant age > the gestational age > the person ' s culture degree > whether the nursing person is the mother > the mother ' s degree of culture > whether the infant > infant sex is tested .

Conclusion :

1 . The social life adaptability of premature infants is gradually improving , but it lags behind the same - age term . It reflects the social life adaptability , the ability of operation , the ability to participate in collective life , the ability of independent living and the difference between the independent living ability and the term of the term .

2 . There is a correlation between physiological factors , family factors and social life adaptability , among which infant age and gestational age are the most important influencing factors ;
Eating ability training can promote the development of social adaptation ability of preterm infants .
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R174.2

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