早期介入計劃對於極低出生體重早產兒餵奶時之互動行為與心跳變異性效果

Early Intervention for Very Low Birth Weight Preterm Infants: Effects on Interactive Behavior and Heart Rate Variability in Feeding

林昱志(Yu-Chih Lin)

指導教授 ： 鄭素芳

國立臺灣大學/醫學院/物理治療學研究所/碩士(2009年)

https://doi.org/10.6342/NTU.2009.01716

摘要

無資料

關鍵字

極低出生體重 ； 早產兒 ； 早期介入 ； 親子互動 ； 心跳變異率

並列摘要

Purpose: This study was aimed to examine the effectiveness of early intervention for very low birth weight (VLBW, birth weight <1,500 g) preterm infants in mother-infant feeding interaction at 4 and 6 months corrected age. Methods: This study enrolled 62 term infants and 179 VLBW infants that the latter were randomly assigned into usual care program (UCP), clinic-based intervention program (CBIP) and home-based intervention (HBIP) group. Mother-infant dyads feeding activity were examined using the Assessment of Mother Infant Sensitivity- Chinese version (AMIS-C). Infants’ heart rate variability (HRV) was assessed using an electrocardiography at 4 and 6 months corrected age. Results: For interactive behavior, the CBIP group showed significantly higher maternal scores on the AMIS-C than the HBIP at 4 and 6 months corrected age (p = 0.004); whereas, the infant, dyadic and total scores of all groups were comparable. As for the physiological response, all groups showed similar HRV at baseline and during feeding at 6 months corrected age. Furthermore, a higher AMIS-C dyadic and total score on at 4 months were associated with a smaller change in some HRV indices from baseline to feeding at 6 months in all groups (all r=-0.16, p<0.05). A higher AMIS-C maternal and total score on at 6 months was each associated with a smaller change in some HRV indices from baseline to feeding at 6 months (r=-0.20 to -0.16, all p<0.05). Conclusion: VLBW preterm dyads showed comparable interactive behavior and infant’s heart rate variable than term dyads during feeding at 4 and 6 months corrected age. Early intervention delivered at clinic visit was more beneficial than that delivered at home in altering maternal feeding behavior during the follow-up period.

並列關鍵字

Mother-infant interaction ； Assessment ； Reliability ； Responsiveness ； Very Low Birth Weight ； Preterm ； Early intervention ； Heart rat variability

參考文獻

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