Related visual impairment to mother-infant interaction and development in infants with bilateral retinoblastoma
Related visual impairment to mother-infant interaction and development in infants with bilateral retinoblastoma
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DOI：
10.1016/j.ejon.2017.02.002
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发表时间：
2017-06-01
影响因子：
2.8
通讯作者：
Takeo, Naoko
中科院分区：
文献类型：
--
作者：
Nagayoshi, Michie;Hirose, Taiko;Takeo, Naoko
目的：本研究对诊断患有双侧视网膜母细胞瘤（RB）的婴儿及其母亲进行。方法：对18例1岁左右双侧RB患儿及其母亲进行横断面统计学分析。结果：1.使用日本护理儿童评估教学量表（JNCATS）结果显示，RB患儿在所有分量表和“儿童应变性”上的得分均显著低于日本正常儿童的得分（p < 0.01）。五名视力障碍的婴儿在六个JNCATS项目上的通过率为0%。发育商（DQ）与JNCATS“对照顾者的反应性”评分呈正相关（rho = 0.50，p < 0.05）和DQ和“儿童列联”结论：视力障碍儿童存在发育迟缓和问题行为的可能性较大;他们不会把脸或眼睛转向母亲，不会对母亲的谈话或身体语言或面部表情的变化做出微笑反应，也不会在与母亲的互动中做出偶然的反应。这些由母亲注意到的婴儿行为与视觉障碍儿童的发育特征有相似之处。这些研究结果表明，需要提供支持，促进母婴互动与RB婴儿视力障碍的发展特点相一致。(C)2017爱思唯尔有限公司版权所有
Purpose: This study was conducted with infants diagnosed with bilateral retinoblastoma (RB) and their mothers. It explored characteristics of the mother-infant interaction, the infants' developmental characteristics and related risk factors.Method: Cross-sectional statistical analysis was performed with 18 dyads of one-year-old infants with bilateral RB and their mothers.Results: Using the Japanese Nursing Child Assessment Teaching Scale (JNCATS) results showed that infants with RB had significantly lower scores compared to normative Japanese scores on all of the infants' subscales and "Child's contingency" (p < 0.01). Five infants with visual impairment at high risk of developmental problems had a pass rate of 0% on six JNCATS items. There were positive correlations between Developmental quotients (DQ) and JNCATS score of "Responsiveness to caregiver" (rho = 0.50, p < 0.05) and DQ and "Child's contingency" (rho = 0.47, p < 0.05).Conclusions: Infants with visual impairment were characterized by high likelihood of developmental delays and problematic behaviors; they tended not to turn their face or eyes toward their mothers, smile in response to their mothers' talking to them or the latter's changing body language or facial expressions, or react in a contingent manner in their interactions. These infant behaviors noted by their mothers shared similarities with developmental characteristics of children with visual impairments. These findings indicated a need to provide support promoting mother-infant interactions consistent with the developmental characteristics of RB infants with visual impairment. (C) 2017 Elsevier Ltd. All rights reserved.