A model of neurodevelopmental risk and protection for preterm infants.
A model of neurodevelopmental risk and protection for preterm infants.
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DOI：
10.1097/anc.0000000000000022
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发表时间：
2013-10-01
期刊：
影响因子：
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通讯作者：
Best, Al
中科院分区：
文献类型：
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作者：
Pickier, Rita H;McGrath, Jacqueline M;Best, Al
本文的目的是介绍一个神经发育风险和保护的模型，该模型可以解释生物行为风险、环境风险和照顾行为之间的一些关系，这些行为可能会对神经行为和认知结果做出贡献。在所有婴儿中，怀孕30周前出生的婴儿的发育预后最差。这些婴儿在新生儿重症监护病房(NICU)的住院期很长，这种环境并不总是支持大脑发育和长期发展需求。该模型支持这样一个前提，即在新生儿期侧重于神经保护的干预措施有可能对脆弱的极早产儿的长期发展结果产生积极影响。找到更好地理解以NICU为基础的干预措施和长期结果之间的复杂关系的方法，对于指导NICU的护理实践非常重要。
The purpose of this article is to introduce a model of neurodevelopmental risk and protection that may explain some of the relationships among biobehavioral risks, environmental risks, and caregiving behaviors that potentially contribute to neurobehavioral and cognitive outcomes. Infants born before 30 weeks of gestation have the poorest developmental prognosis of all infants. These infants have lengthy hospitalization periods in the neonatal intensive care unit (NICU,) an environment that is not always supportive of brain development and long-term developmental needs. The model supports the premise that interventions focused on neuroprotection during the neonatal period have the potential to positively affect long-term developmental outcomes for vulnerable very preterm infants. Finding ways to better understand the complex relationships among NICU-based interventions and long-term outcomes are important to guiding caregiving practices in the NICU.