Factors associated with developmental concern and intent to access therapy following discharge from the NICU.
Factors associated with developmental concern and intent to access therapy following discharge from the NICU.
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与发育问题和出院后接受治疗的意愿相关的因素。
DOI：
10.1097/pep.0b013e31827a822c
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Inder,Terrie
中科院分区：
文献类型：
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作者：
Pineda,RobertaG;Castellano,Alison;Rogers,Cynthia;Neil,JeffreyJ;Inder,Terrie
目的：确定新生儿重症监护病房（NICU）出院后母亲对婴儿发育的担忧和接受治疗服务意愿的相关因素。方法：前瞻性收集84例早产儿（妊娠< 30周）的婴儿医学因素、磁共振成像结果、足月神经行为、母体因素以及母体对发育问题的认知和出院时接受治疗的意愿。使用回归来确定与NICU出院时发育问题和接受治疗意图相关的因素。结果：有较多孩子的母亲对发育的关注程度较低(P=。007)。婴儿应激体征(P=。038)，更高的母亲教育(P=。047)，读书(P=。030)，母亲抑郁(P=。018)与发育问题增加有关。更多的母亲教育与更多的获得服务的意愿相关(P=。040)。结论：母亲因素比婴儿因素更能影响照顾者的关心。相反，异常期神经行为和/或脑损伤的存在与照顾者对发育的关注无关。
Purpose:To determine factors associated with mothers' concern about infant development and intent to access therapy services following neonatal intensive care unit (NICU) discharge.Methods:Infant medical factors, magnetic resonance imaging results, neurobehavior at term, maternal factors, and maternal perceptions about developmental concern and intent to access therapy at NICU discharge were prospectively collected in 84 infants born premature (< 30 weeks gestation). Regression was used to determine factors associated with developmental concern and intent to access therapy at NICU discharge.Results:Decreased developmental concern was reported by mothers with more children (P=. 007). Infant stress signs (P=. 038), higher maternal education (P=. 047), reading books (P=. 030), and maternal depression (P=. 018) were associated with increased developmental concern. More maternal education was associated with more intent to access services (P=. 040). Conclusion: Maternal factors, rather than infant factors, had important associations with caregiver concern. In contrast, abnormal term neurobehavior and/or the presence of cerebral injury were not associated with caregiver concern about development.