دانلود مقاله ISI انگلیسی شماره 75307
عنوان فارسی مقاله

درد نوزادان، تعامل و استرس والدگری در رابطه با رشد شناختی و حرکتی در 8 و 18 ماهگی در نوزادان نارس

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
75307 2009 9 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Neonatal pain, parenting stress and interaction, in relation to cognitive and motor development at 8 and 18 months in preterm infants
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Pain, Volume 143, Issues 1–2, May 2009, Pages 138–146

کلمات کلیدی
درد، نوزادان نارس؛ نوزادان؛ فشار؛ عصبی؛ والدین
پیش نمایش مقاله
پیش نمایش مقاله درد نوزادان، تعامل و استرس والدگری در رابطه با رشد شناختی و حرکتی در 8 و 18 ماهگی در نوزادان نارس

چکیده انگلیسی

Procedural pain in the neonatal intensive care unit triggers a cascade of physiological, behavioral and hormonal disruptions which may contribute to altered neurodevelopment in infants born very preterm, who undergo prolonged hospitalization at a time of physiological immaturity and rapid brain development. The aim of this study was to examine relationships between cumulative procedural pain (number of skin-breaking procedures from birth to term, adjusted for early illness severity and overall intravenous morphine exposure), and later cognitive, motor abilities and behavior in very preterm infants at 8 and 18 months corrected chronological age (CCA), and further, to evaluate the extent to which parenting factors modulate these relationships over time. Participants were N = 211 infants (n = 137 born preterm ⩽32 weeks gestational age [GA] and n = 74 full-term controls) followed prospectively since birth. Infants with significant neonatal brain injury (periventricular leucomalacia, grade 3 or 4 intraventricular hemorrhage) and/or major sensori-neural impairments, were excluded. Poorer cognition and motor function were associated with higher number of skin-breaking procedures, independent of early illness severity, overall intravenous morphine, and exposure to postnatal steroids. The number of skin-breaking procedures as a marker of neonatal pain was closely related to days on mechanical ventilation. In general, greater overall exposure to intravenous morphine was associated with poorer motor development at 8 months, but not at 18 months CCA, however, specific protocols for morphine administration were not evaluated. Lower parenting stress modulated effects of neonatal pain, only on cognitive outcome at 18 months.

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