Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Prospective Study on Factors Related to Development in Premature Infants at Six-Months

미숙아로 출생한 영아의 6개월 발달 관련 요인에 대한 전향적 연구

  • Bang, Kyung-Sook (College of Nursing, The Research Institute of Nursing Science, Seoul National University) ;
  • Kang, Hyun-Ju (Department of Nursing, Kangwon National University) ;
  • Lee, Buhyun (Graduate School, Seoul National University) ;
  • Kwon, Mi-Kyung (Department of Nursing, Catholic Kwandong University)
  • 방경숙 (서울대학교 간호대학.간호과학연구소) ;
  • 강현주 (강원대학교 의과대학 간호학과) ;
  • 이부현 (서울대학교 간호대학) ;
  • 권미경 (가톨릭관동대학교 간호학과)
  • Received : 2016.05.06
  • Accepted : 2016.07.13
  • Published : 2016.07.31
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Abstract

Purpose: This study was conducted to monitor the development of Korean premature infant at six-month age and to explore factors related to developmental status of the premature infants. Methods: Participants were 58 premature infants whose corrected age was six-months old and their mothers. The developmental states of infants were followed-up with the Korean Prescreening Developmental Questionnaire (KPDQ-II). Clinical characteristics of the infants were identified from the medical records. Other characteristics including Edinburgh Postnatal Depression Scale, husband's support, social support, and mother-infant attachment were assessed using self-report questionnaires from the mothers. Results: Forty three percent of the infants were in the group of questionable status of development on the KPDQ-II. There were significant differences between the premature infants with normal developmental status and those with questionable developmental status depending on gender ($x^2$=5.03, p=.034), gestational age (t=2.59, p=.012), hospital stay (p=.013), revised Neurobiologic Risk Score (p=.005) and mother-infant attachment score (t=2.12, p=.040). Conclusion: Mother-infant attachment, as well as physiological state of premature infants, is an important variable in early development. Therefore, early monitoring for the development has to be done for physiologically vulnerable premature groups. Also, providing proper nursing support to improve maternal attachment needs to be considered.

Keywords

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