DOI QR코드

DOI QR Code

Factors Related to the Development of Premature Infants at 12 and 24 Months Age: A Prospective Study

미숙아의 12개월, 24개월 발달 영향요인에 대한 전향적 연구

  • Bang, Kyung-Sook (College of Nursing.The Research Institute of Nursing Science, Seoul National University) ;
  • Kang, Hyun-Ju (College of Nursing, Kangwon National University)
  • 방경숙 (서울대학교 간호대학.간호과학연구소) ;
  • 강현주 (강원대학교 간호대학)
  • Received : 2017.12.10
  • Accepted : 2018.01.15
  • Published : 2018.01.31

Abstract

Purpose: This prospective study aimed to examine the development of premature infants at 12 and 24 months and to explore the factors related to their development. Methods: Of the 80 premature infants who were recruited, 52 participants at 12 months and 31 participants at 24 months were included in this study. The development of the infants was examined using the Korean Bayley scale of infant development-II. Postnatal depression, husband's support, social support, mother-infant attachment, and the home environment were assessed using self-report questionnaires completed by the mothers and through the researcher's observations. Results: There was significant difference between normal and delay group at psychomotor development at 12 months depending on social support at 6 months (t=2.03, p=.049). Mother-infant attachment at 6 months (r=.71, p<.001), 12 months (r=.37, p=.043), and 24 months (r=.40, p=.026), as well as social support (r=.38, p=.034) and the home environment (r=.41, p=.022) at 24 months, were correlated to mental development at 24 months. There was a significant positive correlation between mother-infant attachment at 6 months and psychomotor development at 24 months (r=.40, p=.046). Conclusion: To reduce the risk of developmental delay and to promote healthy development in premature infants, early nursing interventions targeting mother-infant attachment, the home environment, and the mother's social support structure are needed.

Keywords

References

  1. Statistics Korea. 2016 Annual report on live births and deaths statistics [Internet]. Daejeon: Statistics Korea; 2015 [cited 2016 February 15]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=347963&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=%EC%B6%9C%EC%83%9D.
  2. Hahn WH, Chang JY, Chang YS, Shim KS, Bae CW. Recent trends in neonatal mortality in very low birth weight Korean infants: In comparison with Japan and the USA. Journal of Korean Medical Science. 2011;26(4):467-473. https://doi.org/10.3346/jkms.2011.26.4.467
  3. Kang J, Chung DC, Chang YP. Neurodevelopmental outcomes of very low birth weight infants. Journal of the Korean Society of Neonatology. 2006;13(1):121-127.
  4. Kim S, Song IG, Kim K, Kim YJ, Shin SH, Lee SH, et al. Outpatient follow-up status and neurodevelopmental outcomes of extremely low birth weight infants. Journal of the Korean Society Neonatology. 2012;19(1):17-25. https://doi.org/10.5385/jksn.2012.19.1.17
  5. Miller RJ, Sullivan MC, Hawes K, Marks AK. The effects of perinatal morbidity and environmental factors on health status of preterm children at age 12. Journal of Pediatric Nursing. 2009;24(2): 101-114. https://doi.org/10.1016/j.pedn.2008.02.031
  6. Kim JK, Suh JH, Bae HB. The longitudinal effects of mother's antenatal/postpartum depression and parenting stress on the infant development. Journal of Early Childhood Education & Educare Welfare. 2016;20(4):591-611.
  7. Hwang HJ, Chung OB. A study on mother's attachment to her infant and related factors. The Korean Journal of the Human Development. 2006;13(4):95-115.
  8. Kim KE. Maternal perceived social support and parental involvement and their children's cognitive development. The Korean Journal of the Human Development. 2012;19(1):1-17.
  9. Bang KS, Kang HJ, Lee B, Kwon MK. Prospective study on factors related to development in premature infants at six-months. Child Health Nursing Research. 2016;22(3):199-206. https://doi.org/10.4094/chnr.2016.22.3.199
  10. Brazy JE, Goldstein RF, Oehler JM, Gustafson KE, Thompson RJ. Nursery neurobiologic risk score: Levels of risk and relationships with nonmedical factors. Journal of Developmental & Behavioral Pediatrics. 1993;14(6):375-380.
  11. Cho BH, Park HW. The standardization study (1) of Korean Bayley Scales of Infant Development (K-BSID-2): Analyses of Korean infants' performance of K-BSID-2 in terms of demographical variables. The Korean Journal of Developmental Psychology. 2004;17(1):191-206.
  12. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry. 1987;150(6):782-786. https://doi.org/10.1192/bjp.150.6.782
  13. Yeo JH. Postpartum depression and its predictors at six months postpartum. Korean Journal of Woman Health Nursing. 2006;12(4):355-362.
  14. Taylor RJ. The extended family as a source of support to elderly blacks. The Gerontologist. 1985;25(5):488-495. https://doi.org/10.1093/geront/25.5.488
  15. Bai JY. Construction of a postpartum depression model [dissertation]. Seoul: Ewha Womans University; 1996. p. 1-211.
  16. Abbey A, Abramis DJ, Caplan RD. Effects of different sources of social support and social conflict on emotional well-being. Basic and Applied Social Psychology. 1985;6(2):111-129. https://doi.org/10.1207/s15324834basp0602_2
  17. You SE, Kwon JH. The effects of perfectionism, social support, stress, and coping style on depression in the middle-aged woman. Korean Journal of Clinical Psychology. 1997;16(2):67-84.
  18. Muller ME. A questionnaire to measure mother-to-infant attachment. Journal of Nursing Measurement. 1994;2(2):129-141.
  19. Han KE. The relationship of maternal self-esteem and maternal sensitivity with mother-to infant attachment [master's thesis]. Seoul: Hanyang university; 2002. p. 1-75.
  20. Bradley RH, Caldwell BM. Home observation for measurement of the environment: A validation study of screening efficiency. American Journal of Mental Deficiency. 1977;81(5):417-420.
  21. Lee Y. A preliminary study for the standardization of the HOME for families of infants and toddlers. Yonsei Theses. 1985;21(3):379-397.
  22. Dempsey AG, Abrahamson CW, Keller-Margulis MA. Developmental screening among children born preterm in a high-risk follow-up clinic. Journal of Pediatric Psychology. 2016;41 (5):573-581. https://doi.org/10.1093/jpepsy/jsv101
  23. Janssen AJ, Akkermans RP, Steiner K, de Haes OA, Oostendorp RA, Kollee LA, et al. Unstable longitudinal motor performance in preterm infants from 6 to 24 months on the Bayley Scales of Infant Development-Second edition. Research in Developmental Disabilities. 2011;32(5):1902-1909. https://doi.org/10.1016/j.ridd.2011.03.026
  24. Gasparini C, Caravale B, Rea M, Coletti MF, Tonchei V, Bucci S, et al. Neurodevelopmental outcome of Italian preterm children at 1 year of corrected age by Bayley-III scales: An assessment using local norms. Early Human Development. 2017;113(1):1-6. https://doi.org/10.1016/j.earlhumdev.2017.06.007
  25. Lowe JR, Erickson SJ, Schrader R, Duncan AF. Comparison of the Bayley II Mental Developmental Index and the Bayley III Cognitive Scale: Are we measuring the same thing? Acta Paediatrica. 2012;101(2):55-58. https://doi.org/10.1111/j.1651-2227.2011.02517.x
  26. Jeon KS, Bang HJ, Lee SH. A preliminary study for the standardization of the Korean cognitive scale of infant and toddler development (3rd ed.). The Korean Journal of Applied Developmental Psychology. 2012;1(2):165-185.
  27. Rhee CW, Kim YH. Impact of preterm infants' disability on maternal depression: The mediating effect of parenting stress. Social Science Research Review. 2013;29(2):51-75.
  28. Feldman R, Rosenthal Z, Eidelman AI. Maternal-preterm skin-toskin contact enhances child physiologic organization and cognitive control across the first 10 years of life. Biological Psychiatry. 2014;75(1):56-64. https://doi.org/10.1016/j.biopsych.2013.08.012
  29. Gottfried AW. Home environment and early cognitive development: Longitudinal research. 1st ed. Orlando: Academic Press; 1984. p. 57-112.
  30. Santos H, Yang Q, Docherty SL, White-Traut R, Holditch-Davis D. Relationship of maternal psychological distress classes to later mother-infant interaction, home environment, and infant development in preterm infants. Research in Nursing & Health. 2016;39(3):175-186. https://doi.org/10.1002/nur.21719

Cited by

  1. Parenting Experience of Prematurity Parents Based on Grounded Theory vol.23, pp.4, 2019, https://doi.org/10.21896/jksmch.2019.23.4.232
  2. 미숙아로 출생한 학령전기 아동의 인지능력과 영향요인 vol.25, pp.4, 2019, https://doi.org/10.4094/chnr.2019.25.4.468