基于AIMS评估指导早产儿家庭干预对运动技能发展的研究

目的 分析Alberta婴儿运动量表(AlMS)用于指导早产儿超早期家庭干预对早产儿运动技能发展的价值。方法 以2018年1月-2020年8月在唐山市妇幼保健院儿童康复科门诊就诊的纠正月龄1个月以内的早产儿70例为研究对象,随机分为干预组(n=34)和对照组(n=36),并进行全身运动(GMs)评估和AIMS评估确定基线。对照组行常规家庭护理指导;干预组在接受常规家庭护理指导的基础上,由专业康复治疗师基于AIMS评估指导家长的家庭干预训练;干预时间为3个月。两组早产儿在纠正4月龄时行GMs评估和AlMS评估,比较两组早产儿运动技能发育情况。结果 两组早产儿干预后AlMS评估各体位评分及总分均较干预前提高,差异均有统计学意义(P<0.001);干预后,干预组早产儿AlMS评估俯卧位、仰卧位评分及总分显著高于对照组(t=8.174、3.936、5.619,P<0.001)。结论 基于AIMS评估指导的家庭干预对早产儿运动技能发育有一定的促进作用。

Study on the influence of family intervention based on Alberta Infant Motor Scale on the motor skill development of premature infants

Objective To explore the effect of the Alberta Infant Motor Scale(AlMS)guiding of ultra-early family intervention on the motor skill development of premature infants.Methods A total of 70preterm infants with corrected age of less than 1month were enrolled in this study,and were randomly divided into the intervention group(n=34)and the control group(n=36)from January 2018to August 2020.The baseline was determined by General Motor Scale(GMS)and AIMS assessment.The control group received routine home nursing instruction.While,parents of preterm infants in the intervention group were instructed by professional rehabilitation therapists to give individualized family intervention training guided by AIMS assessment additionally.Both groups were intervened for 3months.GMs assessment and AIMS assessment were performed at the corrected age of 4months in order to compare the motor skill development between the intervention group and control group.Results After intervention,each position score and total score in AIMS assessment was significantly improved in both intervention group and control group(P<0.05).But the scores of prone and supine position and total scores in the intervention group were significantly higher than those in the control group(t=8.174,3.936,5.619,P<0.001).Conclusion The individualized family intervention guided by AIMS can promote motor skill development of premature infants.