首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Supplementary Carrying Compared With Advice to Increase Responsive Parenting as Interventions to Prevent Persistent Infant Crying
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Supplementary Carrying Compared With Advice to Increase Responsive Parenting as Interventions to Prevent Persistent Infant Crying

机译:辅助携带与建议的比较,以增加响应式育儿作为预防持续性婴儿哭泣的干预措施

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Objective . To compare two interventions (supplementary carrying, increased parental responsiveness) introduced from birth for their effectiveness in reducing the amounts of crying in general community infants at 2, 6, and 12 weeks age.Design and participants . Mothers and infants in newborn wards of maternity hospitals were assigned to carrying intervention, responsiveness intervention, or control groups. Follow-up measures were used to confirm that the interventions were implemented and to determine their effects on infant crying.Setting and measurements . Diary measurements completed in the home were employed to measure the aspects of parental behavior targeted by the interventions. Audio recordings, diaries, and questionnaires assessed the amounts the infants cried and the impact of the crying on their mothers and the health services. Sample sizes at 6 weeks of age were 59 (carrying intervention), 57 (responsiveness intervention), and 94 infants (control group).Results . The carrying intervention successfully increased the amounts the infants were carried, particularly while settled, to the target levels. The responsiveness intervention led to more limited increases in carrying and to a modest increase in feeding frequency, but did not affect measures of parental interactiveness and play. No differences in amounts of crying and fussing were found between the three groups of infants on any of the measures. Subsidiary analyses confirmed that the dependent variable (infant fusscrying) and main independent variable (carrying while settled) were not significantly correlated.Conclusions . It is not, at present, possible to recommend either supplementery carrying or increased parental responsiveness as primary, preventative interventions to reduce infant crying.
机译:目标。为了比较从出生时引入的两种干预措施(补充携带,增加父母的反应能力)在减少2、6和12周龄普通社区婴儿哭泣量方面的有效性。设计和参与者。产科医院新生儿病房中的母亲和婴儿被指定为进行干预,反应性干预或对照组。采取后续措施以确认干预措施已实施并确定其对婴儿哭泣的影响。在家中完成的日记测量被用来测量干预所针对的父母行为的各个方面。录音,日记和问卷调查评估了婴儿的哭泣数量以及哭泣对母亲和保健服务的影响。 6周龄的样本量为59例(进行干预),57例(反应性干预)和94例婴儿(对照组)。携带干预措施成功地将婴儿的携带量(特别是在定居时)提高到目标水平。响应性干预导致携带的增加更为有限,喂养频率有所增加,但并未影响父母互动和游戏的程度。在任何一项措施上,三组婴儿之间在哭闹和大惊小怪的数量上均无差异。辅助分析证实,因变量(婴儿检查)和主要自变量(稳定时携带)没有显着相关性。目前,不可能建议携带补充食品或增加父母的反应能力作为减少婴儿啼哭的主要预防措施。

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