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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 鄭素芳 | |
| dc.contributor.author | Yu-Chih Lin | en |
| dc.contributor.author | 林昱志 | zh_TW |
| dc.date.accessioned | 2021-06-15T04:29:56Z | - |
| dc.date.available | 2009-09-15 | |
| dc.date.copyright | 2009-09-15 | |
| dc.date.issued | 2009 | |
| dc.date.submitted | 2009-08-20 | |
| dc.identifier.citation | 1. Hack M., Wright L. L., Shankaran S., et al. Very-low-birth-weight outcomes of
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Infant Behavior & Development. 1983;6(2):353-360. 36. Hsu H. C., Lavelli M. Perceived and observed parenting behavior in American and Italian first-time mothers across the first 3 months. Infant Behavior & Development. 2005;28(4):503-518. 37. Scopesi A., Viterbori P., Sponza S., et al. Assessing mother to infant attachment: The Italian adaptation of a self-report questionnaire. Journal of Reproductive and Infant Psychology. 2004;22(2):99-109. 38. Brazelton T. B. Neonatal Behavioral Assessment Scale. Philadelphia: J.B. Lippincott; 1973. 39. Berntson G. G., Bigger J. T. Jr., Eckberg D. L., et al. Heart rate variability: origins, methods, and interpretive caveats. Psychophysiology. 1997;34(6):623-648. 40. Yang T. F., Kao N. T., Chang R. C., et al. Power spectrum analysis of heart rate variability in term and preterm neonates. Taiwan Journal of Physical Medicine & Rehabilitation. 2007;35(3):127-135. 41. Browne J. V., Talmi A. 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Early Human Development. 1993;32(2-3):183-195. 46. Chatow U., Davidson S., Reichman B. L., et al. Development and maturation of the autonomic nervous system in premature and term infants using spectral analysis of heart rate fluctuations. Pediatric Research. 1995;37(3):294-302. 47. De Rogalski Landrot I., Roche F., Pichot V., et al. Autonomic nervous system activity in premature and term infants from theoretical term to 7 years. Autonomic Neuroscience-Basic & Clinical. 2007;136(1-2):105-109. 48. Haley D. W., Stansbury K. Infant stress and parent responsiveness: regulation of physiology and behavior during still-face and reunion. Child Development. 2003;74(5):1534-1546. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/45605 | - |
| dc.description.abstract | Purpose: This study was aimed to examine the effectiveness of early intervention for very low birth weight (VLBW, birth weight <1,500 g) preterm infants in mother-infant feeding interaction at 4 and 6 months corrected age. Methods: This study enrolled 62 term infants and 179 VLBW infants that the latter were randomly assigned into usual care program (UCP), clinic-based intervention program (CBIP) and home-based intervention (HBIP) group. Mother-infant dyads feeding activity were examined using the Assessment of Mother Infant Sensitivity- Chinese version (AMIS-C). Infants’ heart rate variability (HRV) was assessed using an electrocardiography at 4 and 6 months corrected age. Results: For interactive behavior, the CBIP group showed significantly higher maternal scores on the AMIS-C than the HBIP at 4 and 6 months corrected age (p = 0.004); whereas, the infant, dyadic and total scores of all groups were comparable. As for the physiological response, all groups showed similar HRV at baseline and during feeding at 6 months corrected age. Furthermore, a higher AMIS-C dyadic and total score on at 4 months were associated with a smaller change in some HRV indices from baseline to feeding at 6 months in all groups (all r=-0.16, p<0.05). A higher AMIS-C maternal and total score on at 6 months was each associated with a smaller change in some HRV indices from baseline to feeding at 6 months (r=-0.20 to -0.16, all p<0.05). Conclusion: VLBW preterm dyads showed comparable interactive behavior and infant’s heart rate variable than term dyads during feeding at 4 and 6 months corrected age. Early intervention delivered at clinic visit was more beneficial than that delivered at home in altering maternal feeding behavior during the follow-up period. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T04:29:56Z (GMT). No. of bitstreams: 1 ntu-98-R96428001-1.pdf: 571231 bytes, checksum: 356f9367f6e56c5b83b09b3f5fc85e48 (MD5) Previous issue date: 2009 | en |
| dc.description.tableofcontents | Content
口試委員會審定書......................................І 誌謝..................................................І І Acknowledgments ......................................І І І Part I: Reliability and Responsiveness of the Assessment of Mother-Infant Sensitivity- Chinese version when Used on Preterm and Term Taiwanese Mother-Infant Dyads Abstract..............................................i 1. Introduction.......................................1 1.1 Background .......................................1 1.2 Purposes..........................................2 2. Methods............................................2 2.1 Participants......................................2 2.2 Testing Procedure and Instrument..................3 2.3 Statistical Analysis..............................5 3. Results ...........................................6 3.1 Intra- and Inter-Rater Reliability of AMIS-C .....6 3.2 Internal Consistency of AMIS-C ...................7 3.3 Comparison of AMIS-C Individual Section and Total Score between Term and Preterm Dyads .......................8 3.4 Responsiveness of AMIS-C..........................8 4. Discussion.........................................8 4.1 Intra- and Inter-Rater Reliability of the AMIS-C..8 4.2 Internal Consistency of the AMIS-C................9 4.3 Responsiveness of the AMIS-C .................... 11 4.4 Study Limitations and Future Study................12 4.5 Conclusion .......................................12 References............................................14 Table 1. Intra-and inter-rater reliability for the section and total scores of the AMIS-C........................17 Table 2. Internal consistency of the AMIS-C section and total scores for term and preterm dyads ..............18 Table 3. Illustration of AMIS-C section and total score for term and preterm dyads................................19 Part II: Early Intervention for Very Low Birth Weight Preterm Infants: Effects on Interactive Behavior and Heart Rate Variability in Feeding Abstract..............................................i 1. Introduction.......................................1 1.1 Background .......................................1 1.2 Purposes and Hypotheses...........................4 2. Methods............................................5 2.1 Subjects .........................................5 2.2 Intervention Modalities ..........................6 2.2.1 Control Groups .................................6 2.2.2 Experimental Groups ............................6 2.3 Testing Procedure and Instrument..................7 2.4 Measures .........................................7 2.4.1 Assessment of Mother Infant Sensitivity- Chinese Version...............................................7 2.4.2 Heart Rate Variability .........................8 2.5 Statistical Analysis..............................10 3. Results .......................................... 11 3.1 Sample Characteristics........................... 11 3.2 Assessment of Mother Infant Sensitivity- Chinese Version.............................................. 11 3.3 Infants’ Heart Rate Variability .................12 3.4 Relations between the AMIS-C scores and infants’ HRV indices...............................................14 4. Discussion.........................................14 4.1 Mother-infant interactive behavior during feeding.14 4.2 Infants’ HRV during feeding......................15 4.3 Relations of mother-infant interactive behavior with infants’ HRV ........................................17 4.4 Conclusion .......................................18 References............................................18 Table 1. Perinatal and demographic characteristics of term and preterm groups....................................25 Table 2. A comparison of the infant characteristics and demographic data between those dyads who returned at both ages and those who missed either one age..............27 Table 3. Illustration of the AMIS-C section and total scores for term and preterm dyads returned at corrected ages 4 and/or 6 months................................29 Table 4. Illustration of the AMIS-C section and total scores for term and preterm dyads returned at both corrected ages 4 and 6 months.........................30 Table 5. Illustration of the HRV indices for term and preterm groups at corrected age 6 months..............31 Table 6. Illustration of change of infants’ HRV from baseline to feeding for term and preterm groups at 6 months CA....................................................32 Table 7. Relations of the AMIS-C section and total scores at 6 months CA with the change of infants’ HRV indices from baseline to feeding at 6 months CA in all infants (N=155) ..............................................33 Table 8. Relations of the AMIS-C section and total scores at 6 months CA with the change of infants’ HRV indices from baseline to feeding at 6 months CA in term infants (N=35) ...............................................34 Table 9. Relations of the AMIS-C section and total scores at 6 months CA with the change of infants’ HRV from baseline to feeding at 6 months CA in preterm infants (N=120) ..............................................35 Table 10. Relations of the AMIS-C section and total scores at 4 months CA with the change of infants’ HRV from baseline to feeding at 6 months CA in all infants (N=149)...............................................36 Table 11. Relations of the AMIS-C section and total scores at 4 months CA with the change of infants’ HRV indices from baseline to feeding at 6 months CA in term infants (N=31) ...............................................37 Table 12. Relations of the AMIS-C section and total scores at 4 months CA with the change of infants’ HRV indices from baseline to feeding at 6 months CA in preterm infants (N=116)...............................................38 | |
| dc.language.iso | en | |
| dc.subject | 極低出生體重 | zh_TW |
| dc.subject | 心跳變異率 | zh_TW |
| dc.subject | 親子互動 | zh_TW |
| dc.subject | 早期介入 | zh_TW |
| dc.subject | 早產兒 | zh_TW |
| dc.subject | Mother-infant interaction | en |
| dc.subject | Very Low Birth Weight | en |
| dc.subject | Responsiveness | en |
| dc.subject | Reliability | en |
| dc.subject | Assessment | en |
| dc.subject | Heart rat variability | en |
| dc.subject | Early intervention | en |
| dc.subject | Preterm | en |
| dc.title | 早期介入計劃對於極低出生體重早產兒餵奶時之互動行為與心跳變異性效果 | zh_TW |
| dc.title | Early Intervention for Very Low Birth Weight Preterm Infants: Effects on Interactive Behavior and Heart Rate Variability in Feeding | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 97-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 謝武勳,許瓊心,林亮宇,許惠瑾 | |
| dc.subject.keyword | 極低出生體重,早產兒,早期介入,親子互動,心跳變異率, | zh_TW |
| dc.subject.keyword | Mother-infant interaction,Assessment,Reliability,Responsiveness,Very Low Birth Weight,Preterm,Early intervention,Heart rat variability, | en |
| dc.relation.page | 38 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2009-08-20 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 物理治療學研究所 | zh_TW |
| 顯示於系所單位： | 物理治療學系所 | |
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