早产儿发育过程中的情感接触:早产儿发育过程中的情感抚触:神经生物学机制及其对儿童-护理者依恋和新生儿护理的影响》(Neurobiological Mechanisms and Implications for Child-Caregiver Attachment and Neonatal Care.

IF 2 4区 医学 Q2 PEDIATRICS
Valentina Lucia La Rosa, Alessandra Geraci, Alice Iacono, Elena Commodari
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引用次数: 0

摘要

背景/目的:情感触觉对婴儿的发育至关重要,尤其是在调节情感、认知和生理过程方面。早产儿由于过早暴露于外部环境,往往无法获得必要的触觉刺激,这可能会影响长期的发育结果。本综述旨在研究情感触觉的神经生物学机制,并强调有效的干预措施,如皮肤接触(SSC)和袋鼠式护理(KC),以促进早产儿的发育:本综述总结了近期有关情感触觉、C-触觉纤维的作用以及新生儿护理中触觉干预效果的文献研究。所选研究基于其与早产儿护理和发育的相关性,重点关注生理和神经发育结果。讨论了包括SSC和按摩疗法在内的主要干预措施在新生儿重症监护室(NICU)中的有效性:结果:研究结果表明,情感抚触主要是通过激活触觉C纤维来改善早产儿与护理人员之间的关系、减少应激反应并促进早产儿的神经发育。SSC和KC等干预措施也被证明能改善这些婴儿的生理调节,包括心率、呼吸和体温控制,同时促进情绪调节和认知发展:结论:情感抚触是婴儿早期发育的一个重要组成部分,对于入住新生儿重症监护室的早产儿尤其如此。将SSC和KC等触觉干预措施整合到新生儿护理实践中可能会显著改善长期发育结果。未来的研究应探索情感触觉的表观遗传学机制,并进一步完善触觉干预措施,以优化新生儿护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Affective Touch in Preterm Infant Development: Neurobiological Mechanisms and Implications for Child-Caregiver Attachment and Neonatal Care.

Background/objectives: Affective touch is crucial in infant development, particularly in regulating emotional, cognitive, and physiological processes. Preterm infants are often deprived of essential tactile stimulation owing to their early exposure to the external environment, which may affect long-term developmental outcomes. This review aimed to examine the neurobiological mechanisms of affective touch and highlight effective interventions, such as skin-to-skin contact (SSC) and kangaroo care (KC), to promote development in preterm infants.

Methods: This review summarizes recent studies in the literature on affective touch, the role of C-tactile fibers, and the effects of tactile interventions in neonatal care. Studies were selected based on their relevance to the care and development of preterm infants, with a focus on physiological and neurodevelopmental outcomes. Key interventions, including SSC and massage therapy, are discussed in relation to their effectiveness in the neonatal intensive care unit (NICU).

Results: The results suggest that affective touch, mainly through activation of tactile C-fibers, improves caregiver-infant bonding, reduces stress responses, and supports neurodevelopment in preterm infants. Interventions such as SSC and KC have also been shown to improve physiological regulation in these infants, including heart rate, breathing, and temperature control while promoting emotional regulation and cognitive development.

Conclusions: Affective touch is a key component of early development, particularly in preterm infants admitted to the NICU. Integrating tactile interventions such as SSC and KC into neonatal care practices may significantly improve long-term developmental outcomes. Future research should explore the epigenetic mechanisms underlying affective touch and further refine tactile interventions to optimize neonatal care.

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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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