10岁时有新生儿戒断综合征史的儿童的因素:来自母亲生活方式研究的证据

IF 1.2 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing Pub Date : 2021-09-01 DOI:10.1111/jspn.12358

Jennifer Shearer Miller PhD, RN, Joel G. Anderson PhD, CHTP, FGSA

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引用次数: 3

摘要

目的很少有研究探讨产前物质暴露和当前家庭环境对新生儿戒断综合征(NAS)患儿神经发育健康的影响。本研究旨在描述有NAS病史的儿童10岁时的产前暴露、家庭环境和神经发育健康状况。设计与方法本研究采用回顾性、描述性设计，使用来自“产妇生活方式研究”的数据。进行描述性分析。本研究共纳入234名有NAS病史的儿童。根据社会生态模型选择的变量包括产前暴露、家庭环境和神经发育健康结果。结果在该样本中，大多数儿童为男性(63%)，产前多物质暴露(80%)。大多数人生活在发生药物使用的家庭中(68%)。儿童有认知发育异常(26%)、语言障碍(24%)、学习障碍(23%)和行为发育异常(16%)。本研究扩展了对5岁以上有NAS病史的儿童的描述。儿科护士可以确保有NAS病史的儿童接受10岁及以上的神经发育筛查。

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Factors in children with a history of neonatal abstinence syndrome at 10 years of age: Evidence from the maternal lifestyle study

Purpose

Few studies have addressed the impact of prior prenatal substance exposure and current household environment on neurodevelopmental health in children with a history of neonatal abstinence syndrome (NAS). This study aimed to describe the prenatal exposures, household environment, and neurodevelopmental health at 10 years of age among children with a history of NAS.

Design and Methods

This study was a retrospective, descriptive design using data from the Maternal Lifestyle Study. Descriptive analyses were conducted. A total of 234 children with a history of NAS were included in this study. Variables selected based on the socio-ecological model included prenatal exposures, household environment, and neurodevelopmental health outcomes.

Results

In this sample, most children were male (63%) with prenatal polysubstance exposure (80%). The majority lived in a home where substance use occurred (68%). Children experienced abnormal cognitive development (26%), language disorders (24%), learning disorders (23%), and abnormal behavioral development (16%).

Implications

This study extends the description of children with a history of NAS beyond 5 years of age. Pediatric nurses can ensure that children with a history of NAS receive neurodevelopmental screening up to and beyond 10 years of age.

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.