AIM To investigate the effect of different neonatal risk factors on different language parameters as well as cognitive abilities among Arabic speaking Egyptian children at the age of two to three years of life and to ...AIM To investigate the effect of different neonatal risk factors on different language parameters as well as cognitive abilities among Arabic speaking Egyptian children at the age of two to three years of life and to find out which risk factor(s) had the greatest impact on language and cognitive abilities.METHODS This retrospective cohort study was conducted on 103 children with age range of 2-3 years(median age 31 mo).They were 62 males and 41 females who were exposed to different high-risk factors in the perinatal period,with exclusion of metabolic disorders,sepsis/meningitis,congenital anomalies and chromosomal aberrations.The studied children were subjected to a protocol of language assessment that included history taking,clinical and neurological examination,audiological evaluation,assessment of language using modified preschool language scale-4,IQ and mental age assessment and assessment of social age.RESULTS The studied children had a median gestational age of 37 wk,median birth weight of 2.5 kg.The distribution of the high-risk factors in the affected children were prematurity in 25 children,respiratory distress syndromein 25 children,hypoxic-ischemic encephalopathy in 15 children,hyperbilirubinemia in 10 children,hypoglycemia in 13 children,mixed risk factors in 15 children.The results revealed that high-risk neonatal complications were associated with impairment of different language parameters and cognitive abilities(P < 0.05).The presence of prematurity,in relation to other risk factors,increases the risk of language and cognitive delay significantly by 3.9 fold.CONCLUSION Arabic-speaking children aged 2-3 years who were exposed to high-risk conditions in the perinatal period are likely to exhibit delays in the development of language and impairments in cognitive abilities.The most significant risk factor associated with language and cognitive impairments was prematurity.展开更多
To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to ...To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to pass the universal newborn hearing screening （UNHS） were referred to Jinan Newborn Hearing Screening and Rehabilitation Center from 7 newborn hearing screening centers in seven cities of Shandong province. One-to-one pair-matched case-control method was employed for statistical analysis of the basic features of definitely identified cases. High-risk factors relating to the bilateral hearing loss were evaluated by univariate and multivariate Logistic regression analysis. Our results revealed that 721 transferred newborns who didn＇t pass the heating screening received audiological and medical evaluation and 367 were confirmed to have hearing loss. Of them, 177 neonates with hearing loss who met the matching requirements were included in the study as subjects. Univariate analysis showed that high-risk factors related to hearing loss incuded age of father, education backgrounds of parents, parity, birth weight, gestational weeks, craniofacial deformity, history of receiving treatment in neonatal intensive care unit （NICU）, neonatal disease, family history of otopathy and family history of congenital hearing loss. Multivariate Logistic regression analysis revealed that 4 independent risk factors were related to bilateral hearing loss, including parity （OR=16.285, 95% CI 3.379--78,481）, neonatal disease （OR=34;968, 95% CI 2.720 449.534）, family history of congenital hearing loss （OR=69.488, 95% CI 4.417--1093.300） and birth weight （OR=0.241, 95% CI 0.090--0.648）. It is concluded that parity, neonatal disease and family history of heating loss are the promoting factors of bilateral hearing loss in neonates and appropriate intervention measures should be taken to deal with the risk factors.展开更多
目的探讨改良早期预警评分(modified early warning score,MEWS)联合SBAR[现状(situation)、背景(background)、评估(assessment)、建议(recommendation)]沟通模式在高危新生儿中的应用效果,为临床提供一种有效评估患儿病情变化的沟通...目的探讨改良早期预警评分(modified early warning score,MEWS)联合SBAR[现状(situation)、背景(background)、评估(assessment)、建议(recommendation)]沟通模式在高危新生儿中的应用效果,为临床提供一种有效评估患儿病情变化的沟通方法。方法采用前-后对照研究方法,选取2022年8月至9月入住本院新生儿科病房的高危新生儿270例作为研究对象。以8月入院的高危新生儿为对照组,9月入院的高危新生儿作为试验组,每组分别纳入135例患儿。对照组患儿按照常规护理实施病情观察,试验组患儿在对照组基础采用MEWS联合SBAR沟通模式实施病情观察。比较两组高危新生儿预警事件发生情况,护士预警事件与医生处理事件的一致率,医生对护士工作的满意率。结果两组均完成研究。对照组中63.6%的预警事件是由护士发现,试验组中92.6%的预警事件是由护士发现,两组比较,差异具有统计学意义(χ2=16.622,P<0.001)。试验组护士预警事件与医生处理事件的一致性(Kappa系数=0.926)高于对照组(Kappa系数=0.641);试验组医生对护士在专科知识、抢救应急能力、掌握病情情况、及时观察病情变化、医护配合、工作积极性、沟通能力、心理素质方面的满意率均高于对照组(80.0%~95.0%v30.0%~55.0%),两组比较,差异具有统计学意义(均P<0.05)。结论MEWS与SBAR沟通模式联合应用,有助于护士准确评估患儿病情变化,及时有效完成医护沟通,提高护士观察、沟通和处理能力,也提高了医生对护士工作的满意度。展开更多
文摘AIM To investigate the effect of different neonatal risk factors on different language parameters as well as cognitive abilities among Arabic speaking Egyptian children at the age of two to three years of life and to find out which risk factor(s) had the greatest impact on language and cognitive abilities.METHODS This retrospective cohort study was conducted on 103 children with age range of 2-3 years(median age 31 mo).They were 62 males and 41 females who were exposed to different high-risk factors in the perinatal period,with exclusion of metabolic disorders,sepsis/meningitis,congenital anomalies and chromosomal aberrations.The studied children were subjected to a protocol of language assessment that included history taking,clinical and neurological examination,audiological evaluation,assessment of language using modified preschool language scale-4,IQ and mental age assessment and assessment of social age.RESULTS The studied children had a median gestational age of 37 wk,median birth weight of 2.5 kg.The distribution of the high-risk factors in the affected children were prematurity in 25 children,respiratory distress syndromein 25 children,hypoxic-ischemic encephalopathy in 15 children,hyperbilirubinemia in 10 children,hypoglycemia in 13 children,mixed risk factors in 15 children.The results revealed that high-risk neonatal complications were associated with impairment of different language parameters and cognitive abilities(P < 0.05).The presence of prematurity,in relation to other risk factors,increases the risk of language and cognitive delay significantly by 3.9 fold.CONCLUSION Arabic-speaking children aged 2-3 years who were exposed to high-risk conditions in the perinatal period are likely to exhibit delays in the development of language and impairments in cognitive abilities.The most significant risk factor associated with language and cognitive impairments was prematurity.
基金This project is supported by a grant from the National Natural Sciences Foundation (No. 30100207)a grant from the Top Ten Scientific Research Programs of Shandong Province (No. 2004GG3202003)
文摘To investigate the high-risk factors for newborn hearing loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to pass the universal newborn hearing screening （UNHS） were referred to Jinan Newborn Hearing Screening and Rehabilitation Center from 7 newborn hearing screening centers in seven cities of Shandong province. One-to-one pair-matched case-control method was employed for statistical analysis of the basic features of definitely identified cases. High-risk factors relating to the bilateral hearing loss were evaluated by univariate and multivariate Logistic regression analysis. Our results revealed that 721 transferred newborns who didn＇t pass the heating screening received audiological and medical evaluation and 367 were confirmed to have hearing loss. Of them, 177 neonates with hearing loss who met the matching requirements were included in the study as subjects. Univariate analysis showed that high-risk factors related to hearing loss incuded age of father, education backgrounds of parents, parity, birth weight, gestational weeks, craniofacial deformity, history of receiving treatment in neonatal intensive care unit （NICU）, neonatal disease, family history of otopathy and family history of congenital hearing loss. Multivariate Logistic regression analysis revealed that 4 independent risk factors were related to bilateral hearing loss, including parity （OR=16.285, 95% CI 3.379--78,481）, neonatal disease （OR=34;968, 95% CI 2.720 449.534）, family history of congenital hearing loss （OR=69.488, 95% CI 4.417--1093.300） and birth weight （OR=0.241, 95% CI 0.090--0.648）. It is concluded that parity, neonatal disease and family history of heating loss are the promoting factors of bilateral hearing loss in neonates and appropriate intervention measures should be taken to deal with the risk factors.
文摘目的探讨改良早期预警评分(modified early warning score,MEWS)联合SBAR[现状(situation)、背景(background)、评估(assessment)、建议(recommendation)]沟通模式在高危新生儿中的应用效果,为临床提供一种有效评估患儿病情变化的沟通方法。方法采用前-后对照研究方法,选取2022年8月至9月入住本院新生儿科病房的高危新生儿270例作为研究对象。以8月入院的高危新生儿为对照组,9月入院的高危新生儿作为试验组,每组分别纳入135例患儿。对照组患儿按照常规护理实施病情观察,试验组患儿在对照组基础采用MEWS联合SBAR沟通模式实施病情观察。比较两组高危新生儿预警事件发生情况,护士预警事件与医生处理事件的一致率,医生对护士工作的满意率。结果两组均完成研究。对照组中63.6%的预警事件是由护士发现,试验组中92.6%的预警事件是由护士发现,两组比较,差异具有统计学意义(χ2=16.622,P<0.001)。试验组护士预警事件与医生处理事件的一致性(Kappa系数=0.926)高于对照组(Kappa系数=0.641);试验组医生对护士在专科知识、抢救应急能力、掌握病情情况、及时观察病情变化、医护配合、工作积极性、沟通能力、心理素质方面的满意率均高于对照组(80.0%~95.0%v30.0%~55.0%),两组比较,差异具有统计学意义(均P<0.05)。结论MEWS与SBAR沟通模式联合应用,有助于护士准确评估患儿病情变化,及时有效完成医护沟通,提高护士观察、沟通和处理能力,也提高了医生对护士工作的满意度。
