Child Health Nurs Res.  2016 Jul;22(3):199-206. 10.4094/chnr.2016.22.3.199.

Prospective Study on the Factors Related to Premature Infant's Development at Six-Months

• Bang KS
• Kang HJ
• Lee B
• Kwon MK

• KMID: 2345691
• DOI: http://doi.org/10.4094/chnr.2016.22.3.199

Abstract

PURPOSE
This study was conducted to monitor the development of Korean premature infant at six-month age and to explore factors related to developmental status of the premature infants.
METHODS
Participants were 58 premature infants whose corrected age was six-months old and their mothers. The developmental states of infants were followed-up with the Korean Prescreening Developmental Questionnaire (KPDQ-II). Clinical characteristics of the infants were identified from the medical records. Other characteristics including Edinburgh Postnatal Depression Scale, husband's support, social support, and mother-infant attachment were assessed using self-report questionnaires from the mothers.
RESULTS
Forty three percent of the infants were in the group of questionable status of development on the KPDQ-II. There were significant differences between the premature infants with normal developmental status and those with questionable developmental status depending on gender (χ2=5.03, p=.034), gestational age (t=2.59, p=.012), hospital stay (t=-2.08, p=.042), revised Neurobiologic Risk Score (t=-3.05, p=.004) and mother-infant attachment score (t=2.12, p=.040).
CONCLUSION
Mother-infant attachment, as well as physiological state of premature infants, is an important variable in early development. Therefore, early monitoring for the development has to be done for physiologically vulnerable premature groups. Also, providing proper nursing support to improve maternal attachment needs to be considered.

Keyword

Premature infant; Development; Mothers; Attachment

MeSH Terms

Depression, Postpartum
Female
Gestational Age
Humans
Infant
Infant, Newborn
Infant, Premature
Length of Stay
Medical Records
Mothers
Nursing
Prospective Studies*