Prematüre Bebeklere Yönelik Erken Müdahale Çalışmalarına İlişkin Tarama Çalışması

Year 2025, , 115 - 124, 31.01.2025

Özlem Gözün Kahraman , Elif Sultan Özdemir

https://doi.org/10.61399/ikcusbfd.1238230

Abstract

Sonuç: Ülkemizde de prematüre bebeklere yönelik erken müdahale çalışmalarının çoğaltılması, prematüre bebeklere yönelik erken müdahale çalışmalarının hastane ve ev merkezli olması, erken müdahale çalışmalarına ailelerin dahil edilmesi ve aile eğitimlerinin çalışmaların merkezinde yer alması gerektiği düşünülmektedir. Amaç: Bu araştırmanın genel amacı yurtiçinde ve yurtdışında 2015-2020 yılları arasında prematüre bebeklere yönelik erken müdahale çalışmalarının incelenmesidir. Bu genel amaç doğrultusunda prematüre bebeklere yönelik erken müdahale programının konuları, müdahale odakları, sonuçları, nerede uygulandığı, müdahale bileşenleri incelenmiştir. Gereç ve Yöntem: Bu araştırma betimsel nitelikte olup doküman incelemesi yöntemiyle gerçekleştirilmiştir. Makale seçimlerinde; prematüre bebeklere yönelik olması, yurtiçi ve yurtdışında 2015-2020 yılları arasında yapılmış olması, çalışmaların sonuçlandırılmış olması, ingilizce veya türkçe dilinde olması ve deneysel çalışmalar olması öncelikli tarama ölçütü olarak belirlenmiştir. Bunun yanı sıra çalışmada yer verilen araştırmalar, Web of Science, Ebsco, Google Scholar ve Pubmed veritabnaları kullanılarak seçilmiştir.
Bulgular: Araştırmada yer verilen 27 çalışmanın 23’ü uluslararası ve 4 çalışmanın ise ulusal çalışma olduğu, konu dağılımında en fazla “motor müdahale” çalışmalarına yer verildiği, çalışmalarda “bebek”lerin en fazla müdahale odağı olduğu, “bebek destek/terapi ve aile eğitimi/desteği” en fazla müdahale bileşeni olduğu, erken müdahale uygulamalarının en fazla “hastane”de uygulandığı ve çoğunluğunun pozitif etki gösterdiği belirlenmiştir.
Sonuç: Ülkemizde de prematüre bebeklere yönelik erken müdahale çalışmalarının çoğaltılması, prematüre bebeklere yönelik erken müdahale çalışmalarının hastane ve ev merkezli olması, erken müdahale çalışmalarına ailelerin dahil edilmesi ve aile eğitimlerinin çalışmaların merkezinde yer alması gerektiği düşünülmektedir.

Keywords

Prematüre bebek, erken müdahale, erken doğum

Screening Study on Early Intervention Studies for Premature Babies

Abstract

Objective: The general purpose of this study is to examine the early intervention studies for premature babies between 2015 and 2020 in Turkey and abroad. In line with this general purpose, the subjects of the early intervention program for premature babies, intervention focuses, results, where it isapplied, and intervention components were examined.
Material and Method: This research is descriptive and was carried out using a document analysis method. In the article selection, the primary screening criteria are that it is intended for premature babies, that it was conducted in Turkey and abroad between 2015-2020, that the studies have been completed, that they are in English or Turkish, and that there are experimental studies. In addition, included articles were selected usingWeb of Science, Ebsco, Google Scholar, and Pubmed databases.
Results: It was determined that 23 of the 27 studies included in the research are international, and four studies are national. The distribution of subjects showed that most studies focused on “motor intervention”. The primary intervention focus in the studies was on "babies"; and the most used intervention component was“baby support/therapy and family education/support” has been determined that early intervention applications are mostly applied in the“hospital" and the majority of these programs have a positive effect.
Conclusion: In our country, it is thought that the early intervention studies for premature babies should be increased, early intervention studies for premature babies should be hospital and home-centered, families should be included in early intervention studies, and family training should be at the center of the studies.

Keywords

Preterm infants, early intervention, premature birth

References

• who.int [Internet] Switzerland: World Health Organisation; 2018 [Cited 2022 Jan 10]. Available from: http://www.who.int/news-room/ fact-sheets/detail/preterm-birth.
• Doyle LW, Victorian Infant Collaborative Study Group. Evaluation of neonatal intensive care for extremely low birth weight infants in Victoria over two decades: I. Effectiveness. Pediatrics. 2004 Apr;113(3):505-9.
• Peterson NL. Early intervention for handicapped and at-risk children. London: Love Publishing Company; 1998. 575p.
• Aytekin C, Bayhan P. Erken mudahalede uygulama basamakları. Hacettepe Universitesi Sağlık Bilimleri Fakultesi Dergisi. 2015 Aug;2(2):1-14.
• Keilty B. The early ıntervention guidebook for families and professionals: partnering for success. New York: Teachers College Press; 2010. 184p.
• Als H. Newborn individualized developmental care and assessment program (NIDCAP): new frontier for neonatal and perinatal medicine. J Neonatal Perinatal Med. 2009 Apr-Jun;2(3):135–47.
• Borghini A, Habersaat S, Forcada-Guex M, Nessi J, Pierrehumbert B, Ansermet F, et al. Effects of an early intervention on maternal posttraumatic stress symptoms and the quality of mother-infant interaction: the case of preterm birth. Infant Behav Dev. 2014;37(4):624-31.
• Landry SH, Smith KE, Swank PR. Responsive parenting: establishing early foundations for social, communication, and independent problem-solving skills. Dev Psychol. 2006 Jul;42(4):627-42.
• Ainsworth MDS, Blehar MC, Waters E, Wall S. Patterns of attachment: A psychological study of the strange situation. Newyork: Psychology Press; 2015. 466p.
• Vanderveen JA, Bassler D, Robertson CM, Kirpalani H. Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: a meta-analysis. J Perinatol. 2009 May;29(5):343–51.
• Als H, Lawhon G, Duffy FH, McAnulty GB, Gibes-Grossman R, Blickman JG. Individualized developmental care for the very low-birthweight preterm infant: medical and neurofunctional effects. JAMA. 1994 Sep;272(11):853-8.
• Conde-Agudelo A, Belizan JM, Diaz-Rossello J. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Syst Rev. 2011 Mar 16;(3):CD002771.
• Field T. Postpartum depression effects on early interactions, parenting, and safety practices: a review. Infant Behav Dev. 2010 Feb;33(1):1-6.
• Caskey M, Stephens B, Tucker R, Vohr B. Adult talk in the NICU with preterm infants and developmental outcomes. Pediatrics. 2014 Mar;133(3):e578-84.
• Ohlsson A, Jacobs SE. NIDCAP: a systematic review and meta-analyses of randomized controlled trials. Pediatrics. 2013 Mar;131(3):e881-93.
• Berger SP, Holt-Turner I, Cupoli JM, Mass M, Hageman JR. Caring for the graduate from the neonatal intensive care unit: at home, in the office, and in the community. Pediatr Clin North Am. 1998 Jun;45:701–
• Orton J, Spittle A, Doyle L, Anderson P, Boyd R. Do early intervention programmes improve cognitive and motor outcomes for preterm infants after discharge? A systematic review. Dev Med Child Neurol. 2009 Nov;51(11):851-9.
• Spittle A, Orton J, Anderson PJ, Boyd R, Doyle LW. Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants. Cochrane Database Syst Rev. 2015 Nov 24;2015(11):CD005495.
• Grissmer D, Grimm KJ, Aiyer SM, Murrah WM, Steele JS. Fine motor skills and early comprehension of the world: two new school readiness indicators. Dev Psychol. 2010 Sep; 46(5):1008–17.
• Piek JP, Dawson L, Smith LM, Gasson N. The role of early fine and gross motor development on later motor and cognitive ability. Hum Mov Sci. 2008 Oct;27(5):668–81.
• Erdiller Yatmaz BZ. Erken cocukluk eğitiminde temel kuram ve yaklaşımlar. In: Diken İH, editor. Erken cocukluk eğitimi. Ankara: Pegem Akademi; 2010. p. 56-90.
• Rafe E. Dışa yonelim problemleri olan okuloncesi cocukları hedef alan mudahale programlarının meta-analizi ve Turk okuloncesi cocuklara yönelik bir mudahale programı [master’s thesis]. [İstanbul]: Koc Universitesi; 2006. 235p.
• The long term effects of high quality early childhood intervention programs. [Minibibliography]. 2005. Available from: https://ectacenter. org/~pdfs/pubs/econbene.pdf
• Benefits, costs, and explanation of the High/Scope Perry Preschool Program. [Reports- Speeches/Meeting Papers] 2003. Available from: https://files.eric.ed.gov/fulltext/ED475597.pdf
• Kiral B. Nitel bir veri analizi yontemi olarak dokuman analizi. Siirt Universitesi Sosyal Bilimler Enstitusu Dergisi. 2020; 8(15):170-189.
• King WR, He J. Understanding the role and methods of meta-analysis in IS research. Commun Assoc Inf Syst. 2005;16(1):32.
• Yıldırım A, Şimşek H. Sosyal Bilimlerde Nitel Araştırma Yontemleri (10. Baskı). Ankara: Seckin Yayıncılık; 2016. 446p.
• Fjortoft T, Ustad T, Follestad T, Kaaresen PI, Oberg GK. Does a parentadministrated early motor intervention influence general movements and movement character at 3 months of age in infants born preterm? Early Hum Dev. 2017 Sep;112:20-4.
• Akhbari Ziegler S, von Rhein M, Meichtry A, Wirz M, Hielkema T, Hadders- Algra M; Swiss Neonatal Network & Follow-Up Group. The Coping with and Caring for Infants with Special Needs intervention was associated with improved motor development in preterm infants. Acta Paediatr. 2021 Apr;110(4):1189-200.
• Fontana C, Menis C, Pesenti N, Passera S, Liotto N, Mosca F, et al. Effects of early intervention on feeding behavior in preterm infants: A randomized controlled trial. Early Hum Dev. 2018 Jun;121:15-20.
• Oberg GK, Ustad T, Jorgensen L, Kaaresen PI, Labori C, Girolami GL. Parents’ perceptions of administering a motor intervention with their preterm infant in the NICU. Eur J Physiother. 2019 Oct 28;21(3):134-41.
• Spittle AJ, Barton S, Treyvaud K, Molly CS, Doyle LW, Anderson PJ. Schoolage outcomes of early intervention for preterm infants and their parents: a randomized trial. Pediatrics. 2016;138(6):e20161363.
• Sgandurra G, Lorentzen J, Inguaggiato E, Bartalena L, Beani E, Cecchi F, et al. A randomized clinical trial in preterm infants on the effects of a homebased early intervention with the 'CareToy System'. PLoS One. 2017 Mar 22;12(3):e0173521.
• Sgandurra G, Bartalena L, Cecchi F, Cioni G, Giampietri M, Greisen G, et al. A pilot study on early home-based intervention through an intelligent baby gym (CareToy) in preterm infants. Res Dev Disabil. 2016 Jun-Jul;53-54:32-42.
• Colditz PB, Boyd RN, Winter L, Pritchard M, Gray PH, Whittingham K,et al. A Randomized Trial of Baby Triple P for Preterm Infants: Child Outcomes at 2 Years of Corrected Age. J Pediatr. 2019 Jul;210:48-54.e2.
• Welch MG, Firestein MR, Austin J, Hane AA, Stark RI, Hofer MA, et al. Family Nurture Intervention in the Neonatal Intensive Care Unit improves social-relatedness, attention, and neurodevelopment of preterm infants at 18 months in a randomized controlled trial. J Child Psychol Psychiatry. 2015 Nov;56(11):1202-11.
• Goykar P, Kadam N. Effectiveness of early physiotherapy ınterventions for weight gain in low birth weight neonates. JEOH. 2020 Jul 24;20:95-9.
• Evans T, Boyd RN, Colditz P, Sanders M, Whittingham K. Mother-very preterm infant relationship quality: RCT of Baby Triple P. J Child Fam Stud. 2017 Sep 20;26(1):284-95.
• Ma L, Yang B, Meng L, Wang B, Zheng C, Cao A. Effect of early intervention on premature infants’ general movements. Brain Dev. 2015 Apr;37(4):387-93.
• Spittle AJ, Treyvaud K, Lee KJ, Anderson PJ, Doyle LW. The role of social risk in an early preventative care programme for infants born very preterm: a randomized controlled trial. Dev Med Child Neurol. 2018 Jan;60(1):54-62.
• Gabis LV, Hacham-Pilosof K, Yosef OB, Rabinovitz G, Leshem G, Shilon-Hadass A, et al. The influence of a multisensory intervention for preterm infants provided by parents, on developmental abilities and on parental stress levels. J Child Neurol. 2015;30(7):896-903.
• White-Traut RC, Rankin KM, Yoder JC, Liu L, Vasa R, Geraldo V, et al. Influence of H-HOPE intervention for premature infants on growth, feeding progression and length of stay during initial hospitalization. J Perinatol. 2015 Aug;35(8):636-41.
• Medoff-Cooper B, Rankin K, Li Z, Liu L, White-Traut R. Multi-sensory intervention for preterm infants improves sucking organization. Adv Neonatal Care. 2015 Apr;15(2):142-9.
• Van Hus J, Jeukens-Visser M, Koldewijn K, Holman R, Kok JH, Nollet F, et al. Early intervention leads to long-term developmental improvements in very preterm infants, especially infants with bronchopulmonary dysplasia. Acta Paediatr. 2016 Jul;105(7):773-81.
• Dusing SC, Tripathi T, Marcinowski EC, Thacker LR, Brown LF, Hendricks-Munoz KD. Supporting play exploration and early developmental intervention versus usual care to enhance development outcomes during the transition from the neonatal intensive care unit to home: a pilot randomized controlled trial. BMC Pediatr. 2018 Feb 9;18(1):46.
• Ghomi H, Yadegari F, Soleimani F, Knoll BL, Noroozi M, Mazouri The effects of premature infant oral motor intervention (PIOMI) on oral feeding of preterm infants: A randomized clinical trial. Int J Pediatr Otorhinolaryngol. 2019 May;120:202-9.
• Ustad T, Evensen KAI, Campbell SK, Girolami GL, Helbostad J, Jorgensen L, et al. Early parent-administered physical therapy for preterm infants: a randomized controlled trial. Pediatrics. 2016 Aug;138(2):e20160271.
• Yu YT, Huang WC, Hsieh WS, Chang JH, Lin CH, Hsieh S, et al. Family-centered care enhanced neonatal neurophysiological function in preterm infants: Randomized controlled trial. Phys Ther. 2019 Dec 16;99(12):1690-702.
• Castel S, Creveuil C, Beunard A, Blaizot X, Proia N, Guillois B. Effects of an intervention program on maternal and paternal parenting stress after preterm birth: a randomized trial. Early Hum Dev 2016 Dec;103:17-25.
• Li XL, Liu Y, Liu M, Yang CY, Yang QZ. Early premature infant oral motor intervention improved oral feeding and prognosis by promoting neurodevelopment. Am J Perinatol. 2020 May;37(6):626-32.
• Doğan N, Yıldız Bıcakcı M. Premature bebeğin gelişiminde aile merkezli, etkileşimli erken mudahale programının etkisi. Uluslar arası Aile Cocuk ve Eğitim Dergisi. 2018;6(16):21-48.
• Cetin Camkıran Z, Baysal SU. Sağlığı geliştiren hastanede preterm yenidoğan sağlığı: doğum sonrası eğitimin cocuk bakımına etkisi. Cocuk Dergisi. 2019;19(3):148-57.
• Karakoc Gecici A, Geckil E. Kanguru bakımının premature bebek annelerinin emzirme ozyeterlilik duzeyi ve emzirme başarısına etkisi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020;23(4): 516-26.
• Pekcetin S, Akı E, Ustunyurt Z, Kayıhan H. The efficiency of sensory inegration interventions in preterm infants. Percept Mot Skills. 2016 Oct;123(2):411-23.
• Benzies KM, Magill-Evans JE, Hayden KA, Ballantyne M. Key components of early intervention programs for preterm infants and their parents: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2013;13 Suppl 1(Suppl 1):S10.
• Meisels SJ, Dichtelmiller M, Liaw FR. A multidimensional analysis of early childhood intervention programs. In: Zeanah C, editor. Handbook of Infant Health. New York: Guilford Press; 1993. p. 361-85.
• Sameroff AJ, Fiese BH Transactional regulation and early intervention. In: Meisels SJ, Shonkoff JP, editors. Handbook of Early Childhood Intervention. New York: Cambridge University Press; 1990. p. 119-49.
• Lotzin A, Lu X, Kriston L, Schiborr J, Musal T, Romer G, et al. Observational tools for measuring parent-infant interaction: a systematic review. Clin Child Fam Psychol Rev. 2015 Jun;18(2):99-132.
• Topping K, Dekhinet R, Zeedyk S. Parent-infant interaction and children’s language development. Educational Psychology. 2013;33(4):391-426.
• Baker B, McGrath JM. Maternal-infant synchrony: An integrated review of the literature. Neonatal, Paediatr Child Health Nurs. 2011 Nov;14(3):2-13.
• Forcada-Guex M, Borghini A, Pierrehumbert B, Ansermet F, Muller- Nix C. Prematurity, maternal posttraumatic stress and consequences on the mother-infant relationship. Early Hum Dev. 2011 Jan;87(1):21-6.
• Kaiser AP. Parent-implemented language intervention: An environmental system perspective. In: Kaiser AP, Gray DB, editors. Enhancing Children's Communication: Research Foundations For Intervention. Baltimore, Maryland: Paul H. Brookers Publishing; 1993. p. 63-84.
• Buschmann A, Jooss B, Rupp A, Feldhusen F, Pietz J, Philippi H. Parentbased language intervention for 2-year-old children with specific expressive language delay: A randomised controlled trial. Arch Dis Child. 2009 Feb;94(2):110-6.
• Osborne S. Early intervention of parent-infant interactions in preterm infants: A systematic review. [dissertation on the internet] Australia: Edith Cowan University; 2015. [Cited 2021 Feb 18] Available from: https://ro.ecu.edu.au/theses_hons/1483/
• Puthussery S, Chutiyami M, Tseng PC, Kilby L, Kapadia J. Effectiveness of early intervention programs for parents of preterm infants: a metareview of systematic reviews. BMC Pediatr. 2018 Jul 9;18(1):223.
• Ryckman J, Hilton C, Rogers C, Pineda R. Sensory processing disorder in preterm infants during early childhood and relationships to early neurobehavior. Early Hum Dev. 2017 Oct; 113:18−22.
• Sandoval-Cuellar C, Castellanos-Garrido AL, Romero AMO, Figueredo ORB, Serrano-Gomez ME, Caro CAF, et al. Motor development in premature infants: Study protocol for an interdisciplinary hospitalhome intervention. Pediatrics & Neonatology; 2023. [Cited 2023 July 1] Available from: https://www.sciencedirect.com/science/article/pii/S187595722300058X
• Goyal NK, Teeters A, Ammerman RT. Home visiting and outcomes of preterm infants: a systematic review. Pediatrics. 2013 Sep;132(3):502–16.
• Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E, et al. Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis. Pediatrics. 2016 Jan;137(1):e20152238.
• Zhang X, Kurtz M, Lee SY, Liu H. Early intervention for preterm infants and their mothers: a systematic review. J Perinat Neonatal Nurs. 2021 Oct-Dec 01;35(4):E69-E82.
• Brooks-Gunn J, Liaw FR, Klebanov PK. Effects of early intervention on cognitive function of low birth weight preterm infants. J Pediatr. 1992 Mar;120(3):350-9.
• Cooper L, Goodıng J, Gallagher J, Sternesky L, Ledsky R, Berns S. Impact of family-centered care initiative on NICU care, staff and families. J Perinatol. 2007 Dec;27(Suppl 2):S32-7.124