The Follow-up of growth and development of the The result of the Follow-Up Growth and Development progress in Premature baby with Developmental Care Model, and studied risk factors of delay development in Neonatal Intensive Care Unit, Phrae hospital
Abstract
Background: Premature babies, who are in crisis, staying in the hospital for quite a long time and separated from their parents, will be disturbed from pain related procedure or treatments, lightings, and noises. These factors affect on nervous system visibility and hearing. Thus, the preterm babies would lack of opportunity to be neurodevelopmentally promoted. The study of Altimier L. & Phillips R. show that the Developmental Care Model can promote good development and growth.
Objective: To follow up the preterm progress in terms of physical body change and their development with Developmental Care Model. And to study about risk factors that affect growth and delay development in the preterm at Neonatal Intensive Care Unit, Phrae Hospital.
Study design: First, follow up growth and development of the preterm physical body by evaluating their weight based on age criteria, height based on age criteria, and weight based on height criteria, by using Bureau of Nutrition, Department of Health, Ministry of Public Health; 2006. Second, evaluate their development in five fields, gross motor development, fine-motor and cognitive development, receptive language development, expressive language development, and personal-social development, by using Developmental Assessment For Intervention Manual (DAIM) or Development Surveillance and Promotion Manual (DSPM) from The Ministry of Public Health. These methods were used for 340 preterm who were living in Phrae province during April to November 2016. The sample was divided into two groups. First group, 293 samples, was followed up at High Risk Clinic (HRC). And the second group, 47 samples, was followed up at home or in the community by using ordinal logistic regression to analyze data.
Result: The growth of the preterm physical body and their developments were higher than the Ministry of Public Health recommended. First, for nutritional status, 93.2% of the preterm had normal weight-for-height. 87% of them had normal weight-for-age. And 89.4% of them had normal height-for-age. Second, for the visibility, 97.9% were normal. Third, for hearing, 98.8% were normal. And for overall progress, 89.4% of them were having normal development. However, high-risk factors that affect preterm to have low progress were found in preterm who had < 32 weeks of gestational age, preterm who were < 1,500 g weight, preterm who had hypoxia, and preterm who needed ventilator and oxygen therapy.
Conclusion: Developmental Care Model can help Premature babies to promote good development and growth in higher level than Premature babies who received normal routine care at fiscal year 2009 and higher level than the Ministry of Public Health recommended. Therefore, it should be used for all newborn babies. Moreover, parents should be taught about child progress to raise awareness of their growth and development. Especially for Premature baby who had hypoxia, underweight, and needed ventilator and oxygen therapy.
Key Words: Premature baby, Growth, Development, Developmental Care Model
