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1.
Eur J Oncol Nurs ; 28: 28-34, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28478852

RESUMO

PURPOSE: This study was conducted with infants diagnosed with bilateral retinoblastoma (RB) and their mothers. It explored characteristics of the mother-infant interaction, the infants' developmental characteristics and related risk factors. METHOD: Cross-sectional statistical analysis was performed with 18 dyads of one-year-old infants with bilateral RB and their mothers. RESULTS: Using the Japanese Nursing Child Assessment Teaching Scale (JNCATS) results showed that infants with RB had significantly lower scores compared to normative Japanese scores on all of the infants' subscales and "Child's contingency" (p < 0.01). Five infants with visual impairment at high risk of developmental problems had a pass rate of 0% on six JNCATS items. There were positive correlations between Developmental quotients (DQ) and JNCATS score of "Responsiveness to caregiver" (ρ = 0.50, p < 0.05) and DQ and "Child's contingency" (ρ = 0.47, p < 0.05). CONCLUSIONS: Infants with visual impairment were characterized by high likelihood of developmental delays and problematic behaviors; they tended not to turn their face or eyes toward their mothers, smile in response to their mothers' talking to them or the latter's changing body language or facial expressions, or react in a contingent manner in their interactions. These infant behaviors noted by their mothers shared similarities with developmental characteristics of children with visual impairments. These findings indicated a need to provide support promoting mother-infant interactions consistent with the developmental characteristics of RB infants with visual impairment.


Assuntos
Desenvolvimento Infantil/fisiologia , Comportamento do Lactente/fisiologia , Comportamento do Lactente/psicologia , Relações Mãe-Filho/psicologia , Mães/psicologia , Retinoblastoma/complicações , Transtornos da Visão/psicologia , Adolescente , Adulto , Povo Asiático/psicologia , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Lactente , Japão , Masculino , Pessoa de Meia-Idade , Retinoblastoma/psicologia , Fatores de Risco
2.
J Med Dent Sci ; 57(4): 209-20, 2010 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-23896776

RESUMO

The measurement of early mother-child relationship and interaction is a critical issue for infant mental health. The Nursing Child Assessment Teaching Scale (NCATS) has been regarded as one of the most effective assessment tools. A Japanese version (JNCATS) has been developed and its reliability was reported. The purpose of the present study was to show evidence for the validity of the JNCATS by utilizing micro analysis and sequential analysis of 53 mother-child interactions. Micro analysis is a second-by-second analysis of mother and child behavioral streams. Sequential analysis is a technique to detect mutual and contingent aspects of interaction. Variables obtained from these two methods were: a) probabilities of coding categories, and b) log odds ratios of contingency codes, whose correlations with JNCATS scores were examined. Some weak and medium correlations were found (p < .05). It was suggested that these two methods and the JNCATS could capture similar features of mother-child interaction, which provides evidence for the validity of the JNCATS.


Assuntos
Comportamento Infantil , Desenvolvimento Infantil , Comportamento Materno , Relações Mãe-Filho , Adulto , Afeto , Atenção , Educação Infantil , Pré-Escolar , Cognição , Comunicação , Sinais (Psicologia) , Emoções , Retroalimentação , Humanos , Lactente , Comportamento do Lactente , Japão , Masculino , Comunicação não Verbal , Jogos e Brinquedos , Ensino , Adulto Jovem
3.
Pediatr Int ; 49(6): 950-8, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18045303

RESUMO

BACKGROUND: Mother-infant interactions have been acknowledged as one of the most important elements in measuring outcomes of parent support and infant mental health interventions. The present study was conducted to measure early intervention outcomes using the Nursing Child Assessment Teaching Scale (NCATS), and to identify factors that affected Japanese mother-infant interactions. METHODS: Healthy Japanese mother-infant dyads who had lower scores on the NCATS, indicating potential problems, were assigned to an intervention group, and compared with a control group who had higher scores on NCATS. Health-care professionals visited the intervention group dyads in their homes, and gave them positive feedback on their interactions, consultations on parenting, and health advice. The control group dyads had home visitation once every 6 months for assessment only. RESULTS: The home visitations started at 3 months of age and continued until 18 months. NCATS scores in both groups were significantly different at baseline but differences faded by the end, which suggests that the intervention promoted improved interactions in the intervention group. Two of five factors were identified as influencing mother-infant interactions: maternal age; and personal networks, and together they significantly explained 27-30% of NCATS variance. CONCLUSION: The results appear to support the validity of measuring Japanese mother-infant interactions with NCATS. This study is the first to measure the outcomes of early intervention on Japanese dyads' interactions using NCATS. Additional replication studies should be conducted elsewhere in Japan, and clinical practices for promoting mother-infant interactions should begin to assess their effectiveness with NCATS as an outcome measure.


Assuntos
Intervenção Educacional Precoce , Serviços de Assistência Domiciliar , Relações Mãe-Filho , Adulto , Desenvolvimento Infantil , Humanos , Lactente , Japão , Avaliação em Enfermagem , Pais/psicologia , Estresse Fisiológico
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