著者

Akiyama Tomitaro Goto Yoshiko Tsurusaki Toshiya Ogi Shohei Kusano Mineko Miyaichi Kazuko

雑誌

長崎大学医療技術短期大学部紀要 (ISSN:09160841)

巻号頁・発行日

vol.7, pp.1-9, 1994-03-31

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発達指数では,修正年齢6ヶ月のPDIおよび12ヶ月のMDIにおいて,危険率5%でSFD児がAFD児より低値を示したが,36ヶ月の時点では有意差がなかった. 6ヶ月時の家庭環境値(Caldwell)と発達指数との間に,有意な相関を認めた. 新生児行動評価の個々のクラスター値のみからは発達障害児の予後診断は困難であるが数回の評価を通して,低クラスター値の持続期間とそれらの重複度数とから可能となる.したがって,high risk児に対してはNBASを介入手段として早期評価を実施し,必要に応じて早期療育下に発達経過を観察することが肝要である.In the development of SFD infants, the indices at 6 months and 12 months were significantly lower (P<0.05) compared to AFD infants, whereas the indices at 36 months didn't show significant differences. The environment scores at 6 months by Caldwell (Home) significantly affected the development indices. Prospective diagnosis of high risk infants is difficult when it is based only on the scores of individual clusters for the neonatal behavioral assessment. However, such a prospective diagnosis in the neonatal period is available to some extent when the duration of low cluster scores and the frequency of overlapped lowscores are taken into consideration. It seems essential to perform assessment of high risk infants using the NBAS as a means of early intervention and to observe the process of development under early treatment and care. We would like to carry out further studies with more cases.

著者

Ogi Shohei Akiyama Tomitaro Fukuda Masafumi Goto Yoshiko Kusano Mineko

雑誌

長崎大学医療技術短期大学部紀要 (ISSN:09160841)

巻号頁・発行日

vol.7, pp.11-20, 1994-03-31

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我々はこれまでブラゼルトン新生児行動評価法(NBAS)を未熟児やリスクを有する成熟児の早期発達評価と介入手段として応用してきた。今回は未熟児を対象にNBASの評価結果から発達障害を予測された児の新生児行動上の特性を4つの行動系に分けて整理し,我々の実施している早期療育プログラムについて報告した。また,これまでフォローした児について発達経過を加えた。We have applied the Brazelton's Neonatal Behaviour Assessment Scale (NBAS) for the evaluation of early development stages in both premature infants, and mature risk infants, as well as for the clinical application of early intervention method. This paper reports the neonatal behaviour peculiarities of premature infants forecast by NBAS to have mental-motor delays. This paper also report on our practical application of the early intervention program. Finally, we conclude with the progress made in these infant's developments.