跳到主要內容

臺灣博碩士論文加值系統

(3.236.124.56) 您好!臺灣時間:2021/07/30 06:56
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

: 
twitterline
研究生:張慧敏
研究生(外文):Chang, Hui-Min
論文名稱:6-7歲無明顯障礙早產孩童感覺動作發展狀況之探討
論文名稱(外文):Sensorimotor development of 6 to 7 year-old preterm infants without significant disabilities
指導教授:錡寶香錡寶香引用關係
指導教授(外文):Chi, Pao-Hsiang
學位類別:碩士
校院名稱:國立臺北教育大學
系所名稱:特殊教育學系碩士班
學門:教育學門
學類:特殊教育學類
論文種類:學術論文
論文出版年:2007
畢業學年度:95
語文別:中文
論文頁數:115
中文關鍵詞:早產兒感覺動作
外文關鍵詞:preterm infantssensorimotor
相關次數:
  • 被引用被引用:5
  • 點閱點閱:425
  • 評分評分:
  • 下載下載:84
  • 收藏至我的研究室書目清單書目收藏:4
本研究之目的即在探討早產孩童與足月出生孩童在與學習相關的感覺動作表現上是否有所差異。
本研究之目的為探討無早顯障礙之早產孩童與足月出生孩童在與學習相關的感覺動作表現上是否有所差異。研究受試對象分為排除有明顯障礙者的早產孩童組,以及以性別、年齡配對之足月出生孩童組。早產孩童組共有29人,男生11人(38%)、女生18人(62%),平均出生週數為29.2週,平均出生體重為1345.83公克;配對之足月出生孩童組亦為29人,男生為11人、女生18人。兩組孩童的年齡介於滿六足歲至未滿八足歲之間。本研究使用簡明知覺-動作測驗、感覺統合功能評量、拜瑞-布坦尼卡視覺-動作統整發展測驗進行測試,並且請家長填寫自編的孩童基本資料,以獨立樣本t檢定及獨立性卡方檢定檢驗早產孩童與足月出生孩童在知覺動作、感覺動作等的表現是否有所差異,並探究早產孩童性別、出生體重及週數、家庭社經地位等相關因子對早產孩童之影響。
本研究的結果及發現如下:(一)早產孩童在簡明知覺動作各項目所得分數較足月出生孩童差,各項目均達統計上的顯著差異。29位早產孩童中有23位(79.3%)之得分為異常組、疑似組有4位(13.8%)、正常組有2位(6.9%);在足月出生孩童組中,無任何孩童為異常組,疑似組有14位(48.3%)、正常組則有15位(51.7%)。(二)早產孩童與足月出生孩童在感覺統合評量表中之所有得分,皆達統計上的顯著差異。在肢體感覺運用之分數,29位早產孩童中有3位(10.3%)之得分為障礙組、疑似障礙組有5位(17.2%)、整合差組有3(10.3%)人、正常組有18位(62.1%);在足月出生孩童組中,無任何孩童之肢體運用表現在障礙組或疑似障礙組,整合差組有1(3.7%)人、正常組有26位(96.3%)。其結果在統計上達到顯著差異(x²=10.396, p<.05)。感覺統合功能中,29位早產孩童中有2位(6.9%)之得分為障礙組、疑似障礙組有7位(24.1%)、整合差組有4(13.8%)人、正常組有16位(55.2%);在足月出生孩童組中,無任何孩童之肢體運用表現是屬於障礙組或疑似障礙組,整合差組有2(7.4%)人、正常組有25位(92.6%)。卡方檢定結果顯示在統計上達到顯著差異(x²=11.586, p<.05)。(三)早產孩童與足月出生孩童在拜瑞-布坦尼卡視覺-動作統整測驗之三個分測驗的表現,皆有達統計上的顯著差異。(四)不同性別的早產孩童,在感覺動作表現並沒有顯著差異。不同出生週數、出生體重的早產孩童之感覺動作表現,也沒有顯著差異,故推論本研究之早產孩童皆為AGA或LGA有關。最後,家庭社經地位亦未對早產孩童之感覺動作發展造成顯著影響。
本研究提出下列建議如下參考:(一)長期且定期追蹤無明顯障礙之早產孩童至其學齡期,並重視其感覺動作發展。(二)未來研究可加入注意力活動量表,可以更明確的評斷出早產孩童是否在注意力活動量表之得分與早產孩童有顯著差異。(三)未來研究可以進一步探討體重及妊娠週數的相對關係,無顯顯障礙早產孩童中對妊娠年齡而言體重過小者(SGA)與對妊娠年齡而言體重過大(LGA)或對妊娠年齡而言體重適中(AGA)之表現是否有所差異。(四) 未來研究可擴大樣本數及採樣地區,藉由研究樣本的擴大,可以在性別分組、週數分組、體重分組、及家庭社經地位分組等因素上的比較分析更具意義。

關鍵字:早產兒、感覺動作
The purpose of this study was to investigate whether the sensorimotor performance of the preterm children is more problematic than their full-term match.
Twenty nine preterm children (mean gestational age 29.2 weeks, mean birth weight 1345.83 g) and 29 age- and gender-matched full-term children were recruited in this study. There were 11 boys and 18 girls in each group. All children recruited in this study were aged from six to seven years old. Children with severe disabilities were excluded. Sensorimotor performance of the children in this study was assessed with the Quick Neurological Screening Test, Sensory Intergration Scales, and Berry-Buktenica Developmental Test of Visual-Motor Integration.
The results of this study were as follows:
1. The t-test revealed a significant difference between preterm children and full-term children in terms of perceptual-motor ability assessed with the Quick Neurological Screening Test. Specifically, there were 23 preterm children whose performance fell in the abnormal group (79.3%), 4 fell in the suspicious group(13.8%), and 2 fell in the normal group(6.9%). Comparing to the preterm group, there were no full -term children whose performance level were categorized in the abnormal group.
2. There was a significant difference between preterm children and full-term children on the performance in the Sensory Intergration Scals. The difference between two groups was statistically significant(x²=11.586, p<.05)。
3. The t-test revealed a significant difference between preterm children and full-term children on the performance in the Berry-Buktenica Developmental Test of Visual-Motor Integration(t(56)=-4.092, p<.001 ).
4. Preterm children’s sensorimotor performance were found not to be affected by the factors of sex, birth weight in week, and SES.

Key words: preterm infants, sensorimotor
謝誌 I
中文摘要 III
英文摘要 V
目次 VII
表目錄 X
圖目錄 XII
第一章 緒論 1
第一節 研究背景 1
第二節 研究目的與待答問題 4
第三節 名詞定義與解釋 6
第二章 文獻探討 9
第一節 感覺動作之重要性與相關理論背景 9
第二節 早產孩童感覺動作之相關研究 15
第三節 影響早產孩童感覺動作相關因子之探討 27
第三章 研究方法 35
第一節 研究架構 36
第二節 研究對象 38
第三節 研究時間與地點 38
第四節 研究工具 39
第五節 研究程序 44
第六節 資料統計分析 47
第四章 結果與討論 49
第一節 研究對象背景資料之分析比較 49
第二節 早產孩童與足月出生孩童在簡明知覺動作測驗表現之比較 55
第三節 早產孩童與足月出生孩童感覺統合功能評量之比較 59
第四節 早產孩童與足月出生孩童拜瑞-布坦尼卡視覺-動作之比較 64
第五節 相關因子對早產孩童感覺動作表現之影響 66
第六節 綜合討論 84
第五章 結論與建議 95
第一節 結論 95
第二節 本研究之限制 97
第三節 建議 98
參考文獻 101
附錄一:家長同意書(早產孩童版) 108
附錄二:家長同意書(足月孩童版) 110
附錄三:早產孩童基本資料問卷 112
附錄四:足月出生孩童基本資料問卷 114
中文部分
王琪珍(2000)。低出生體重伴隨臨界智能障礙學前兒童之動作發展研究。國立化師範大學特殊教育學系博士論文。全國博碩士論文資訊網,089NCUE0284001。
王藍浣(2003)。早產兒的正常發展及異常發展的警訊。財團法人中華民國早產兒基金會會訊,45,19-27。
白偉男(1992)。為什麼我的早產兒還不會坐?--物理治療對早產兒的動作評估。健康世界,83,84-90。
白偉男、凌汶、楊翠芬和徐道昌(1991)。物理治療對新生兒加護病房中早產兒的早期介入治療—台北榮民總醫院早期治療之病例報告。中華物療誌,16(1),80-87。
吳俊良、王新台、趙文元、陳勃旭和李恒惠(1998)。出生體重非常低之早產兒的聽性腦幹反應。耳鼻喉科醫學會雜誌,33(6),601-606。
吳愛卿、藍郁文(1998)。早產兒的視覺發育和屈光狀態。中華民國眼科醫學會雜誌,38(3),374-383。
林文玲、李勇璋(1997)。早產兒在復健煡的早期發現與早期療育。中華民國早產兒基金會會訊,21,20-22。
林生傳(1990)。教育社會學。台北:巨流出版社。
洪漢陽 (2001)。高危險新生兒的辨認與低體重兒的分類及罹患疾病。載於洪漢陽(主編)。臨床新生兒科學(頁53-69)。台北市:嘉洲出版社。
洪禎雯、游敏媛、張學文、梁秋萍、黃崇濱、和黃美涓(1998)。極低出生體重早產兒造成腦性麻痺的危險因子。中華復健醫誌,26(4),181-187。
高麗芷(2000)。從感覺統合談早產兒的發展。財團法人中華民國早產兒基金會會訊,34,7-8。
陳小蓮、李孟蓉和黃秀梨(2003)。早產兒加護病房中噪音對早產兒的影響及其臨床護理。台灣醫學,7(3),449-451。
陳純純、游麗華 (2000)。談日本1000公克以下極低體重早產兒7-9歲的追蹤成果:藤村正哲主講、陳淑貞翻譯。財團法人中華民國早產兒基金會會訊,34,22-24。
黃初雪、陳月枝、鄒國英、黃富源和李碧珠(2003)。多樣感覺剌激對早產兒體重與行為發展之影響。台灣醫誌,7(5),669-679。
黃惠慈(2003)。早產兒的語言發展。財團法人中華民國早產兒基金會會訊,46,26-28。
黃靄雯、鄭素芳、滕儒錚、鄒國英、王本榮、廖華芳和楊千立(1997)。超低體重兒與足月適重兒之早期神經行為發展之比較。中華物療誌,22(3),175-182。
曾景蘭(2005)。國中普通班聽覺障礙學生學校生活適應與情緒行為表現之研究。國立台北教育大學特殊教育所碩士論文,未出版,台北市。
楊國樞(1986)。家庭因素與子女行為,台灣研究的評析。中萃心理學刊,28(1),7-28。
楊翠芬(1995)。高危險早產兒的早期發展治療。臨床醫學,36,299-303。
鄭素芳(1997)。早產兒的早期介入發展。中華民國新生兒科醫學會會刊,6(1),3-4。
劉夙芬(1995)。早產兒的早期療育。中華民國早產兒基金會會訊,14,17-19。
謝慈容(2004)。國小六年級男、女兒童家庭社經地位及自我概念對生活適應之影響。朝陽科技大學幼兒保育系碩士論文。全國博碩士論文資訊網,093CYUT5709001。
儲鳳英(2004)。發展遲緩兒童早期療育醫療資源之利用及其影響因素分析。臺北醫學大學醫務管理學系碩士論文。全國博碩士論文資訊網,093TMC00528005。

西文部分
Allin, M., Rooney, M., Griffiths, T., Cuddy, M., Wyatt, J., Rifkin, L., & Murray, R. (2006). Neurological abnormalities in young adults born preterm. Journal of Neurology, Neurosurgery and Psychiatry, 77(4), 495-499.
Anderson, P., & Doyle, L. W. (2003). Neurobehavioral outcomes of shool-age children born extremely low birth weight or very preterm in the 1990s. Journal of the American Medical Association, 289(24), 3264-3272.
Aylward, G. P. (2002). Cognitive and neuropsychological outcomes: more than IQ Scores. Mental Rretardation and Developmental Disabilities. 8, 234-240.
Bundy, A. C., & Murray, E. A. (2002). Sensory integration: A. Jean Ayre’s theory revisited. In A. C. Bundy, S. J. Lane, & E. A. Murray (Eds.), Sensory Integration: Theory and Practice(2nd ed.)(pp.3-33). Taipei: Ho-Chi.
Chaudhari, S., Bhalerao, M. R., Chitale, A., Pandit, A. N., & Nene, U. (1999). Pune low birth weight study - A six year follow up. Indian Pediatrics, 36 (7), 669-676.
Chaudhari, S., Otiv, M., Chitale, A., Pandit, A., & Hoge, M. (2004). Pune low birth weight study- cognitive abitilies and educational performance at twelve years. Indian Pediatrics, 41 (2), 121-128.
Chien, L. Y., Chou, Y. H., Ko, Y. L., & Lee, C. F. (2006). Health-related quality of life among 3-4-year-old children born with very low birthweight. Journal of Advanced Nursing, 56(1), 9-16.
Cooke, R. W. I., & Foulder-Hughes, L. (2003). Growth impairment in the very preterm and cognitive and motor performance at 7 years. Archives of Disease in Childhood, 88(6), 482-487.
De Kleine, M. J. K., Den Ouden, A. L., Kollée, L. A. A., Nijhuis-van Der Sanden, M. W. G., Sondaar, M., Van Kessel-Feddema, B.J.M., Knuijt, S., Baar, A. L., Ilsen, A., Breur-Pieterse, R., Briët, J. M., Brand, R., & Verloove-Vanhorick, S. P. (2003). Development and evaluation of a follow up assessment of preterm infants at 5 years of age. Archives of Disease in Childhood, 88(10), 870-875.
D’Eugenio, D. B., Slagle, T. A., Mettelman, B. B., & Gross, S. J. (1993). Developmntal outcome of preterm infants with transient neuromotor abnormalities. American Journal of Diseases of Children, 147(5),570-574.
Diamond, A. (2000). Close interrelation of motor development and cognitive development and of the cerebellum and prefrontal cortex. Child Development, 71(1), 44-56.
Doyle, L. W. (2001). Outcome at 5 years of age of children 23 to 27 weeks' gestation: Refining the prognosis. Pediatrics, 108 (1),134-141.
Elliman, A. M., Bryan, E. M., Elliman, A. D., Walker, J., & Harvey, D. R. (1991). Coordination of low birth weight seven-year-olds. Acta Paediatrica Scandinavica, 80(3), 316-322.
Feder, K. P., Majnemer, A., Bourbonnais, d., Platt, R., Blayney, M., & Synnes, A. (2005). Handwriting performance in preterm children compared with term peers at age 6 to 7 years. Developmental Medicine & Child Neurology, 47, 163-170.
Foulder-Hughes, R. W. I., & Cooke, R. W. I. (2003). Motor, cognitive, and behavioural disorders in children born very preterm. Developmental Medicine & Child Neurology, 45, 97-103.
Gillberg, I. C., & Gillberg, C. (1989). Children with preschool minor neurodevelopmental disorders: Behaviour and school achievement at age13. Developmental Medicine and Child Neurology, 31, 3-13.
Goyen, T., Lui, K., & Woods, R. (1998). Visual-motor, visual-perceptual, and fine motor outcomes in very-low-birthweight children at 5 years. Developmental Medicine & Child Neurology, 40, 76-81.
Hemgren, E., & Persson, K. (2006). Associations of motor co-ordination and attention with motor-perceptual development in 3-year-old preterm and full-term children who nedded neonatal intensive care. Child: Care, Health and Development, 33(1), 11-21.
Hille, E. T., den Ouden, A. L., Bauer, L., van Oudenrijn, C., Brand, R., & Verloove-Vanhorick, S. P. (1994). School performance at nine years of age in very premature and very low birth weight infants: perinatal risk factors and predictors at five years old age. Collaborative project on preterm and small for gestational age (POPS) infants in the Netherlands. Journal of Pediatrics, 125, 426-434.
Keller, H., Ayub, B. V., Saigal, S., & Bar-Or, O. (1998). Neuromotor ability in 5- to 7-year-old children with very low or extremely low birth weight. Developmental Medicine & Child Neurology, 40, 661-666.
Klebanov, P.K., Brooks-Gunn J., & McCormick M. C. (1994). Classroom behavior of very low birth weight elementary school children. Pediatrics, 95(5), 700-708.
Kranowitz, C. S. (1998). The out-of-sync child: Recognizing and coping with sensory integration dysfunction. New York: The Berkley Publishing Group.
Le Normand, M. T., Vaivre-Douret L., & Delfosse, M. J. (1995). Language and motor development in preterm children: Some Questions. Child Care Health, 21(2), 119-133.
Luoma, L., Herrgard, E., & Martikainen, A. (1998). Neurophychological analysis of the visuomotor problems in children born preterm at <32 weeks of gestation: a 5-year prospective follow-up. Developmental Medicine & Child Neurology, 40, 21-30.
Marlow, N., Roberts, B. L., & Cooke, R. W. I. (1989). Motor skills in extremely low birthweight children at the age of 6 years. Archives of Disease in Childhood, 64(6), 839-847.
Msall, M. E., & Tremont, M. R. (2000). Functional outcomes in self-care, mobility, communication, and learning in extremely low-birth weight infants. Clinics in Perinatology, 27 (2), 381-401.
Pfeifer, R., & Scheier, C. (1997). Sensory-motor coordination: the metaphor and beyond. Robotics and Autonomous Systems, 20, 157-178.
Powls, A., Botting, N., Cooke, R. W. I., & Marlow, N.(1995). Motor impairment in children 12 to 13 years old with a birthweight of less than 1250g. Archives of Disease in Childhood, 72, F62-F66.
Rais-Bahrami, K., Short, B. L., & Batshaw, M. L. (2002). Premature and small-for dates infants. In M. L. Batshaw (Ed.), Children with disabilities(5th ed.)(pp. 85-103). Washington, DC: Prookes.
Schoemaker, M.M., Hijjlkema, MGJ, & Kalverboer, A.F.(1994). Physiotherapy for clumsy children: An evaluation study. Developmental Medicine and Child Neurology, 36, 143-155.
Silverman, W. A. (1961). Definitions and criteria of prematurity. In Dunham’s premature infants (3rd ed.)(pp.3-14). New York: Harper & Row.
Silverman, W. A. (1961). Prognosis of prematurity. In Dunham’s premature infants(3rd ed.) (pp.70-85). New York: Harper & Row.
Small, E., van Mil, E., Bar-Or, O., & Saigal, S. (1995). Muscle performance and habitual psysical activity of 11-16 year old females born at extremely low birthweight(500-1000 grams). Pediatric Exercise Science, 7:112.
Smedler, A.-C., Faxelius, G., Bremme, K., & Lagetstrom, M. (1992). Psychological development in children born with very low birth weight after severe intrauterine growth retardation: a 10-year follow-up study. Acta Paediatrica, International Journal of Paediatics, 81(3): 197-203.
Sommerfelt, K., Ellertsen, B., & Markestad, T. (1995). Parental factors in cognitive outcome of non-hadicapped low birth weight infants. Archives of Disease in childhood Fetal & Neonatal Edition, 73(3), 135-142.
Sommerfelt, K., Markestad, T. & Ellertsen, B. (1998). Neurological performance in low birth weight preschoolers: a population-based controlled study. European Journal of Pediatrics, 157(1), 53-58.
Sommerfelt, K., Troland, K., Ellertsen, B., & Markestad, T. (1996). Behavioral problems in low-birthweight preschoolers. Developmental Medicine and Child Neurology, 38, 927-940.
Sykes, K. H., Hoy, E. A., Bill, J. M., McClure, B. G., Halliday, H. L., & Reid, M. M. (1997). Behavioral adjustment in school of very low birth-weight children. Journal of Child Psychology, 38(3), 315-325.
Taylor, H. G., Klein, N., Minich, N. M., & Hack, M. (2000). Middle-school-age outcomes in children with very low birthwieight. Child Development, 71(6), 1495-1511.
Tim, W., Fritz, S., Wariyar, U., & Hey, E. (1998). Outcom of very preterm birth: children reviewed with ease at 2years differ from those followed up with difficulty. Archives of Disase in Childhood, 79, F83-87.
Vohr, B. R. & McKinley, L. T. (2003). The challenge pays off: Early enhanced nutritional intake for VLBW small-for-gestation neonates improves long-term outcome. Journal of Pediatrics 142(5), 459-461.
Whitfield, M. F., Grunau, R. V. E., & Holsti, L. (1997). Extrmely premature(≤ 800 g) schoolchildren: multiple areas of hidden disability. Archives of Disease in Childhood: Fetal and Neonatal Edition,77 (2), F85-F90.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top