Okul öncesi çocuklarda erken doğum risk faktörleri ve bunların duyusal ve motor gelişim üzerine etkisi
DOI:
https://doi.org/10.5281/zenodo.13381151Keywords:
Motor gelişimi, okul öncesi dönem, preterm doğum, duyusal işlemleme becerilerAbstract
Giriş: Bu çalışmada, erken doğumla ilişkili risk faktörlerinin okul öncesi çocuklarda duyusal ve motor gelişimi nasıl etkilediği incelenmektedir.
Yöntem: Çalışmaya 48 preterm çocuk dahil edildi: 24'ünde sadece preterm doğum öyküsü (PB) vardı ve 24'ünde ek risk faktörleri (İntraventriküler kanama, periventriküler lökomalazi, respiratuar distres sendromu bronkopulmoner displazi, prematüre retinopatisi, nekrotizan enterokolit) (RPB) vardı. Prematüre bebeklerde sık görülen respiratuar distress sendromu, intraventriküler kanama, periventriküler lökomalazi, nekrotizan enterokolit, prematüre retinopatisi ve bronkopulmoner displazi gibi risk faktörleri ek risk faktörleri olarak kaydedildi. Motor gelişimini değerlendirmek için Peabody Motor Gelişim Ölçeği-2, duyusal işlemleme becerilerini değerlendirmek için Duyu Profili Anketi kullanıldı.
Bulgular: Peabody Motor Gelişim Ölçeği-2 kaba motor, ince motor ve toplam motor gelişim puanları arasında sadece preterm doğum grubu lehine anlamlı fark vardı (p<0,05). Duyu Profili Anketi sonuçlarına göre ise ek risk faktörlerine sahip preterm doğum öyküsü olan grubun, sadece preterm doğum grubuna göre daha düşük duyusal işlemleme puanlarına sahip olduğu görüldü (p<0,05).
Sonuç: Preterm doğumun yanı sıra risk faktörlerinin de motor gelişim ve duyusal işlemleme becerilerine olumsuz etki edebileceği sonucuna varıldı. Okul öncesi dönemdeki gelişimin okul çağındaki fiziksel, sosyal ve akademik başarıları etkileyebileceği göz önüne alındığında, duyusal işlemleme becerileri ve motor gelişim açısından preterm doğum öyküsüne ek risk faktörleri olan çocuklara değerlendirmelerin yapılması faydalı olabilir.
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