{"id":116291,"date":"2014-12-09T00:00:00","date_gmt":"2014-12-09T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficacia-de-los-programas-de-atencion-temprana-en-el-ambito-hospitalario-en-ninos-de-riesgo-biologico-estudio-longitudinal-durante-los-18-primeros-meses-de-vida-de-edad-corregida\/"},"modified":"2014-12-09T00:00:00","modified_gmt":"2014-12-09T00:00:00","slug":"eficacia-de-los-programas-de-atencion-temprana-en-el-ambito-hospitalario-en-ninos-de-riesgo-biologico-estudio-longitudinal-durante-los-18-primeros-meses-de-vida-de-edad-corregida","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/psicologia\/eficacia-de-los-programas-de-atencion-temprana-en-el-ambito-hospitalario-en-ninos-de-riesgo-biologico-estudio-longitudinal-durante-los-18-primeros-meses-de-vida-de-edad-corregida\/","title":{"rendered":"Eficacia de los programas de atencion temprana en el ambito hospitalario en ni\u00f1os de riesgo biologico: estudio longitudinal durante los 18 primeros meses de vida de edad corregida"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jessica Pi\u00f1ero Pe\u00f1alver <\/strong><\/h2>\n<p>Eficacia de los programas de atenci\u00f3n temprana en el \u00e1mbito hospitalario en ni\u00f1os de riesgo biol\u00f3gico: estudio longitudinal durante los 18 primeros meses de vida de edad corregida  doctorando: d\u00f1a. Jessica pi\u00f1ero pe\u00f1alver directores: dr. D. Julio p\u00e9rez-l\u00f3pez y dra. D\u00f1a. Tatiana i. Jaworsky sa riechi.   resumen el informe de acci\u00f3n global sobre nacimientos prematuros: nacidos demasiado pronto (oms, 2012) indica que 15 millones de beb\u00e9s (11,1%), nacen demasiado pronto cada a\u00f1o, de los cuales m\u00e1s de un mill\u00f3n mueren poco despu\u00e9s del nacimiento y otros muchos conviven con alguna discapacidad f\u00edsica, neurol\u00f3gica y\/o educativa. Las estad\u00edsticas indican que los \u00edndices de prematuridad han aumentado considerablemente en los \u00faltimos a\u00f1os, debido, principalmente a los avances en las t\u00e9cnicas de neonatolog\u00eda, obstetricia y farmacolog\u00eda. Esta situaci\u00f3n ha provocado un aumento de la esperanza de vida de los ni\u00f1os prematuros y, en consecuencia, un aumento de la morbilidad inmediata y a medio plazo de este grupo de ni\u00f1os.  el objetivo principal de esta tesis doctoral, reside en valorar los efectos que las intervenciones en atenci\u00f3n temprana desde el \u00e1mbito hospitalario, ejercen en el desarrollo mental de los ni\u00f1os prematuros en el primer trimestre y a los 18 meses de vida de edad corregida. Por tanto, se pretende valorar la eficacia de las intervenciones tempranas en el \u00e1mbito hospitalario en la poblaci\u00f3n de ni\u00f1os de riesgo biol\u00f3gico, como puede ser la prematuridad.  se trata de un estudio longitudinal, de corte cuasi-experimental, con un tama\u00f1o muestral de 52 sujetos, que consta de un grupo experimental (n=31) que recibi\u00f3 tratamiento, tanto durante su ingreso en la unidad de neonatolog\u00eda del hospital general universitario de elche, como despu\u00e9s en el centro de desarrollo infantil y atenci\u00f3n temprana (cdiat) de la fundaci\u00f3n salud infantil de la misma ciudad; y un grupo control (n=21) que s\u00f3lo recibi\u00f3 tratamiento de atenci\u00f3n temprana en el cdiat tras el alta del hospital.  La asignaci\u00f3n a un grupo u otro depend\u00eda de los criterios del hospital de referencia, de la elecci\u00f3n de los padres y de los criterios de inclusi\u00f3n del estudio. Estos ni\u00f1os fueron evaluados durante el primer trimestre de vida y a los 3, 6, 9, 12 y 18 meses de edad corregida, mediante las escalas de evaluaci\u00f3n infantil bayley 2 ed. Para comprobar el nivel de desarrollo mental. los resultados, en general, indican que existen diferencias en cuanto a las condiciones neonatales iniciales de ambos grupos, siendo inferiores las del grupo experimental frente a las del control. Concretamente, las condiciones de partida del grupo de ni\u00f1os prematuros intervenidos en el hospital se caracterizaba por tener menos semanas de gestaci\u00f3n, menor peso, talla y per\u00edmetro cef\u00e1lico al nacimiento, menor puntuaci\u00f3n en el test de apgar, tras el nacimiento y mayor nivel de riesgo perinatal. Sin embargo, y a pesar de esas peores condiciones iniciales, una vez que se evaluaron las intervenciones tempranas, en diferentes momentos temporales, durante los primeros 18 meses de vida, se pudo comprobar que los ni\u00f1os que hab\u00edan sido intervenidos  en el hospital presentaban no s\u00f3lo una evoluci\u00f3n mental favorable en todo el per\u00edodo temporal evaluado, sino que el nivel de progreso mental en el primer trimestre de vida era superior al de los ni\u00f1os que no fueron intervenidos. Tambi\u00e9n se constat\u00f3 una evoluci\u00f3n mental positiva en el grupo de ni\u00f1os intervenidos s\u00f3lo en el cdiat. Finalmente, se observa, en los resultados obtenidos en este trabajo, que los ni\u00f1os pertenecientes a ambos grupos experimentan una mejora entre su estado inicial y final de desarrollo mental. podemos concluir a partir de nuestros resultados que las intervenciones tempranas realizadas sobre el ni\u00f1o y la familia, tanto en el \u00e1mbito hospitalario como en el cdiat, producen efectos positivos en su desarrollo inmediato y a medio plazo.  palabras clave: prematuridad, riesgo perinatal, atenci\u00f3n  temprana, desarrollo mental.    summary of doctoral thesis  effectiveness of early intervention programs in hospitals in biological risk children:  longitudinal study during the first 18 months of life of corrected age  i phd: d\u00f1a. Jessica pi\u00f1ero pe\u00f1alver directors: dr. D. Julio p\u00e9rez-l\u00f3pez y dra. D\u00f1a. Tatiana i. Jaworsky sa riechi  abstract the global action report about premature births: born too early (oms, 2012) shows that 15 million babies (11.1%) are born too early every year. Besides, more than one million of these babies die in a short time after their birth and a big amount of the other babies live with a physical, neurological and\/or educational disability. Statistics show that premature birth rates have increased considerably in the last years, mainly, due to advances in neonatology, obstetrics and pharmacology techniques. This situation has caused a rise in premature babies&apos; life expectancy and, consequently, an increase in their morbidity in the short and medium term. the main aim of this doctoral thesis lay in assessing the effects which the interventions in early stimulation from the hospital field have in premature children&apos;s mental development in their first term of life and when they are 18 months old of corrected age. Therefore, to value how effective these early interventions are from the hospital field in the population of children with biohazard, such as premature babies. it is a quasi-experimental longitudinal study with samples from 52 individuals who were in an experimental group (n=31) and a control group (n=21). On the one hand, the experimental group received treatment during their admission in the neonatal unit of the university general hospital of elche and they continued it in the child development and early intervention center of the child health foundation of the same city. On the other hand, the control group only received treatment of early stimulation in the child development and early intervention center after their discharge from hospital. The fact of being in one group or another depended on the criteria of the reference hospital, the parents&apos; choice and the study inclusion standard. These children were evaluated during their first term of life and when they were 3, 6, 9, 12 and 18 months of corrected age, following the child evaluation scales bayley 2 ed. In order to check their mental development level. in general, the results show there are differences in the initial neonatal conditions of both groups, being inferior the ones in the experimental group than the ones in the control group. Specifically, the beginning conditions of the group of premature children treated in hospital were characterised by having less weeks of pregnancy, less weight, height and cephalic perimeter at their birth as well as less marking in the apgar test after their birth and bigger level of perinatal risk. However, after evaluating the early interventions at different times during the children&apos;s first 18 months of life, it was checked that the children who had been treated in hospital presented better results although they had worse initial conditions. As a result, they presented not only a favourable mental evolution in all the assessed time, but also their level of mental progress in their first term of life was better than the one in those children who were not treated. In addition, it was verified a positive mental evolution in the group of children who were only treated in the child development and early intervention center. Finally, one can see, from the results obtained in this work, that the children who belong to both groups have experienced an improvement between their initial and final condition of mental development. from our results, we can conclude that early interventions carried out on the child and family, not only from the hospital field but also in the child development and early intervention center, cause positive effects in child&apos;s development in the short and medium term.  keywords: prematurity, perinatal risk, early intervention, mental development.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficacia de los programas de atencion temprana en el ambito hospitalario en ni\u00f1os de riesgo biologico: estudio longitudinal durante los 18 primeros meses de vida de edad corregida<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficacia de los programas de atencion temprana en el ambito hospitalario en ni\u00f1os de riesgo biologico: estudio longitudinal durante los 18 primeros meses de vida de edad corregida <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jessica Pi\u00f1ero Pe\u00f1alver <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/09\/2014<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Tatiana Jaworski De Sa Riechi<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: salvador Mart\u00ednez p\u00e9rez <\/li>\n<li>Fernando Vargas torcal (vocal)<\/li>\n<li>enrique Arranz freijo (vocal)<\/li>\n<li>Francisco Alcantud marin (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jessica Pi\u00f1ero Pe\u00f1alver Eficacia de los programas de atenci\u00f3n temprana en el \u00e1mbito hospitalario en ni\u00f1os de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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