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王雪茵, 周敏, 张小松, 赵更力, 王旭, 谢甜, 郝波. 出院后早产儿随访与早期综合干预依从性影响因素分析[J]. 中国公共卫生, 2019, 35(6): 712-715. DOI: 10.11847/zgggws1119992
引用本文: 王雪茵, 周敏, 张小松, 赵更力, 王旭, 谢甜, 郝波. 出院后早产儿随访与早期综合干预依从性影响因素分析[J]. 中国公共卫生, 2019, 35(6): 712-715. DOI: 10.11847/zgggws1119992
Xue-yin WANG, Min ZHOU, Xiao-song ZHANG, . Influencing factors of follow-up and early comprehensive intervention compliance among post-discharge premature infants[J]. Chinese Journal of Public Health, 2019, 35(6): 712-715. DOI: 10.11847/zgggws1119992
Citation: Xue-yin WANG, Min ZHOU, Xiao-song ZHANG, . Influencing factors of follow-up and early comprehensive intervention compliance among post-discharge premature infants[J]. Chinese Journal of Public Health, 2019, 35(6): 712-715. DOI: 10.11847/zgggws1119992

出院后早产儿随访与早期综合干预依从性影响因素分析

Influencing factors of follow-up and early comprehensive intervention compliance among post-discharge premature infants

  • 摘要:
    目的 探索出院后早产儿随访和早期综合干预依从性的影响因素。
    方法 选取2012年6月 — 2014年9月在中国6省市17家医疗保健机构出生的2 802名早产儿作为研究对象,指导家长对早产儿实施适合月龄的早期综合干预,并进行为期2年的随访,分别采用单因素和多因素logistic回归模型分析早产儿随访和早期综合干预依从性的影响因素。
    结果 随访依从性较好者为668人(23.8 %),早期综合干预依从性较好者为724人(25.8 %)。多因素logistic回归分析结果显示,母亲受教育程度较高(OR = 1.341, 95 % CI = 1.061~1.695)、主要看护人为父母之一(OR = 9.696, 95 % CI = 7.714~12.186)、家庭平均月收入较高(OR = 1.434, 95 % CI = 1.145~1.796)的早产儿随访依从性较好;主要看护人为父母之一(OR = 8.569, 95 % CI = 6.917~10.616)和家庭平均月收入较高(OR = 1.301, 95 % CI = 1.058~1.601)的早产儿早期综合干预依从性较好。
    结论 主要看护人和家庭经济情况与早产儿随访和早期综合干预依从性密切相关。

     

    Abstract:
    Objective To explore influencing factors of follow-up and early comprehensive intervention compliance among post-discharge premature infants.
    Methods Using cluster sampling, we selected post-discharge premature infants born between June 2012 to September 2014 in 17 hospitals in Beijing and 5 provinces and conducted a 2-year follow-up. Month age-specific early comprehensive interventions were implemented by the infants′ parents under the guidance of professionals. Univariate and multivariate logistic regression models were used to analyze influencing factors of follow-up and early comprehensive intervention compliance.
    Results Of the 2 802 enrolled premature infants, 668 (23.8%) and 724 (25.8%) were assessed with a better follow-up and early comprehensive intervention compliance. Multivariate logistic regression analysis indicated that the premature infants with better-educated mothers (odds ratio OR = 1.341, 95% confidence interval 95% CI: 1.061 – 1.695), in a family with higher household income (OR = 1.434, 95% CI: 1.145 – 1.796), and mainly raised by their parents (OR = 9.696, 95% CI: 7.714 – 12.186) were more likely to have a better follow-up compliance; and those mainly raised by their parents (OR = 8.569, 95% CI: 6.917 – 10.616) and in a family with higher household income (OR = 1.301, 95% CI: 1.058 – 1.601) were more likely to have a better early comprehensive intervention compliance.
    Conclusion Main caregivers and household income are associated with follow-up and early comprehensive intervention compliance among post-discharge premature infants.

     

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