厦门市某医院高危儿随访依从性影响因素研究  

Influencing Factors of Follow-up Compliance in High-risk Children in a Hospital of Xiamen

作　　者：史俊霞 曾国章 陈晶[1] Shi Junxia;Zeng Guozhang;Chen Jing(Department of Child Healthcare,Women and Children’s Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属妇女儿童医院,厦门市妇幼保健院儿童保健科,厦门361003

出　　处：《华中科技大学学报（医学版）》2020年第1期77-80,共4页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：福建省自然科学基金引导性项目(No.2019D010);福建省中青年骨干人才培养项目(No.2019-ZQNB-31);厦门市科技计划基金资助项目(No.350Z20164029)。

摘　　要：目的探讨影响高危儿随访依从性相关因素,以期为建立一套适合、行之有效的高危儿早期综合干预管理模式提供科学依据。方法选取2014年~2018年在厦门市某医院儿童保健科就诊的3岁以下2920例高危儿作为研究对象,分别采用单因素和多因素logistic回归模型分析高危儿随访依从性的影响因素。结果 2014年~2018年厦门市某医院立案高危儿呈逐年上升趋势(P<0.01),3岁以下高危儿随访依从性好者826人(28.3%)。多因素logistic回归分析显示高危因素种类越多、首次就诊年龄越小、父母文化程度越高、父亲年龄越大、家庭平均月收入越高、主要看护人为父母之一的高危儿随访依从性较好。结论高危儿随访依从性与多种因素有关,今后工作中应针对这些影响因素实施综合干预措施提高高危儿随访依从性,改善其预后。Objective To explore the factors affecting the follow-up compliance of high-risk children,and thus to provide a scientific basis for establishing a suitable and effective early comprehensive intervention management model for high-risk infants.Methods A total of 2920 high-risk children under 3 years old who were admitted to the outpatient department of the Children’s Health Department of a Hospital in Xiamen from 2014 to 2018 were selected.The univariate and multivariate logistic regression models were used to analyze factors influencing follow-up compliance in high-risk children.Results The number of high-risk infants registered in a hospital in Xiamen increased year by year(P<0.01)from 2014 to 2018,and 826(28.3%)of high-risk infants under 3 years old had good follow-up compliance.Multivariate logistic regression analysis showed that high-risk infants with multiple high-risk factors,higher parental education,older fathers,higher average monthly income and parental care,had better follow-up compliance.Conclusion The follow-up compliance of high-risk infants is related to many factors.In the future,comprehensive interventions should be taken to improve the follow-up compliance of high-risk infants and their prognosis.

关 键 词：高危儿 随访 依从性 影响因素 

分 类 号：R720.597[医药卫生—急诊医学]