线上全身运动评估在区域化高危儿随访管理中的应用研究
The study of online general movements assessment in regionalized follow-up management of high-risk infants
蔡荣兰 1蔡娟 1杨丽娟1
作者信息
- 1. 蚌埠医科大学第一附属医院,安徽 蚌埠 233004
- 折叠
摘要
目的:探讨线上全身运动(General movements,GMs)评估在区域化高危儿随访管理中的应用价值,寻求一条适合我国国情的高危儿随访管理模式.方法:选取2021年1月至2023年6月新生儿重症监护室(Neonatal intensive care unit,NICU)监护治疗出院的高危儿160例,随机分为研究组和对照组,各80例.研究组采用线上GMs评估为主结合区域化管理的模式进行随访;对照组采用集中在三甲医院随访及线下GMs评估方式进行随访管理.比较2组高危儿随访依从性(总随访率、标准随访率、失访率)、家长满意度以及12月龄时运动、智力发育指数、脑瘫发生率.结果:研究组高危儿标准随访率高于对照组、失访率低于对照组,家长对随访模式的满意度高于对照组,差异有统计学意义(P＜0.001).研究组高危儿12月龄时运动、智能发育指数高于对照组,脑瘫发生率低于对照组,差异均有统计学意义(P＜0.001).结论:线上GMs评估结合区域化管理的随访模式,提高了脑损伤高危儿遵医随访依从性,改善了高危儿生存质量,得到了家长的广泛认可,是一条高效、经济的高危儿健康管理模式.
Abstract
Objective:To explore the application value of online general movements(GMs)assessment in regionalized follow-up management of high-risk infants,seeking a feasible follow-up management model for high risk infant suitable to China's national conditions.Methods:A total of 160 high-risk children who had been treated and discharged in neonatal intensive care unit(NICU)from January 2021 to June 2023 were randomly divided into experimental group and control group(80 cases each).The experimental group was followed up by online GMs assessment combined with regional management.The control group was followed up in tertiary hospitals and offline GMs evaluation.Comparison was made between the two groups in the follow-up compliance(total follow-up rate,standard follow-up rate,total follow-up rate and loss of follow-up rate),parental satisfaction,physical and intellectual development index,and the incidence of cerebral palsy of high-risk infants at 12 months of age.Results:The standard follow-up rate of high-risk infants in the experimental group was higher than that in the control group,and the loss to follow-up rate was lower than that in the control group.The satisfaction of parents with the follow-up mode in the experimental group was higher than that in the control group,and the differences were statistically significant(P＜0.001).At 12 months of age,the motor and intelligence development indices of high-risk infants in the experimental group were higher than those in the control group,and the incidence of cerebral palsy was lower than that in the control group.The differences were statistically significant(P＜0.001).Conclusion:The follow-up mode combined with online GMs assessment and regionalized management has improved the compliance of high-risk infants with brain injury to medical follow-up,enhanced the quality of life of high-risk infants,and received wide recognition from parents.It is an efficient and economical health management mode for high-risk infants.
关键词
全身运动评估/脑损伤/婴儿/互联网/随访Key words
General movements(GMs)assessment/Brain injury/Infants/The internet/Follow-up visit引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据