Danhauer Jeffrey L, Johnson Carole E
University of California Santa Barbara, Santa Barbara, CA 93106, USA.
Am J Audiol. 2006 Jun;15(1):25-32. doi: 10.1044/1059-0889(2006/004).
This is the first of a 2-part series of articles that describe and assess an emerging community-based early hearing detection and intervention program. This study investigated parents' compliance for accessing services for their infants at 5 levels in the process from referrals through subsequent follow-up during a 3-year period. Compliance was defined as parents' follow-through with professionals' recommendations and appointments for their infants' hearing health care.
Investigators retrospectively reviewed the charts of 51 infants who were referred from a regional hospital's newborn hearing screening program to a private practice office and were seen from March 2000 to February 2003.
Compliance was 100% for initial hospital inpatient screening and for outpatient rescreening but decreased throughout the referral process. All of the parents of babies with hearing loss complied, and their infants were diagnosed by age 3 months and received audiologic or otologic intervention by age 6 months. Only half of those who needed and opted for hearing aids complied and began habilitative intervention by age 6 months.
Although compliance for initial and follow-up screening was excellent and met goals for national benchmarks, compliance for intervention services showed room for improvement.
这是一个分为两部分的系列文章中的第一篇，该系列文章描述并评估了一个新兴的基于社区的早期听力检测与干预项目。本研究调查了在三年期间，从转诊到后续随访的过程中，父母在五个层面上为其婴儿获取服务的依从性。依从性被定义为父母遵循专业人员对其婴儿听力保健的建议并按时赴约。
研究人员回顾性审查了51名婴儿的病历，这些婴儿从一家地区医院的新生儿听力筛查项目转诊至一家私人诊所，并于2000年3月至2003年2月期间接受诊治。
初次医院住院筛查和门诊复查的依从性为100%，但在整个转诊过程中依从性有所下降。所有听力损失婴儿的父母都依从了，他们的婴儿在3个月大时被诊断出来，并在6个月大时接受了听力或耳科干预。只有一半需要并选择使用助听器的父母依从了，并在6个月大时开始了康复干预。
虽然初次筛查和后续筛查的依从性很好，达到了国家基准目标，但干预服务的依从性仍有改进空间。
