School of Medicine, New York Medical College, Valhalla, NY, USA.
J Perinat Med. 2009;37(6):677-81. doi: 10.1515/JPM.2009.135.
To identify factors associated with compliance of scheduled outpatient developmental follow-up appointments in an effort to better ensure future care.
This retrospective observational cohort study looked at patients born between January 7(th) 2006 and June 30(th) 2007 and discharged from a regional neonatal intensive care unit (RNICU). Discharge summaries were reviewed to attain information regarding 16 patient descriptives and 12 patient morbidities. Data were recorded and analyzed utilizing the statistical software SPSS 11.5.
Children of older mothers were more likely to attend follow-up (compliant: 30 years vs. non-compliant: 27 years). Factors which significantly improved compliance with follow-up care were patient contact after discharge (compliant: 65% vs. non-compliant: 35%) and early intervention referral (compliant: 64% vs. non-compliant: 36%). Factors which significantly hindered compliance were maternal drug use during pregnancy (compliant: 11.8% vs. non-compliant: 88%), and patient transfer to outside NICUs [(transferred out: compliant: 3 (10.3%), non-compliant 25 (89.3%)].
Several factors associated with compliance have been identified. Direct patient contact after discharge positively correlated with improved follow-up attendance. The severity of patient disease in the NICU did not impact follow-up rates. As a result close attention needs to be paid to factors which influence compliance with outpatient follow-up for developmental screening.
确定与定期门诊发育随访预约依从性相关的因素，以更好地确保未来的护理。
本回顾性观察性队列研究观察了 2006 年 1 月 7 日至 2007 年 6 月 30 日期间出生并从区域性新生儿重症监护病房（RNICU）出院的患者。通过审查出院记录，获取了 16 项患者描述性和 12 项患者疾病的信息。利用统计软件 SPSS 11.5 记录和分析数据。
母亲年龄较大的儿童更有可能参加随访（依从：30 岁与不依从：27 岁）。显著提高随访护理依从性的因素包括出院后患者的接触（依从：65%与不依从：35%）和早期干预转诊（依从：64%与不依从：36%）。显著阻碍依从性的因素包括母亲在怀孕期间使用药物（依从：11.8%与不依从：88%），以及患者转移到其他新生儿重症监护病房（转出：依从：3（10.3%），不依从：25（89.3%））。
已经确定了与依从性相关的几个因素。出院后直接接触患者与随访依从性的提高呈正相关。新生儿重症监护病房患者疾病的严重程度并未影响随访率。因此，需要密切关注影响发育筛查门诊随访依从性的因素。
