Qiao Ning-Ning, Gong Ming-Hua, Jin Zhen-Ai
Department of Pediatrics, Affiliated Hospital of Yanbian University, Yanji, Jilin 133000, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2017 Feb;19(2):254-258. doi: 10.7499/j.issn.1008-8830.2017.02.023.
Discharge against medical advice (DAMA) conflicts with the purpose of disease treatment in children. Some research has shown that there are high proportions of extremely preterm infants and infants with asphyxia or congenital malformation in neonates with DAMA. This suggests that the sustainable development of neonatology needs cooperation and co-development with obstetrics, neonatal surgery, and radiology to reduce the rate of DAMA. With reference to the current status of research in both China and other countries, this article reviews the causes for DAMA and the strategies for reducing the rate of DAMA, in order to provide a theoretical basis for effectively reducing the rate of DAMA from the neonatal intensive care unit, improving treatment outcomes of the neonates, and increasing hospitals' comprehensive benefits.
违反医疗建议出院（DAMA）与儿童疾病治疗目的相冲突。一些研究表明，在违反医疗建议出院的新生儿中，极早产儿以及患有窒息或先天性畸形的婴儿比例很高。这表明新生儿学的可持续发展需要与产科、新生儿外科和放射科合作与共同发展，以降低违反医疗建议出院的发生率。参照中国和其他国家的研究现状，本文综述了违反医疗建议出院的原因及降低其发生率的策略，以便为有效降低新生儿重症监护病房违反医疗建议出院的发生率、改善新生儿治疗效果以及提高医院综合效益提供理论依据。
