Ravarian Aida, Vameghi Roshanak, Heidarzadeh Mohammad, Nariman Shahin, Sagheb Setareh, Nori Fariba, Saeedershadi Farhoud, Norozi Mehdi
Arash Women 's Hospital, Tehran University of Medical Science, Tehran, Iran.
2.Pediatric Neuro-rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iran J Child Neurol. 2018 Winter;12(1):67-76.
The aim of this study was to determine factors influencing the number of times neonatal intensive care unit admitted preterm infants attend Neonatal Follow up and Early Intervention services (NFEI) during first year of life.
MATERIALS &METHODS: A parent-report questionnaire was administered via phone after the first birthday of preterm infants admitted to the NICU at Arash Hospital, Tehran, for at least 24 h, and who received standard NICU-based therapeutic services, from Apr 2014 to Feb 2015. Data included mother's age, education, type of pregnancy, history of abortion or premature birth, self-reported post-partum depression, number of children, infant's gender, birth weight, gestational age, length of stay in the NICU, living area, twin or triplet birth, number of siblings, and the child rank. Number of attending times to services was recorded. Another question addressed the causes of not attending the NFEI services.
Ultimately, 119 eligible children participated, 51% were girls and whose mean birth weight was 1908±626.7 gr, and average length of NICU stay was 20.1±16.9 d. After multivariate analysis, shorter length of stay in the NICU, lower maternal education, number of children, self-declared lack of awareness about early intervention services, and self-reported lack of referral by a physician were the only factors that continued to be significantly correlated, and in fact, the truly influential ones associated with number of attending times.
This study has defined some predictors of poor follow up and early intervention service utilization in a high-risk group of infants suggested be addressing and tackling by policymakers.
本研究旨在确定影响新生儿重症监护病房收治的早产儿在出生后第一年接受新生儿随访与早期干预服务（NFEI）次数的因素。
对2014年4月至2015年2月期间在德黑兰阿拉什医院新生儿重症监护病房（NICU）住院至少24小时且接受了基于NICU的标准治疗服务的早产儿，在其周岁生日后通过电话进行家长报告问卷调查。数据包括母亲的年龄、教育程度、妊娠类型、流产或早产史、自我报告的产后抑郁症、子女数量、婴儿性别、出生体重、孕周、在NICU的住院时间、居住地区、双胞胎或三胞胎出生情况、兄弟姐妹数量以及孩子的排行。记录接受服务的次数。另一个问题涉及未参加NFEI服务的原因。
最终，119名符合条件的儿童参与了研究，其中51%为女孩，平均出生体重为1908±626.7克，NICU平均住院时间为20.1±16.9天。多因素分析后，NICU住院时间较短、母亲教育程度较低、子女数量、自我宣称对早期干预服务缺乏了解以及自我报告医生未进行转诊是仅有的仍与接受服务次数显著相关的因素，实际上也是与接受服务次数真正相关的有影响力的因素。
本研究确定了一组高危婴儿中随访及早期干预服务利用不佳的一些预测因素，建议政策制定者加以关注和解决。
