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中国疫情期间早产儿的随访管理

Management of Follow-Up With Preterm Infants During the Outbreak in China.

作者信息

Li Linlin, Li Zhenghong, Wan Weilin, Li Ji, Zhang Yu, Wang Changyan, Wang Lin

机构信息

Department of Pediatrics, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.

出版信息

Front Pediatr. 2021 Apr 29;9:637275. doi: 10.3389/fped.2021.637275. eCollection 2021.

Abstract

Coronavirus disease 2019 (COVID-19) swept Wuhan in January 2020. Other cities in China also suffered during the pandemic. Routine medical services were conducted in the Neonatal Intensive Unit (NICU) as usual, but the follow-up after discharge was seriously affected. To investigate the feasibility and effectiveness of a combination of online and face-to-face follow-up for preterm infants during the COVID-19 epidemic and to explore a follow-up pattern that can provide follow-up services while maximizing the protection of preterm infants and soothing the fear of their parents. Preterm infants ( = 35) whose first follow-up appointment was scheduled from February 1 to April 30, 2020, and preterm infants ( = 43) in the NICU follow-up group who were discharged from January 1, 2018, to January 31, 2020, who had a second or later routine follow-up appointment scheduled from February 1 to April 30, 2020, were enrolled. We provided a combination of online and face-to-face follow-up for preterm infants surveyed with the Wenjuanxing platform before and after the online follow-up and compared the first-time follow-up rate between the outbreak and the same period of the previous year. Feeding and oral medicine and supplements were the most concerning problems of the parents of preterm infants. The anxiety level of the family was significantly decreased after online follow-up ( < 0.05). A total of 96.8% of parents were satisfied or very satisfied with online follow-up, and 95.2% of parents thought that online follow-up had answered all their questions. Only 35.5% of parents thought online follow-up could replace face-to-face follow-up. The combination of online and face-to-face follow-up alleviated the anxiety of the parents during the outbreak and achieved a similar first-time follow-up rate as the same period in 2019.

摘要

2019年冠状病毒病(COVID-19)于2020年1月席卷武汉。中国其他城市在疫情期间也受到影响。新生儿重症监护病房(NICU)的常规医疗服务照常进行,但出院后的随访受到严重影响。为了调查在COVID-19疫情期间对早产儿进行线上与线下相结合随访的可行性和有效性,并探索一种能够在最大程度保护早产儿并缓解其父母恐惧的随访模式。纳入了首次随访预约时间为2020年2月1日至4月30日的早产儿(n = 35),以及2018年1月1日至2020年1月31日在NICU随访组出院、第二次或之后的常规随访预约时间为2020年2月1日至4月30日的早产儿(n = 43)。我们通过问卷星平台对调查的早产儿进行线上与线下相结合的随访,并比较疫情期间与上一年同期的首次随访率。喂养、口服药物和补充剂是早产儿父母最关心的问题。线上随访后家庭焦虑水平显著降低(P < 0.05)。共有96.8%的家长对线上随访满意或非常满意,95.2% 的家长认为线上随访解答了他们所有的问题。只有35.5%的家长认为线上随访可以取代线下随访。线上与线下相结合的随访减轻了疫情期间家长的焦虑,首次随访率与2019年同期相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ff/8116626/07a4d7b9368b/fped-09-637275-g0001.jpg

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