Yoshioka-Maeda Kyoko, Matsumoto Hiroshige, Inagaki-Asano Asa, Honda Chikako
Department of Community Health Nursing, Division of Health Sciences and Nursing, Faculty of Medicine, The University of Tokyo, Tokyo 113-0033, Japan.
Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Faculty of Medicine, The University of Tokyo, Tokyo 113-0033, Japan.
Nurs Rep. 2023 Oct 11;13(4):1442-1451. doi: 10.3390/nursrep13040121.
Early detection of developmental dysplasia of the hip (DDH) in children is crucial. Due to COVID-19, maternal and child health services have been suspended temporarily, increasing the risk of late detection of DDH. This study aimed to reveal Japan's current situation regarding community hip screening for newborns and infants and to provide health guidance for caregivers regarding DDH. A web-based, nationwide cross-sectional survey was conducted between February and March 2023 (n = 1737). One public health nurse overseeing maternal and child health per municipality responded to the 2022 municipality hip screening system. Among the 436 municipalities that responded (response rate: 25.1%), 97.5% implemented hip screening within 4 months, and approximately 60% performed it during newborn home visits, while only 2.3% conducted hip ultrasound screening. Perfect checking of the risk factors for DDH during newborn home visits and training opportunities for home visitors must be improved. Educational programs regarding DDH for home visitors and caregivers are needed to prevent the late diagnosis of DDH. Furthermore, collaboration between pediatric orthopedic surgeons and nurses is crucial for developing effective community-based hip-screening systems by bridging the evidence and practice gap in the early detection of DDH.
儿童髋关节发育不良（DDH）的早期检测至关重要。由于新冠疫情，母婴健康服务已暂时暂停，这增加了DDH延迟检测的风险。本研究旨在揭示日本目前针对新生儿和婴儿进行社区髋关节筛查的现状，并为护理人员提供有关DDH的健康指导。2023年2月至3月期间进行了一项基于网络的全国性横断面调查（n = 1737）。每个市负责母婴健康的一名公共卫生护士对2022年的市髋关节筛查系统做出了回应。在做出回应的436个市中（回应率：25.1%），97.5%在4个月内实施了髋关节筛查，约60%在新生儿家访期间进行了筛查，而只有2.3%进行了髋关节超声筛查。必须改进在新生儿家访期间对DDH危险因素的全面检查以及为家访人员提供培训的机会。需要为家访人员和护理人员开展有关DDH的教育项目，以防止DDH的延迟诊断。此外，小儿骨科医生和护士之间的合作对于通过弥合DDH早期检测中证据与实践之间的差距来开发有效的社区髋关节筛查系统至关重要。
