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目的评价高危儿综合管理模式对提高高危儿随访效果的影响。方法采用以家庭为中心,与医疗相结合、医护与家长配合的综合干预模式,对2014-2015年2 694例高危儿进行跟踪随访。比较综合管理前、后1年高危儿随访率,比较综合管理前、后高危儿体格发育、智能发育水平。结果综合管理后1年与规范管理前1年比较高危儿建档数及3、6个月、1年随访率均有明显提高;综合管理后高危儿体格发育达标率91.7%明显高于综合管理前的58.3%,智能发育合格率83.3%明显高于综合管理前的41.7%,差异均有统计学意义(P<0.01)。结论综合管理模式可以提高高危儿随访效果。
Objective To evaluate the impact of integrated management of high-risk children on the follow-up of high-risk children. Methods A comprehensive intervention model with family as the center, combining with medical treatment and healthcare with parents was used to follow up the 2 694 high risk infants in 2014-2015. After comprehensive management, the follow-up rate of high-risk children in the first year and the second year after comprehensive management was compared, and the physical development and the level of intelligence development in high-risk infants were comprehensively managed. Results The number of high-risk children filing and the follow-up rates of 1, 6 months and 1 year after comprehensive management were significantly higher than those of 1 year before standard management. The compliance rate of high-risk physical development reached 91.7% after integrated management was significantly higher than that of comprehensive management The former 58.3%, intelligence development rate of 83.3% was significantly higher than before the comprehensive management of 41.7%, the difference was statistically significant (P <0.01). Conclusion The integrated management mode can improve the follow-up effect of high-risk children.