关键词: 出院后早产儿管理模式, 管理率, 家庭早期发育促进依从性

Abstract: Objective To compare visiting rates and the scores of early development promotion at home in two different management models for premature infants of post-discharge,and to explore possible associated factors. Methods In four sample counties from Shaanxi and Guangxi provinces in China,416 preterm infants were visited regularly since post-discharge.Management Modle one in Guangxi,the preterm infants with high risk factors were visited by doctors at county level and the others by doctors at township level.Management Modle two in Shaanxi,all preterm infants were visited by doctors at county level.In the 4 counties,visiting intervals and contents were all unified. Results The visiting rates in Modle one was 86.3%,which was higher than that (57.0%) in Modle two (P<0.01);The scores of development promotion at home in Modle one were more than that in Modle two (P<0.01).Binary logistic and ordinal regression analysis showed that when parents as one of care givers (OR=99.491)or preterm infant having disease at birth(OR=1.853),the visiting rates were higher and when parents as one of care givers(P<0.01) or the less family's income(P<0.05),the scores of development promotion at home were more. Conclusions When preterm infants of post-discharge are classried and graded manageed by doctors at different levels,the visiting rates are higher and scores of early development promotion at home are more.The parents of preterm infants should be encouraged to raise their children by themselves.The health education should be improved for caregivers.

Key words: management models of preterm infants of post-discharge, visiting rates, scores of early development promotion at home