区域性高危儿网络化管理体系在预防残疾中的作用

doi:10.3969/j.issn.1006-9771.2020.02.019

Abstract

Abstract:

Objective To explore the feasibility of establishing a regional network management system to prevent and control the disability in high-risk infants.Methods From July, 2015 to June, 2016, 1252 type B high-risk infants who born alive and registered in Lianyungang were divided into control group and experimental group by receiving network management system or not. The network high-risk infants management system was used to monitor the growth, diagnosis and early intervention of high-risk infants in the experimental group, while the control group was managed in the conventional way. A comprehensive physical examination and systematic assessment of 940 high-risk infants finally were conducted after two years. Their parents' compliance, developmental state, degree of dysplasia and function of dysplastic child were compared.Results The compliance of parents was higher in the experimental group than in the control group (χ² = 44.161, P < 0.001), as well as the outcome when the infants were two years old ( χ² = 204.340, P < 0.001). The younger they were found deviated and intervened, the better the outcome was ( χ² = 42.038, P < 0.001), and the less degree of dysplasia when they were two years old ( χ² = 10.508, P < 0.01). The deviation/abnormality condition was less in the experimental group than in the control group ( χ² = 17.446, P < 0.01). The development of functional area was better in the experimental group than in the control group (| t| > 2.206, P < 0.05), expect body structure ( P > 0.05), in the infants with developmental deviation/abnormality. Conclusion The establishment of network management system for high-risk infants can significantly improve the management compliance of parents and outcome of development of high-risk infants, to prevent disability.

Key words: high-risk infants, brain injury, management, outcome, disability, prevention

CLC Number:

R179

YAN Dong-mei,SHI Qing-xi,TONG Jiao,MA Shan,ZHAO Xing-xing,CHE Shi-hong. Role of Regional Network Management System in Disability Prevention for Newborn High-risk Infants[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 242-248.

Figures/Tables 6

References 31

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一般情况		对照组(n = 390)	试验组(n= 550)	χ²/t值	P值
性别(n)	男	207	270	1.451	0.228
	女	183	280
父亲年龄(岁)		29.474±5.864	28.738±4.413	-2.094	0.037
母亲年龄(岁)		27.292±5.423	26.411±4.292	-2.671	0.008
父亲文化程度(n)	初中及以下	45	99	8.767	0.033
	高中或中专	155	205
	大专及以上	127	151
	硕士及以上	63	95
母亲文化程度(n)	初中及以下	92	117	9.603	0.022
	高中或中专	115	215
	大专及以上	138	160
	硕士及以上	45	58
父亲就业情况(n)	全职	166	201	6.014	0.111
	非全职	89	162
	不工作	36	53
	同时兼职	99	134
母亲就业情况(n)	全职	159	178	10.741	0.013
	非全职	101	178
	不工作	108	146
	同时兼职	22	48
家庭月收入(n)	2000元以下	82	113	8.053	0.090
	2000~4000元	138	237
	4000~6000元	73	74
	6000~8000元	66	82
	8000元以上	31	44
家庭形态(n)	核心家庭	137	195	6.353	0.096
	主干家庭	178	218
	大家庭	32	48
	单亲家庭	43	89
子女数(n)	1人	125	216	7.241	0.027
	2人	192	259
	3人及以上	73	75
父母对疾病的认知(n)	不了解	158	180	7.539	0.023
	了解一些	184	277
	了解很多	48	93

组别	n	依从性
组别	n	好	一般	差
对照组	390	94	179	117
试验组	550	203	274	73
合计	940	297	453	190

初始发现发育偏离/异常时间	对照组(n = 390)			试验组(n = 550)			χ²值	P值
初始发现发育偏离/异常时间	正常	偏离	异常	正常	偏离	异常	χ²值	P值
0~6月龄	74	52	69	109	236	89	42.038	< 0.001
7~12月龄	26	77	51	24	55	37	0.638	0.727
>12月龄	0	12	29	0	0	0	-	-

初始发现发育偏离/异常时间	对照组(n = 149)			试验组(n = 126)			χ²值	P值
初始发现发育偏离/异常时间	轻度	中度	重度	轻度	中度	重度	χ²值	P值
0~6月龄	23	26	23	49	27	13	10.508	0.005
7~12月龄	28	15	11	26	9	2	4.796	0.091
>12月龄	16	7	0	0	0	0	-	-

组别	n	发育偏离/异常能区
组别	n	大运动	精细动作	适应能力	语言	社交行为	两项及以上
对照组	141	2	1	54	37	5	42
试验组	291	5	2	167	56	2	59
合计	432	7	3	221	93	7	101

Role of Regional Network Management System in Disability Prevention for Newborn High-risk Infants

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变量	分组	对照组 (n = 149)	试验组 (n = 126)	t值	P值
身体功能	b1	1.553±0.728	1.222±0.796	-10.301	< 0.001
	b3	0.078±0.374	0.085±0.286	-14.829	< 0.001
	b7	0.966±0.462	1.495±0.710	-4.936	< 0.001
身体结构	s1	0.842±0.373	1.534±0.630	-1.758	0.087
	s2	0.690±0.483	1.608±0.972	0.654	0.517
	s7	0.754±0.480	1.246±0.784	1.027	0.311
活动与参与	d1	0.020±0.108	0.214±0.511	2.206	0.034
	d2	1.549±0.938	1.291±1.121	-3.428	0.002
	d3	1.529±0.911	1.593±1.024	-0.934	0.356
	d4	1.687±0.801	1.805±1.094	-1.305	0.200
	d5	1.700±0.994	2.477±1.148	-1.930	0.061
	d7	1.180±0.892	1.525±1.035	-2.692	0.011
环境因素	e310	0.612±0.550	1.180±0.518	-4.797	< 0.001
	e355	0.106±0.272	0.458±0.514	-2.269	0.029
	e115	0.749±0.458	1.925±0.825	0.796	0.431

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