Early intervention status and related influencing factors of neonatal intensive care unit discharged high-risk infants in Yangzhou urban area

Objective To investigate the status quo of early intervention for discharged high-risk infants in neonatal intensive care unit (NICU) in Yangzhou urban area, and analyze the related influencing factors.

Methods A total of 200 high-risk infants were selected as research objects. At 3 months of adjusted age, parents were surveyed with a uniform questionnaire. Factors influencing early intervention of high-risk infants were analyzed.

Results Among the 200 high-risk children, 101 did not receive early intervention (did not receive early intervention group) and 99 received early intervention. Among 99 high-risk children who received early intervention, 5 cases chose institutional early intervention and 94 cases chose family early intervention. Among the 4 high-risk children with 9 family early intervention, 92 cases received early intervention guidance in general hospital and 2 cases received early intervention guidance in community hospital. Up to 3 months of adjusted age, the number of parents receiving early intervention guidance was 85 cases for 1 time, 5 cases for 2 times and 4 cases for ≥3 times. There were statistically significant differences between the two groups in age at birth, birth weight, cognition of high-risk infants, cognition of sequelae, cognition of early intervention, neurodevelopmental evaluation, follow-up of doctors to inform early intervention, knowledge of early intervention institutions and economic burden (P < 0.05). Multivariate Logistic regression analysis showed that sequelae cognition (OR=7.300; 95%CI, 2.641 to 20.178), early intervention informed by follow-up doctors (OR=10.793; 95%CI, 2.926 to 39.805), early intervention institutions (OR=7.212; 95%CI, 2.043 to 25.458) were protective factors for early intervention of NICU discharged high-risk children in Yangzhou urban area.

Conclusion Among the influencing factors of early intervention for NICU discharged high-risk children in Yangzhou urban area, parents′cognitive understanding of sequelae, doctors′notification of early intervention and awareness of early intervention institutions are protective factors. The above three influencing factors should be paid attention in the early intervention of high-risk children.