Factors associated with the discontinuance of outpatient follow-up in neonatal units

• मुख्य लेखकों: Elysangela Dittz Duarte (लेखक), Tatiana Silva Tavares (लेखक), Isadora Virgínia Leopoldino Cardoso (लेखक), Carolina Santiago Vieira (लेखक), Bárbara Radieddine Guimarães (लेखक), Mariana Bueno (लेखक)
• स्वरूप: पुस्तक
• प्रकाशित: Associação Brasileira de Enfermagem, 2020-04-01T00:00:00Z.
• विषय: article
• ऑनलाइन पहुंच: Connect to this object online.
• Notes: 1984-0446; 10.1590/0034-7167-2018-0793
• Keywords: Continuity of Patient Care; Ambulatory Care; Intensive Care Units, Neonatal; Pediatric Nursing; Needs Assessment; Nursing; RT1-120
• Source: Revista Brasileira de Enfermagem, Vol 73, Iss 3 (2020)

ABSTRACT Objectives: to identify predisposing and enabling factors as well as the health needs associated with the discontinuance of outpatient follow-up of newborns who were hospitalized at neonatal intensive care unit. Methods: cross-sectional study, using the behavioral model of health services use. The study was composed of 358 mothers and newborns referred to the outpatient follow-up after discharge. Characterization, perception of social support, postnatal depression, and attendance to appointments data were collected, analyzed by the R software (3.3.1). Results: outpatient follow-up was discontinued by 31.28% of children in the first year after discharge. In multiple regression analysis, the chance of discontinuance was higher for newborns who used mechanical ventilation (OR = 1.68; 95%CI 1.04-2.72) and depended on technology (OR = 3.54; 95%CI 1.32-9.5). Conclusions: predisposing factors were associated with the discontinuance of follow-up; enabling factors and health needs did not present a significant association. Children with more complex health conditions require additional support to participate in follow-up programs, thus ensuring the continuity of care.