Factores asociados a la no adhesión al seguimiento ambulatorio de egresados de terapia intensiva neonatal

• Autor(a) principal: Freire, Laís Machado
• Data de Publicação: 2019
• Outros Autores: Camponêz, Pedro Sérgio Pinto, Maciel, Isadora Virgínia Leopoldino, Vieira, Carolina Santiago, Bueno, Mariana, Duarte, Elysângela Dittz
• Tipo de documento: Artigo
• Idioma: eng; spa; por
• Título da fonte: Revista da Escola de Enfermagem da USP (Online)
• Texto Completo: https://www.revistas.usp.br/reeusp/article/view/155219
• topic: Infant; Low Birth Weight; Premature; Ambulatory Care; Continuity of Patient Care; Neonatology; Neonatal Nursing; Infant; Low Birth Weight; Premature; Ambulatory Care; Continuity of Patient Care; Neonatology; Neonatal Nursing; Infant; Low Birth Weight; Premature; Ambulatory Care; Continuity of Patient Care; Neonatology; Neonatal Nursing

Objective: To analyze the factors associated with non-adherence to the outpatient follow-up of infants discharged from the Neonatal Intensive Care Unit. Method: A crosssectional study that included 596 children who were discharged between October 1, 2014 and September 30, 2015 and who were referred to outpatient follow-up. The data were collected by evaluating the discharge report and attendance to the consultations. Results: Of the 596 children referred for follow-up, 118 (19.80%) did not attend any outpatient care in the 12 months after discharge. Children with gestational age at birth ≥37 weeks (odds ratio 1.97, p=0.013), who were not resuscitated at birth (odds ratio 1.79, p=0.032) and those without continuous use of medications at home (odds ratio 1.69, p=0.046) were more likely to not adhere to outpatient follow-up. Conclusion: The expressive number of non-adherence to follow-up indicates the need for actions to ensure care continuity to newborns at risk after hospital discharge. Although the differences pointed out cannot be defined as predictors of non-follow-up, evidence of these variables allows us to recognize risks and seek to reduce factors that influence abandoning follow-up care.