Factors associated with the discontinuance of outpatient follow-up in neonatal units
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Enfermagem (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000300163 |
Resumo: | 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. |
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Factors associated with the discontinuance of outpatient follow-up in neonatal unitsContinuity of Patient CareAmbulatory CareIntensive Care Units, NeonatalPediatric NursingNeeds AssessmentABSTRACT 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.Associação Brasileira de Enfermagem2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000300163Revista Brasileira de Enfermagem v.73 n.3 2020reponame:Revista Brasileira de Enfermagem (Online)instname:Associação Brasileira de Enfermagem (ABEN)instacron:ABEN10.1590/0034-7167-2018-0793info:eu-repo/semantics/openAccessDuarte,Elysangela DittzTavares,Tatiana SilvaCardoso,Isadora Virgínia LeopoldinoVieira,Carolina SantiagoGuimarães,Bárbara RadieddineBueno,Marianaeng2020-04-07T00:00:00Zoai:scielo:S0034-71672020000300163Revistahttp://www.scielo.br/rebenhttps://old.scielo.br/oai/scielo-oai.phpreben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br1984-04460034-7167opendoar:2020-04-07T00:00Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN)false |
dc.title.none.fl_str_mv |
Factors associated with the discontinuance of outpatient follow-up in neonatal units |
title |
Factors associated with the discontinuance of outpatient follow-up in neonatal units |
spellingShingle |
Factors associated with the discontinuance of outpatient follow-up in neonatal units Duarte,Elysangela Dittz Continuity of Patient Care Ambulatory Care Intensive Care Units, Neonatal Pediatric Nursing Needs Assessment |
title_short |
Factors associated with the discontinuance of outpatient follow-up in neonatal units |
title_full |
Factors associated with the discontinuance of outpatient follow-up in neonatal units |
title_fullStr |
Factors associated with the discontinuance of outpatient follow-up in neonatal units |
title_full_unstemmed |
Factors associated with the discontinuance of outpatient follow-up in neonatal units |
title_sort |
Factors associated with the discontinuance of outpatient follow-up in neonatal units |
author |
Duarte,Elysangela Dittz |
author_facet |
Duarte,Elysangela Dittz Tavares,Tatiana Silva Cardoso,Isadora Virgínia Leopoldino Vieira,Carolina Santiago Guimarães,Bárbara Radieddine Bueno,Mariana |
author_role |
author |
author2 |
Tavares,Tatiana Silva Cardoso,Isadora Virgínia Leopoldino Vieira,Carolina Santiago Guimarães,Bárbara Radieddine Bueno,Mariana |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Duarte,Elysangela Dittz Tavares,Tatiana Silva Cardoso,Isadora Virgínia Leopoldino Vieira,Carolina Santiago Guimarães,Bárbara Radieddine Bueno,Mariana |
dc.subject.por.fl_str_mv |
Continuity of Patient Care Ambulatory Care Intensive Care Units, Neonatal Pediatric Nursing Needs Assessment |
topic |
Continuity of Patient Care Ambulatory Care Intensive Care Units, Neonatal Pediatric Nursing Needs Assessment |
description |
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. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000300163 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000300163 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0034-7167-2018-0793 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
dc.source.none.fl_str_mv |
Revista Brasileira de Enfermagem v.73 n.3 2020 reponame:Revista Brasileira de Enfermagem (Online) instname:Associação Brasileira de Enfermagem (ABEN) instacron:ABEN |
instname_str |
Associação Brasileira de Enfermagem (ABEN) |
instacron_str |
ABEN |
institution |
ABEN |
reponame_str |
Revista Brasileira de Enfermagem (Online) |
collection |
Revista Brasileira de Enfermagem (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN) |
repository.mail.fl_str_mv |
reben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br |
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1754303037459922944 |