新生儿听力筛查影响因素分析

Analysis on influencing factors of neonatal hearing screening

目的了解新生儿听力筛查现状及影响因素，为提高新生儿听力筛查覆盖率和筛查质量提供科学依据。方法：采用整群抽样方法抽取辖区13家助产机构共5 429名活产儿家长，对其进行问卷调查。结果：官渡区新生儿家长愿意接受新生儿听力筛查的比例为92．50％（95％CI：91．79％-93．21％）。多因素Logistic回归分析结果显示，初中及以上文化程度、孕期做过产前检查、剖宫产和新生儿听力筛查相关知识知晓度较高的家长接受新生儿听力筛查的意愿强于初中以下文化、孕期未做过产前检查、正常产或阴道助产分娩、新生儿听力筛查相关知识知晓度较低的家长。结论：影响新生儿家长接受新生儿听力筛查的主要因素为文化程度、是否做过产前检查、分娩方式和新生儿听力筛查的相关知识。

Objective To understand the current situation and influencing factors of neonatal hearing screening, provide scientificbasis for improving coverage rate and screening quality of neonatal hearing screening. Methods： Cluster sampling method was used to select5 429 parents of live births from 13 midwifery institutions, and then a questionnaire investigation was conducted. Results： Among the parents investigated in Guandu district, the screening rate of neonatal hearing screening was 92. 50% （95 % CI： 91.79 % -93.21% ） ; multivariate logistic regression analysis showed that the intentions receiving neonatal hearing screening among parents with junior high school educational level or above, receiving prenatal examination during pregnancy, adopting cesarean section and having high cognitive degree of neonatal hearing screening were stronger than those among parent with under junior high school educational level, never receiving prenatal examination during pregnancy, adopting spontaneous delivery or midwifery and having low cognitive degree of neonatal hearing screening. Conclusion： The main influencing factors of neonatal hearing screening among the parents are educational level, receiving prenatal examination ornot and knowledge about neonatal hearing screening.