互联网儿童保健模式在早期生长发育监测中的应用

Application of model of Internet child health care in early growth and development monitoring

目的采用互联网儿童保健模式对儿童早期生长发育进行监测,探索适用社区推广的儿童早期生长发育评估及干预技术,为实现基层儿童分级诊疗模式提供新的策略。方法自2017年6月起,采用整群抽样方案,由经培训的基层儿童保健医师使用婴幼儿生长发育监测评估系统,对符合条件的500名婴幼儿进行生长和发育筛查监测,并提供针对性家庭干预指导建议和转诊。实施6个月后,收集儿童生长发育指标进行纵向对照研究。结果通过6个月的连续监测、评估和干预,发现儿童在体质量、大运动、精细运动、语言和社交方面,与首次评估相比有明显的促进和改善。结论互联网儿童保健模式与儿童早期生长发育评估及早期干预融合良好,具有可行性及可靠性,有利于疾病的分级诊疗,值得在基层推广。

Objective To adopt the model of Internet child heath care to monitor the early growth and development of children and explore the early childhood growth and development assessment and intervention techniques for community in order to provide new strategies for grassroots children’s graded diagnosis and treatment model. Methods A cluster sampling plan was adopted. Infant growth and development monitoring and evaluation system used by the trained grassroots child care physicians from June 2017 monitored the growth and development of 500 infants and provided targeted family intervention guidance and referral. The growth and development data were collected at the end of intervention for 6 months. Results Through 6 months of monitoring,evaluation and intervention,the body weight,the gross motor,the fine motor,language,and social interactions of children significantly improved( P < 0. 05). Conclusion The model of Internet child health care is well integrated with early childhood growth and development assessment and intervention,which is feasible and reliable,profits to graded diagnosis and treatment of diseases,and is worth promoting in community.