Abstract: Objective To investigate parents' or caregiver's compliance of well-baby checking and the influence factors. Methods Totally 500 children and their parents or caregivers were recruited from division of child health care,children's hospital of Chongqing medical university.Questionnaire was used to investigate the frequency of routine well-baby checking and implementation of doctors' professional advises.The descriptive statistical methods was used to obtain parents' or caregiver's compliance of well-baby checking and factors affecting compliance was analyzed by logistic regression. Results 1)46.2% subjects were taken well-baby checking periodically.Among them,the routine follow-up rate in infants was about two-fold of toddlers' (60.7% vs 30.4%).2) Getting professional advise on fostering baby was the most common purpose of clinic visiting (71.8%).58.8% parents or caregivers were concerned about development of feeding skills and practice.3)34.4% parents or caregivers would like to improve their parenting methods according to doctor's professional advises.4) Only 19.0% subjects were taken well-baby checking regularly and in the meanwhile raised according to the professional advise,in which 71.6% were infants.5)Age and different caregivers might affect the compliance of well baby checking significantly(P＜0.05). Conclusions The rate of periodical well-baby checking is quite low and the doctor's professional advises are performed unsatisfactory.Therefore,the parents' awareness of well-baby checking should be improved.

摘要： 目的 了解家长参加儿童健康体检的依从情况及其影响因素。方法 收集在重庆医科大学附属儿童医院儿童保健门诊就诊的500例家长与儿童资料,自行设计的调查问卷了解儿童定期体检情况及对医生建议的执行情况。采用描述性统计方法获得家长参加儿童健康体检的依从性,Logistic回归分析影响家长依从性的因素。结果 1)46.2%的儿童定期参加健康检查,其中60.7%为婴儿,幼儿为 30.4%;2)71.8%的家长参加健康体检的主要目的是咨询相关问题并听取医生建议,其中58.8%为营养与喂养相关问题;3)34.4%的家长能据医生建议改善育儿方法;4)家长能定期带儿童参加健康体检并认真执行医生建议者占所有调查儿童的19.0%,其中 71.6%为婴儿;5)Logistic回归分析显示儿童年龄、主要带养人能显著影响家长依从性(P＜0.05)。 结论 儿童保健门诊调查人群中儿童的定期健康体检率及医嘱执行情况欠佳,家长参加儿童健康体检的依从性有待提高。

关键词: 儿童健康体检, 依从性, 影响因素