目的 研究提高听力筛查复筛依从性的新模式。方法 选取956名首次接受听力筛查未通过的新生儿,随机分为干预组和对照组,干预组采用“疾病健康教育-宣教资料发放-手机短信预约-电话通知提醒”模式进行返院复筛前的干预;对照组分成四组,1组进行疾病健康教育,2组发放宣教资料,3组手机短信预约,4组电话通知提醒;统计五组复筛率、新生儿性别、居住情况和监护人文化程度,结果进行统计学分析。结果 干预组复筛率92.75%。4个对照组复筛率分别为65.08%、57.07%、78.24%、83.68%。干预组与对照组比较差异有统计学意义(P<0.05),且各组在新生儿性别、居住情况和监护人文化程度方面比较差异无统计学意义(P>0.05)。结论 应用“疾病健康教育-宣教资料发放-手机短信预约-电话通知提醒”联合干预模式对提高复筛依从性比采取单一干预模式效果明显。

Objective To explore a new mode to improve screening compliance in hearing screening. Method A total of 956 patients undergoing failed in hearing screening of newborns,were randomly divided into Intervention group and control group,the intervention group used "Health education-education information dissemination-mobile phone SMS booking-call notification" mode back to the hospital screening before intervention;the control group was divided into fore groups,group 1 of health education,group 2 of releasing related information,group 3 of mobile phone SMS booking,group 4 of telephone notification;statistics of five groups of screening rate,gender,the living condition and the guardian education level,results were statistically analyzed. Results Screening rate of the intervention group was 92.75%,screening rates of four control group were 65.08%,57.07%,78.24%,83.68%,respectively.There were significant differences between intervention group and control group (P<0.05),and there were no significant differences in the gender,the living condition and the guardian education level of the groups (P>0.05). Conclusion To improve the hearing screening compliance is necessary,and the application of "Health Education-education information dissemination-mobile phone SMS booking-call notification" combination mode is effect to improve the screening compliance than single mode.