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首页> 外文期刊>Research Journal of Medical Sciences >Attrition Rate of Follow up Attendance in a Western Nigerian Foetal Malnutrition Study
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Attrition Rate of Follow up Attendance in a Western Nigerian Foetal Malnutrition Study

机译：尼日利亚西部胎儿营养不良研究中随访者的流失率

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The aim is to determine the factors contributing to outpatient follow up default rate (attrition) in a prospective study on foetal malnutrition in Nigeria and proffer suggestions on how to reduce it. This is a study of outpatient follow up attendance attrition (attendance default rate) in a study of Foetal Malnutrition in consecutive mothers who delivered singleton, term, live babies between January and August 2002 at the Wesley Guild Hospital, Ilesa, Nigeria. Foetal malnutrition was diagnosed using Clinical Assessment of Fetal Nutritional Status (CANS) and the score (CANSCORE) as adapted by Metcoff (1994). The mothers of the babies were informed that they would be required to attend the follow up clinic after discharge. The present research is the report on the rates of default from clinic attendance after discharge presented in relation to certain maternal and baby factors which had been elicited in the research proforma prior to the clinical assessment exercise. These factors were the socio-economic class, parity, age, attendance for antenatal care of the mothers and the presence or absence of foetal malnutrition or illnesses compelling hospital admission in the babies. Of the 473 studied and expected to be followed up, 89 [18.8%] had FM. Three hundred and fifteen (66.6%) and 249 (52.6%) were the attendance in the follow up clinic at the first and fourth weeks respectively. The 224 (47.4%) lost to follow up at the 4th week were examined in relation to the factors listed under methodology. Attrition rate at the 4 weeks follow up was higher among the mothers who had no antenatal care compared with those who did ( 2 = 11.3, p = 0.001), among teenage than older mothers ( 2 = 3.1, p = 0.08), among primiparous than multiparous mothers ( 2 = 2.5, p = 0.1) and among lower than higher social class mothers ( 2 = 8.0, p = 0.005). Attrition was also higher among mothers of female than male sex babies ( 2 = 4.5, p = 0.03), mothers of babies without foetal malnutrition than those with FM (p = 0.5), among clinically well than ill babies requiring admissions ( 2 = 39.7, p = 0.000). To reduce the frequency of attrition in a research study, better education of subjects and enlistment of the services of social worker/health visitors should be undertaken. Researchers in the developing nations should make generous allowance for attrition in calculating the number of the subjects to be recruited. This may be higher than what obtains in the developed nations. Research work should be made relevant to subjects need and planned in a way that subject participation would not overstretch their resources. Improvement in infrastructure including transportation and road network would also assist research activities.
机译：目的是在尼日利亚一项关于胎儿营养不良的前瞻性研究中确定导致门诊随访失误率（流失）的因素，并提出减少该病的建议。这是一项针对2002年1月至2002年8月间在尼日利亚伊莱莎韦斯利公会医院分娩单胎，足月活产的连续母亲的胎儿营养不良的门诊随访减员（缺勤率）研究。胎儿营养不良是根据《胎儿营养状况临床评估》（CANS）和Metcoff（1994）改编的评分（CANSCORE）诊断的。婴儿的母亲被告知，出院后将被要求前往随访诊所。本研究是关于出院后临床出勤率与某些母婴因素有关的报告，该报告是在临床评估之前的研究形式中提出的。这些因素是社会经济阶层，均等，年龄，母亲的产前护理出席率以及是否存在胎儿营养不良或导致婴儿入院的疾病。在研究的473个中，预计将进行随访的人中，有89人[18.8％]患有FM。第一周和第四周分别有315人（66.6％）和249人（52.6％）在随访诊所就诊。根据方法学中列出的因素，检查了在第4周失去随访的224例（47.4％）。在初产妇中，未进行产前检查的母亲的流失率高于未进行产前检查的母亲（2 = 11.3，p = 0.001），而未成年母亲的母亲（2 = 3.1，p = 0.08）高于多产母亲（2 = 2.5，p = 0.1），而社会地位较低的母亲（2 = 8.0，p = 0.005）。在女性中，母亲的流失率也比男性高（2 = 4.5，p = 0.03），没有胎儿营养不良的母亲的母亲流失率比有FM的母亲（p = 0.5），在临床上要好于需要入院的生病的婴儿（2 = 39.7）。 ，p = 0.000）。为了减少研究中人员流失的频率，应该对学科进行更好的教育并争取社会工作者/健康访问者的服务。发展中国家的研究人员应在裁员人数计算上给予大量减员。这可能比发达国家高。应该使研究工作与受试者的需求相关，并以受试者参与不会过度消耗其资源的方式进行计划。改善包括交通和道路网络在内的基础设施也将有助于研究活动。

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