FACTORS AFFECTING NEWBORN HEARING SCREENING FOLLOW-UP AT OTOLARYNGOLOGY DEPARTMENT, CHIANGRAI PRACHANUKROH HOSPITAL
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Abstract
BACKGROUND : Hearing loss is a common birth defect and common concern in developing countries that can affect a newborn to delayed or limited language and speech development and Learning and social problems. Chiangrai Prachanukroh Hospital has been initiated high-risk newborn hearing screenings since 2017. According to observations based on work experience, parents did not take infants who did not pass on hearing screening from nursery unit to re-screening at otolaryngology department, resulting in a high rate of loss to follow-up for re-screening hearing test to confirm their hearing loss.
OBJECTIVE : To investigate factors related to loss to follow-up for hearing screening test in newborns.
METHODS : This study was a prospective descriptive study. The samples were the newborn parents with loss to follow-up for hearing screening test at Otolaryngology Department, Chiangrai Prachanukroh Hospital in November 2021 to March 2022. The parents were interviewed by telephone and data were analyzed using descriptive statistics.
RESULTS : From interviews of 81 parents, the most common reason for loss to follow-up was on their job or personal errands (27.16%). The other reasons were forgetting to keep an appointment (18.52%), being too far away from the hospital (16.05%), underestimating the follow-up importance (14.81%), concerning the COVID-19 outbreak (8.64 %), inconvenient transportation (7.41%), sick infants (6.17 %) and lack of a service provider’s counseling (1.23%), respectively.
CONCLUSIONS AND RECOMMENDATIONS : The most common reason for loss to follow-up for hearing screening test at Otolaryngology Department was the parents’ on job or personal errands. The findings suggest that namely the establishment of a newborn database management and hearing tracking system, increasing parental knowledge about hearing loss screening, and follow-up telephone reminder. The commitment of a multidisciplinary team, including the chief executive is critical to the success of the newborn hearing screening service.
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