Objective To explore the application effect of internet-based family nurturing care course for high-risk infants during follow-up management.

Methods 90 high-risk infants aged 0 - 1 year and their parents who visited the Child Health Center of Beijing Maternal and Child Health Care Hospital from January 1 to March 31, 2022 were recruited as study subjects. According to the date of first diagnosis, the subjects were randomly divided into intervention group and control group (15th and before was intervention group; 16th and beyond was control group), with 45 cases in each group. The control group received routine outpatient follow-up based on the standard management method of high-risk children, which is following-up at about 1, 3, 6, 9 and 12-month-old. The intervention group received routine care plus online management (2 family parenting and nursing courses every month, and online guidance 1 - 2 times based on their situation). Questionnaire and family parenting environment scale were used to analyze the differences in the family environment, caregivers' knowledge and children's development outcomes before and after the intervention between two groups.

Results Before intervention, there were no significant differences in the scores of family parenting environment scale, nurturing care questionnaire and developmental quotient between the two groups (all P > 0.05). After intervention, the score of family parenting environment scale in the intervention group was (137.56 ± 11.33) points, being higher than that in the control group(130.81 ± 13.90 points); The score of nurturing care questionnaire in the intervention group was (96.59 ± 4.80) points, being higher than that in the control group (90.54 ± 8.48 points); The score of developmental quotient in the intervention group was (93.71 ± 4.81) points, being higher than that in the control group (91.30 ± 4.87 points). The frequency of follow-up in the intervention group(2.53 ± 0.81 times) was higher than that in the control group (1.24 ± 0.61 times) (all P < 0.05).

Conclusion The online family management course can upgrade the family parenting environment and literacy of caregiver, improve the compliance of follow-up, and promote the healthy development of high-risk infant.