Effect of family integrate care on the development of preterm infants at 18 months of age
10.3760/cma.j.issn.0578-1310.2016.12.005
- VernacularTitle:家庭参与式管理模式对早产儿18月龄生长发育的影响
- Author:
Ying LI
1
;
Xiangyu GAO
;
Xiying XIANG
;
Hongmei DAI
;
Liu YANG
;
K.Lee SHOO
;
Mingyan HEI
Author Information
1. 中南大学湘雅三医院儿科
- Keywords:
Family;
Neonatal nursing;
Intensive care units,neonatal;
Infant,premature;
Growth and development
- From:
Chinese Journal of Pediatrics
2016;54(12):902-907
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of family integrated care (FIC) in neonatal intensive care unit (NICU) to the development of preterm infants at 18 months of age.Method This is a prospective parallel case-control study.Infants in FIC group were preterm infants enrolled in previous FIC study with gestational age (GA) 28-35 weeks.Study period was from July 2015 to July 2016.Subjects were all enrolled from Department of Child Healthcare in the Third Xiangya Hospital of Central South University.Infants in control group were gender,birth weight (BW),BW percentile and days of life (DOL) at follow up matched (1:1 ratio) preterm infants who did not enter FIC in NICU.The age at follow-up was 18 months.Study parameters were maternal education year,socioeconomic status (SES) by Graffar method,home observation for measurement of the environment (HOME),mental development index (MDI) and psychomotor development index (PDI) by mental and psychomotor Bayley scales of infant development (BSID).SPSS 20.0 of x2 test,t test,Pearson coefficient test and Spearman coefficient test were used for the statistical analysis.Result Totally 67 infants were enrolled in each of FIC group and control group,with percentage of male gender 52％ (35 infants) and 51％ (34 infants),representatively.GA of FIC group and control group was (32.4 ± 1.7) and (32.2 ± 1.6) weeks,BW was (1 690 ±415) and (1 719 ± 412) g.Weight at 18 months follow-up was (10 ± 1) and (10 ± 1) kg,maternal education year was (15 ± 2) and (15 ±2) years,SES was (42 ±6) and (41 ±6) score,HOME was (31 ±5) and (32 ±5) score,representatively.There was no significant difference between FIC group and control group in the above parameters,making these 2 groups comparable.The MDI and PDI of FIC group were significantly higher than those of control group ((95 ± 9) vs.(86 ± 9),(87 ± 9) vs.(80 ± 8) score,t =5.506,4.502,both P =0.000).The MDI and PDI of all groups were positively correlated to GA (r =0.398 and 0.272,P =0.000 and 0.001),but the difference of MDI or PDI between FIC group and control group was not related to GA (r =0.679 and-0.393,P =0.094 and O.383).Conclusion FIC in NICU is beneficial to the development of preterm infants at 18 months of age.It is worthwhile to promote FIC in NICU in China.Trial registration Chinese Clinical Trial Registry,ChiCTR-TRC-14004736
