Effect of gently caring on clinical outcomes of extremely low birth weight infants
10.3760/cma.j.issn.1672-7088.2017.20.010
- VernacularTitle:精细化照护策略对超低出生体质量儿短期结局的影响
- Author:
Xiaojing HU
;
Xueping ZHANG
;
Chan LIU
;
Li ZHANG
;
Suzhen CAO
;
Tianchan LYU
;
Yun CAO
;
Yuxia ZHANG
- Keywords:
Gentle;
Care;
Extremely low birth weight infant;
Outcomes
- From:
Chinese Journal of Practical Nursing
2017;33(20):1558-1562
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate whether changes in neonatal intensive care have improved outcomes for extremely low birth weight (ELBW) infants in neonatal intensive care unit (NICU). Methods A prospective phase-lag cohort study was performed in a tertiary level NICU. A meticulous nursing strategy based on neonatal individual developmental care assessment program theory and feasible ELBW minimization stimulus was developed. Conventional care was applied in 2013 (period Ⅰ) and gently caring was applied in 2014 (period Ⅱ). The outcomes of ELBW between these 2 periods were compared. Results During these two periods, thirty-seven infants were included in period Ⅰ and 41 infants in period Ⅱ. In periodⅠ46.0%(17/37) of the infants needed oxygen for at least 28 days, but in period Ⅱ it decreased to 24.4%(10/41), there was significant difference (χ2=3.990, P=0.046). The rate of breastfeeding increased from 27.0%(10/37) in periodⅠto 61.0%(25/41) in period Ⅱ, there was significant difference (χ2=9.061, P=0.003). There was no significant difference in the mortality rate and chronic lung disease (P>0.05). The incidence of intracranial hemorrhage decreased from 21.6%(8/37) to 4.9%(2/41), there was significant difference(P=0.041). Conclusions Gently caring may have resulted in less intracranial hemorrhage and improve breastfeeding rate. Parents are satisfied with gentle care and in light of these findings, gentle care deserves further exploration.
