Evaluation of single family room effects on preterm infants in the neonatal intensive care unit
10.3760/cma.j.issn.1672-7088.2018.33.012
- VernacularTitle:新生儿重症监护室开展家庭病房的实践与效果评价
- Author:
Jian LI
1
;
Lingling HUA
;
Xuehua LI
;
Wei LOU
;
Li MO
;
Zhe JIA
Author Information
1. 110000,沈阳军区总医院儿科
- Keywords:
Infants;
Pre-term infants;
Single family room;
Breastfeeding;
NBNA score
- From:
Chinese Journal of Practical Nursing
2018;34(33):2615-2619
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of family single room practices in NICU on maternal anxiety and breastfeeding status and neuropsychological development in preterm infants. Methods One-hundred NICU-born preterm infants were divided into the experimental group (n= 48) and the control group (n=52) according to random number table. Neonates in the experimental group were guaranteed parental care in the family ward for at least 4 hours a day during hospitalization in NICU, while the control group used a traditional video-based approach for daily scheduled visits. Finally, the results of exclusive breastfeeding, nosocomial infection, maternal anxiety, parental satisfaction, and full-term NBNA score after correction of gestational age were collected and recorded. Results The rates of exclusive breastfeeding were 82.50%(33/40),42.50%(17/40)during hospitalization and six months old in the experimental group, and 17.07%(7/41),12.20%(5/41)in the control group. The difference between the two groups was statistically significant during hospitalization and at 6 months of age (χ2=32.25, 9.40,P <0.01). The score of maternal anxiety was 33.00(31.00, 41.75)in the experimental group, and 43.00(34.50, 46.00)in the control group. The difference between the two groups was statistically significant (Z=-2.97, P =0.003).The NBNA score in the experimental group was 38.50(38.00, 40.00), and 37.00(36.00, 39.00)in the control group. The difference between the two groups was statistically significant(Z=-2.86, P<0.01). Conclusions The development of family ward is conducive to raising the rate of exclusive breastfeeding, reducing the incidence of nosocomial infection, relieving the anxiety of mother-infant separation and enhancing the satisfaction of parents, which can promote the behavioral and neuropsychological development of preterm infants.