Safety of family integrated care model in neonatal intensive care unit: a Meta-analysis
10.3760/cma.j.issn.2096-2932.2023.08.008
- VernacularTitle:新生儿重症监护病房实施家庭参与式照护模式安全性的Meta分析
- Author:
Wenwen HE
1
;
Xu ZHENG
;
Yuan ZHANG
;
Jingjie LUO
;
Juan DU
;
Mingyan HEI
Author Information
1. 国家儿童医学中心，首都医科大学附属北京儿童医院新生儿中心，北京 100045
- Keywords:
Neonatal intensive care unit;
Family integrated care;
Neonate;
Safety;
Meta-analysis
- From:Chinese Journal of Neonatology
2023;38(8):489-494
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the safety of family integrated care (FICare) model in neonatal intensive care unit (NICU).Methods:Multiple medical databases were searched for clinical studies on FICare in NICU published from January 1, 2010 to May 28, 2022. The quality of the literature was evaluated using Risk?of?Bias?2 tool?and cohort evaluation criteria from the Cochrane Systematic Evaluation Manual depending on the types of studies included. Meta-analysis was performed using Review Manager 5.3 software.Results:Six randomized controlled trials and four cohort studies were included for meta-analysis. The results of meta-analysis showed that compared with the traditional care model, FICare model did not increase the risk of nosocomial infection ( RR=0.75, 95% CI 0.46-1.24, P=0.27) and unstable medical conditions ( RR=0.86, 95% CI 0.61-1.22, P=0.40). No significant difference existed in the all-cause mortality between FICare and traditional care ( RR=2.74, 95% CI 0.88-8.57, P=0.08). Conclusions:FICare does not increase the risk of nosocomial infection, unstable medical conditions and adverse events compared with traditional care. It is safe and feasible to implement FICare in NICU.
