Construction and application of a family integrated care program for very low birth weight infants in China
10.3761/j.issn.0254-1769.2024.24.002
- VernacularTitle:极低出生体重儿家庭参与式照护方案的构建及应用研究
- Author:
Mengfan QIU
1
;
Yi ZHANG
;
Liling LI
;
Yun CAO
;
Yalan DOU
;
Xiaojing HU
Author Information
1. 201102 上海市 复旦大学附属儿科医院护理部
- Publication Type:Journal Article
- Keywords:
Infant,Very Low Birth Weight;
Family Integrated Care;
Intensive Care Units,Neonatal;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2024;59(24):2957-2965
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a comprehensive family integrated care program for very low birth weight in-fants and to investigate the initial application effect of the program.Methods The family integrated care program for very low birth weight infants was developed using semi-structured interviews,a comprehensive literature review,and an expert consensus.A non-synchronous controlled trial was subsequently carried out.Between January and May 2023,35 participants accompanied by their parents for a minimum of 6 hours daily over a span of at least 3 days,were consecutively selected as an intervention group.Between January and May 2022,35 participants in the control group were treated with routine closed neonatal intensive care unit model.The application effect of the pro-gram on the clinical outcomes of very low birth weight infants was assessed,such as weight gain rate during hospi-talization,breastfeeding days,incidence of late-onset sepsis,incidence of extrauterine growth restriction at discharge,TIMP level at corrected gestational age of 37 weeks and hospitalization days.Results The authority coefficient of the 8 invited experts specializing in neonatal nursing and nursing management was 0.925.A comprehensive pro-gram was developed,consisting of 2 stages—preparation and implementation,and addressing 7 key themes:staff team formation and training,environmental support,assessment,parental training,family-integrated care implementation,peer support,and comprehensive communication.No shedding cases occurred during the application of the program.The outcomes indicated that the intervention group experienced a higher rate of weight gain and more days of breast-feeding compared to the control group,and the incidence of extrauterine growth retardation upon discharge was also lower,with statistically significant differences(all P＜0.05).However,there were no significant differences in other clinical outcomes(all P＞0.05).Conclusion The family integrated care program for very low birth weight infants de-veloped in this study is scientifically grounded,comprehensive,and practical.The implementation of this program can promote the weight gain and breastfeeding among very low birth weight infants,reduce the occurrence of extrauter-ine growth restriction upon discharge,and does not increase the incidence of late-onset sepsis.
