Impact of family integrated care on infants' clinical outcomes in two children's hospitals in China: a pre-post intervention study.
Impact of family integrated care on infants' clinical outcomes in two children's hospitals in China: a pre-post intervention study.
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DOI：
10.1186/s13052-018-0506-9
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发表时间：
2018-06-05
影响因子：
3.6
通讯作者：
Latour JM
中科院分区：
文献类型：
--
作者：
He SW;Xiong YE;Zhu LH;Lv B;Gao XR;Xiong H;Wang H;Shi HR;Latour JM
中国的大多数新生儿重症监护室（NICU）都有限制父母探视的政策。这也意味着父母没有参与照顾他们的婴儿。家庭综合护理（FIC）使父母能够直接提供护理和决策，正在成为许多国家NICU的标准，可以改善早产儿的生活质量和健康结果。本研究的目的是评估FIC干预对支气管肺发育不良（BPD）早产儿临床结局的影响。在中国两家儿童医院的NICU进行了干预前后研究。纳入BPD婴儿：2015年12月至2016年9月的干预前组（n = 134），2016年10月至2017年6月的干预后（FIC）组（n = 115）及其父母。NICU护士在2016年7月至9月期间接受了培训，以提供FIC干预，包括家长教育和支持。父母必须在场，每天至少照顾婴儿三小时。婴儿的结局指标包括住院时间、母乳喂养、体重增加、呼吸和氧气支持以及家长医院费用。与对照组（n = 134）相比，FIC组（n = 115）的母乳喂养率显著增加（83% vs 71%，p = 0.030），母乳喂养时间（31天对19天，p < 0.001），肠内营养时间（50天对比34天，p < 0.001），体重增加（29 g/天对比23 g/天，p = 0.002），呼吸支持时间显著缩短（16天对比25天，p < 0.001）。氧气暴露时间缩短，但不显著（39天vs 41天，p = 0.393）。父母住院费用（以当地人民币计算）不显著（84 K vs 88 K，p = 0.391）。我们的研究结果表明，FIC在两个中国NICU是可行的，并可能改善BPD早产儿的临床结局。需要进一步的研究，以包括所有的婴儿入院新生儿监护病房，并应包括家长报告的结果措施。我们的研究可能会帮助其他NICU与有限的父母访问实施FIC，以提高父母的授权和参与照顾他们的婴儿。
Most Neonatal Intensive Care Units (NICUs) in China have restricted visiting policies for parents. This also implicates that parents are not involved in the care of their infant. Family Integrated Care (FIC), empowering parents in direct care delivery and decisions, is becoming the standard in NICUs in many countries and can improve quality-of-life and health outcomes of preterm infants. The aim of this study was to evaluate the impact of a FIC intervention on the clinical outcomes of preterm infants with Bronchopulmonary Dysplasia (BPD). A pre-post intervention study was conducted at NICUs in two Chinese children’s hospitals. Infants with BPD were included: pre-intervention group (n = 134) from December 2015 to September 2016, post-intervention (FIC) group (n = 115) and their parents from October 2016 to June 2017. NICU nurses were trained between July and September 2016 to deliver the FIC intervention, including parent education and support. Parents had to be present and care for their infant minimal three hours a day. The infants’ outcome measures were length-of-stay, breastfeeding, weight gain, respiratory and oxygen support, and parent hospital expenses. Compared with control group (n = 134), the FIC group (n = 115) had significantly increased breastfeeding rates (83% versus 71%, p = 0.030), breastfeeding time (31 days versus 19 days, p < 0.001), enteral nutrition time (50 days versus 34 days, p < 0.001), weight gain (29 g/day versus 23 g/day, p = 0.002), and significantly lower respiratory support time (16 days versus 25 days, p < 0.001). Oxygen Exposure Time decreased but not significant (39 days versus 41 days p = 0.393). Parents hospital expenses in local Chinese RMB currency was not significant (84 K versus 88 K, p = 0.391). The results of our study suggests that FIC is feasible in two Chinese NICUs and might improve clinical outcomes of preterm infants with BPD. Further research is needed to include all infants admitted to NICUs and should include parent reported outcome measures. Our study may help other NICUs with limited parental access to implement FIC to enhance parental empowerment and involvement in the care of their infant.
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影响因子：
2.5
作者：
Hei M;Gao X;Gao X;Nong S;Zhang A;Zhang Q;Lee SK
通讯作者：
Lee SK
DOI：
10.1136/archdischild-2017-313697
发表时间：
2019-01
期刊：
Archives of disease in childhood. Fetal and neonatal edition
影响因子：
--
作者：
Edstedt Bonamy AK;Zeitlin J;Piedvache A;Maier RF;van Heijst A;Varendi H;Manktelow BN;Fenton A;Mazela J;Cuttini M;Norman M;Petrou S;Reempts PV;Barros H;Draper ES;Epice Research Group
通讯作者：
Epice Research Group
影响因子：
4.3
作者：
Ramanathan, K.;Paul, V. K.;George, G.
通讯作者：
George, G.
影响因子：
4.1
作者：
Latour, Jos M.;Duivenvoorden, Hugo J.;van Goudoever, Johannes B.
通讯作者：
van Goudoever, Johannes B.
影响因子：
5.1
作者：
Latour, Jos M.;Hazelzet, Jan A.;van Goudoever, Johannes B.
通讯作者：
van Goudoever, Johannes B.