Author Of 1 Presentation
INVOLVING PARENTS IN THE CARE OF VERY-LOW-BIRTH-WEIGHT INFANTS IMPROVE INFANT'S CLINICAL OUTCOMES: A QUASI-EXPERIMENTAL STUDY
Abstract
Background
In neonatology, survival rates of very-low-birth-weight infants are improving. Family-centered-care might be one of the contributing factors of infants’ clinical outcomes.
Objectives
To evaluate a parental education and participation in care intervention to improve clinical outcomes of very-low-birth-weight infants.
Methods
We conducted a quasi-experimental trial in a Chinese NICU from June 2016 to June 2017. The family-centered care intervention included parental education sessions of basic care following participation in care for minimal four hours a day. Totally, 319 very-low-birth-weight infants were recruited and assigned to the intervention group (n=156) and control group (n=163) by convenience sampling. Primary outcomes were weight at discharge, length-of-stay, breastfeeding, nasal feeding, total parental nutrition, hospital expenses. Secondary outcome measures were infants’ complications.
Results
Primary outcomes are presented in Table 1: Infants’ weight at discharge was higher in the interventions group (p<0.001). Nutritional outcomes improved significantly. Length-of-stay and hospital expenses did not differ between groups. Improved secondary outcomes were bronchopulmonary dysplasia (32vs51, p=0.031), retinopathy of prematurity (between groups no/mild and moderate/severe, p=0.003), necrotizing enterocolitis (6vs18, p=0.019), and re-admission rate (21vs38, p=0.023). No differences were observed in intraventricular hemorrhage and nosocomial infections.
Conclusion
Very-low-birth-weight premature infants might benefit from having parents as their primary caregivers. Infants might experience improved clinical outcomes when parents are caring from them for at least four hours a day. Family-centered care is a beneficial approach in neonatology and should be implemented by NICUs where parents have limited access or involvement in care.
Presenter of 1 Presentation
INVOLVING PARENTS IN THE CARE OF VERY-LOW-BIRTH-WEIGHT INFANTS IMPROVE INFANT'S CLINICAL OUTCOMES: A QUASI-EXPERIMENTAL STUDY
Abstract
Background
In neonatology, survival rates of very-low-birth-weight infants are improving. Family-centered-care might be one of the contributing factors of infants’ clinical outcomes.
Objectives
To evaluate a parental education and participation in care intervention to improve clinical outcomes of very-low-birth-weight infants.
Methods
We conducted a quasi-experimental trial in a Chinese NICU from June 2016 to June 2017. The family-centered care intervention included parental education sessions of basic care following participation in care for minimal four hours a day. Totally, 319 very-low-birth-weight infants were recruited and assigned to the intervention group (n=156) and control group (n=163) by convenience sampling. Primary outcomes were weight at discharge, length-of-stay, breastfeeding, nasal feeding, total parental nutrition, hospital expenses. Secondary outcome measures were infants’ complications.
Results
Primary outcomes are presented in Table 1: Infants’ weight at discharge was higher in the interventions group (p<0.001). Nutritional outcomes improved significantly. Length-of-stay and hospital expenses did not differ between groups. Improved secondary outcomes were bronchopulmonary dysplasia (32vs51, p=0.031), retinopathy of prematurity (between groups no/mild and moderate/severe, p=0.003), necrotizing enterocolitis (6vs18, p=0.019), and re-admission rate (21vs38, p=0.023). No differences were observed in intraventricular hemorrhage and nosocomial infections.
Conclusion
Very-low-birth-weight premature infants might benefit from having parents as their primary caregivers. Infants might experience improved clinical outcomes when parents are caring from them for at least four hours a day. Family-centered care is a beneficial approach in neonatology and should be implemented by NICUs where parents have limited access or involvement in care.