Volume 20 Issue 2
Feb.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 348-351
ZHAO Wei, XUE Yun-li, LI Ling, LIU Feng-le, JU Min, LI Le. Parallel controlled study of parental involvement in pre-term infant care and routine care in the neonatal intensive care unit[J]. Chinese Journal of General Practice, 2022, 20(2): 348-351. doi: 10.16766/j.cnki.issn.1674-4152.002349
Citation: ZHAO Wei, XUE Yun-li, LI Ling, LIU Feng-le, JU Min, LI Le. Parallel controlled study of parental involvement in pre-term infant care and routine care in the neonatal intensive care unit[J]. Chinese Journal of General Practice, 2022, 20(2): 348-351. doi: 10.16766/j.cnki.issn.1674-4152.002349
shu

Parallel controlled study of parental involvement in pre-term infant care and routine care in the neonatal intensive care unit

doi: 10.16766/j.cnki.issn.1674-4152.002349

  • Neonatal Intensive Care Unit, Nanyang Central Hospital, Nanyang, Henan 473000, China

Funds:

 192100310349

  • Received Date: 2021-03-08
    Available Online: 2022-03-04
    Abstract
  •   Objective  To explore the effect and feasibility of implementing the parent-participatory nursing model in the nursing of premature infants in the neonatal intensive care unit.  Methods  Based on a parallel control design study plan, 261 premature infants who met the inclusion criteria in the NICU of Nanyang Central Hospital from July 2018 to December 2019 were matched and grouped in accordance with the criteria of similar gestational age, weight and diagnosis at birth. The study group included 35 cases, and the control group included 70 cases. Under the guidance of specialist nurses, the parents of the study group and the specialist nurses jointly completed the life care, condition observation, feeding care and skin care of the child and participated in 4 h every day until the child was discharged. The children in the control group were nursed by specialist nurses. Family members visited 3 times a week, 30 min each time. The weight gain of the two groups of children was observed, and the incidence of nosocomial infection, secondary hospitalisation and family complaints, medical expenses and department expenditures was determined.  Results  When entering the intensive care unit, no significant difference in the average weight of the two groups of children was found [(1 890.75±317.57) g vs. (1 888.91±320.73) g, t=0.028, P=0.978]. When leaving the intensive care unit, the average weight of the study group was significantly higher than that of the control group [(2 473.97±284.72) g vs. (2 267.59±316.54) g, t=3.254, P=0.002]. The weight gain rate of the study group was higher than that of the control group. The average treatment cost, length of stay, family complaint rate and incidence of secondary admission within 30 days after discharge were lower in the study group than in the control group, and the difference was statistically significant (all P < 0.05). No significant difference in the incidence of nosocomial infection was found between the two groups (P>0.05). During the study period, department expenditures increased than before.  Conclusion  The implementation of the parent-participatory care model in NICU can promote the weight gain of premature infants, reduce the medical expenses and the incidence of secondary hospitalisation and does not increase the incidence of nosocomial infections. It is safe and feasible, but the department expenditures have increased.

     

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