Cargando…
Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study
Background: Survival of very-low-birth-weight infants is improving in neonatology and family-centered-care might contribute to premature infants' clinical outcomes. Aim: To evaluate a family-centered care intervention on clinical outcomes of very-low-birth-weight infants. Methods: A quasi-exper...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473064/ https://www.ncbi.nlm.nih.gov/pubmed/31032240 http://dx.doi.org/10.3389/fped.2019.00138 |
_version_ | 1783412349387931648 |
---|---|
author | Lv, Bo Gao, Xi-ronga Sun, Jing Li, Tao-tao Liu, Zhen-ye Zhu, Li-hui Latour, Jos M. |
author_facet | Lv, Bo Gao, Xi-ronga Sun, Jing Li, Tao-tao Liu, Zhen-ye Zhu, Li-hui Latour, Jos M. |
author_sort | Lv, Bo |
collection | PubMed |
description | Background: Survival of very-low-birth-weight infants is improving in neonatology and family-centered-care might contribute to premature infants' clinical outcomes. Aim: To evaluate a family-centered care intervention on clinical outcomes of very-low-birth-weight infants. Methods: A quasi-experimental study was conducted in a Chinese NICU between June 2016 and June 2017. The intervention included parental education of basic care knowledge and skills followed by active participation in care for at least 4 h a day. A total of 319 very-low-birth-weight infants were recruited by convenience sampling; intervention group n = 156 and control group n = 163. Primary outcome measures were weight at discharge, length-of-stay, breastfeeding, nasal feeding, total parental nutrition, re-admission, hospital expenses. Secondary outcome measures were infant complications. Results: Infants' weight at discharge was higher in the interventions group (2,654 g vs. 2,325 g, p < 0.001). Nutritional outcomes improved significantly: breastfeeding rate 139 vs. 91, p < 0.001; days of total parental nutrition 25 d vs. 32 d, p < 0.001; gastric feeding days 23 d vs. 35 d, p < 0.001. Length-of-stay and hospital expenses did not differ between both groups. Improved infants' complications were bronchopulmonary dysplasia (32 vs. 51, p = 0.031), retinopathy of prematurity (between groups no/mild and moderate/severe, p = 0.003), necrotizing enterocolitis (6 vs. 18, p = 0.019), and re-admission rate (21 vs. 38, p = 0.023). No differences were observed in intraventricular hemorrhage and nosocomial infections. Conclusion: Very-low-birth-weight premature infants might experience improved clinical health outcomes when parents are present and caring from them. Family-centered care is as a beneficial care model for premature infants and should be recognized and implemented by NICUs where parents have currently limited access. |
format | Online Article Text |
id | pubmed-6473064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-64730642019-04-26 Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study Lv, Bo Gao, Xi-ronga Sun, Jing Li, Tao-tao Liu, Zhen-ye Zhu, Li-hui Latour, Jos M. Front Pediatr Pediatrics Background: Survival of very-low-birth-weight infants is improving in neonatology and family-centered-care might contribute to premature infants' clinical outcomes. Aim: To evaluate a family-centered care intervention on clinical outcomes of very-low-birth-weight infants. Methods: A quasi-experimental study was conducted in a Chinese NICU between June 2016 and June 2017. The intervention included parental education of basic care knowledge and skills followed by active participation in care for at least 4 h a day. A total of 319 very-low-birth-weight infants were recruited by convenience sampling; intervention group n = 156 and control group n = 163. Primary outcome measures were weight at discharge, length-of-stay, breastfeeding, nasal feeding, total parental nutrition, re-admission, hospital expenses. Secondary outcome measures were infant complications. Results: Infants' weight at discharge was higher in the interventions group (2,654 g vs. 2,325 g, p < 0.001). Nutritional outcomes improved significantly: breastfeeding rate 139 vs. 91, p < 0.001; days of total parental nutrition 25 d vs. 32 d, p < 0.001; gastric feeding days 23 d vs. 35 d, p < 0.001. Length-of-stay and hospital expenses did not differ between both groups. Improved infants' complications were bronchopulmonary dysplasia (32 vs. 51, p = 0.031), retinopathy of prematurity (between groups no/mild and moderate/severe, p = 0.003), necrotizing enterocolitis (6 vs. 18, p = 0.019), and re-admission rate (21 vs. 38, p = 0.023). No differences were observed in intraventricular hemorrhage and nosocomial infections. Conclusion: Very-low-birth-weight premature infants might experience improved clinical health outcomes when parents are present and caring from them. Family-centered care is as a beneficial care model for premature infants and should be recognized and implemented by NICUs where parents have currently limited access. Frontiers Media S.A. 2019-04-12 /pmc/articles/PMC6473064/ /pubmed/31032240 http://dx.doi.org/10.3389/fped.2019.00138 Text en Copyright © 2019 Lv, Gao, Sun, Li, Liu, Zhu and Latour. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Lv, Bo Gao, Xi-ronga Sun, Jing Li, Tao-tao Liu, Zhen-ye Zhu, Li-hui Latour, Jos M. Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study |
title | Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study |
title_full | Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study |
title_fullStr | Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study |
title_full_unstemmed | Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study |
title_short | Family-Centered Care Improves Clinical Outcomes of Very-Low-Birth-Weight Infants: A Quasi-Experimental Study |
title_sort | family-centered care improves clinical outcomes of very-low-birth-weight infants: a quasi-experimental study |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473064/ https://www.ncbi.nlm.nih.gov/pubmed/31032240 http://dx.doi.org/10.3389/fped.2019.00138 |
work_keys_str_mv | AT lvbo familycenteredcareimprovesclinicaloutcomesofverylowbirthweightinfantsaquasiexperimentalstudy AT gaoxironga familycenteredcareimprovesclinicaloutcomesofverylowbirthweightinfantsaquasiexperimentalstudy AT sunjing familycenteredcareimprovesclinicaloutcomesofverylowbirthweightinfantsaquasiexperimentalstudy AT litaotao familycenteredcareimprovesclinicaloutcomesofverylowbirthweightinfantsaquasiexperimentalstudy AT liuzhenye familycenteredcareimprovesclinicaloutcomesofverylowbirthweightinfantsaquasiexperimentalstudy AT zhulihui familycenteredcareimprovesclinicaloutcomesofverylowbirthweightinfantsaquasiexperimentalstudy AT latourjosm familycenteredcareimprovesclinicaloutcomesofverylowbirthweightinfantsaquasiexperimentalstudy |