Effect Of Applying Family Integrated Care In Very Low Birth Weight Preterm Infants

Objective:Implementing family-integrated care(FIC)and conventional NICU care in the two groups of very low birth weight preterm infants(VLBWPI)respectively,to explore better care model of VLBWPI,by comparing two groups infants during hospitalization and within three months after discharge.Methods:72 very low birth weight preterm infants admitted to hospital between 2017 March to September were divided into control group and observation group of 36 cases,according to the hospital double number and single numbe.Both groups of infants were treated and cared in the NICU ward during hospitalization.The control group received the routine NICU nursing.Observation group received family-integrated care when they met the FIC enrollment criteria,the parents allowed to stay in the family participating ward,under the guidance of the nurse bedside,parents accompany their children for 24 hours and assume all non-medical routine life care.Parents of all the infants were given the Parental Stress Anxiety Rating Scale(PSS)score on the NICU at the time of admission and discharge.Collected these infants' weight growth,breast feeding,the PSS score,the increase of weight and readmission data within three months after discharge.The data were statistically analyzed using chi-square test,t-test,rank sum test and repeated measures ANOVA.Results:1.Two groups of 35 cases of infants and parents complete data were collected.There was no significant difference in the general data between the two groups of infants and parents(P>0.05),indicating that the baseline data of the two groups were balanced.2.The weight gain rate during hospitalization between the two groups was compared.The results showed that there was a statistically significant differences in the weight growth rate between the two groups(P<0.05),and the weight growthrate(X=19.8)of observation group higher than the control group(X=17.7).Compared the two groups of infants' composition of the feeding intolerance.The results showed that in the observation group,8 infants(22.9%)with feeding intolerance and 16 infants(45.7%)in the control group with feeding intolerant,and the difference was statistically significant(P<0.05).The comparison of breastfeeding status between the two groups when discharged from hospital showed that there was a significant difference in breastfeeding rate and exclusive breastfeeding rate between the two groups(P<0.001).The rate of breastfeeding(100%)in observation group was higher than that in control group(62.9%).The rate of exclusive breastfeeding in the observation group(94.3%)was higher than that in the control group(51.4%).3.There was no significant difference between the two groups of parents in admission PSS score(P=0.394),which was clinically comparable.At discharge,comparing PSS scores of parents in two groups,the results showed that there was significant difference between the two groups and the observation group at discharge was lower than that in the control group.Paired t-tests were performed on PSS scores at admission and at discharge from both parents.The results showed that the observation group t=11.2(P<0.001),the control group t=5.5(P<0.001),the difference was statistically significant,we can think that the PSS scores at discharge of the two groups were lower than the PSS score at admission.Further analysis of two groups of parents with PSS score decreased,the PSS scores of two groups of parents at discharge compared to the PSS score at admission to reduce the amount of difference between two groups was calculated for two independent samples t test,the results showed that t=7.0,P<0.001,the difference was statistically significant.The differences in PSS scores between hospital discharge and hospital admission differed from each other,and the decrease in PSS score of parents in observation group was greater than that in control group.4.The body weight of VLBWPI at discharge,one month after discharge,two months after discharge and three months after discharge were described.The two groups of infants with the change of time,body weight are growing.The variance analysis of repeated measurement design of body weight at four time points showed that there was a significant difference(P <0.001)between the mean bodyweight of infants at four time points.There was an interaction between the groups and follow-up time(P<0.001).The results of intergroup analysis showed that there was a significant difference in body weight between FIC group and control group(P<0.01).The neonatal mean body weight growth trend of observation group was significantly greater than the control group.Orthogonal polynomials were used to analyze the trend of the data to further illustrate whether the different groups of infants with changes in body weight in the time trend of the differences also showed that infants of observation group growth trend is greater than the control group.Compared two groups of infants during follow-up whether rehospitalization for more than.The results showed that the difference was statistically significant,we can think observation group rehospitalization rate was lower than the control group.Conclusion:1.FIC nursing intervention can improve growth outcomes of VLBWPI during hospitalization,and increase the rate of breastfeeding;2.FIC nursing intervention can ease the tension and anxiety of VLBWPI parents;3.FIC nursing intervention can improve the body weight growth rate of VLBWPI after discharge within three months and reduce rehospitalization rate.