Effect Of Family Integrated Care Duration On Nursing Care Of Preterm Infants

Objective:To explore the effect of different Families Integrated Care duration on the nursing effect of preterm infants,in order to better implement Families Integrated Care.Methods:108 preterm infants who met the inclusion and exclusion criteria were selected,and the infants were divided into control group whose parents could not visit the children daily for various reasons,and the infants whose parents could visit the children every day but could not accompany them for 24 hours in the FIC-3h group,and the infants whose parents could accompany the infant for 24 hours in the FIC-24 h group.The control group received the routine NICU nursing.Parents of infants visit their children through the video visitation system.The nursing of the infants is the responsibility of the nurses,and nurse discharged the child's parents at the time of discharge mission.FIC-3h Group implementing Families Integrated Care,with daily family participation of 3 hours.FIC-24 h Group implementing Families Integrated Care,with daily family participation of24 hours.For both FIC Group,transfer the infants to the FIC ward,after the infants' vital signs are stable and reach the group standard.The trained parents enter the NICU responsible for all the non-medical care of the infants with the nurses' bedside guidance.The feeding status,weight gain,nosocomial infection rate,three months after discharge,and the level of stress and anxiety of parents in three groups were observed.Through SPSS23.0 and SAS9.2 software,variance analysis,Card square test,repeated measurement variance analysis and so on are used for statistical analysis.Results:1.There were no statistically significant differences among the three groups of preterm infants in terms of gestational age,birth weight,Apgar score,sex,whether twin births,admission diagnosis,parents ' age,parents ' educational level,etc.(P>0.05),and were clinically comparable.There was no statistically significant difference in the number of family participation days between the two FIC groups(P>0.05),which was clinically comparable.2.Weight gain: Three groups of infants in hospital weight growth rate difference is statistically significant(P<0.05),further pairwise comparison,FIC groups' weight growth rate is better than the control group,and FIC-24 h group is better than FIC-3h group(all P<0.05).Three groups of infants' follow-up weight per month of three months after discharge analysised by repeated measurement variance analysis,combined with orthogonal polynomial trend analysis,the results showed that the FIC groups' weight growth trend is greater than the control group,and the FIC-24 h group is greater than the FIC-3h group(all P<0.05).3.Feeding status: The differences in feeding intolerance,breastfeeding rates and exclusive breastfeeding rates were statistically significant in three groups of preterm infants(all P<0.05).Further pairwise comparison,the feeding intolerance rate in FIC-24 h group was lower than that in the control group(P<0.05),and the difference between FIC-3h Group and FIC-24 h group ? control group were not statistically significant(P>0.05).The breastfeeding rate and exclusive breastfeeding rate in FIC groups were higher than those in the control group,and the difference was statistically significant(all P<0.05),but there was no significant difference between the two groups of FIC-3h Group and FIC-24 h Group(P>0.05).There was no significant difference in the total amount of gastrointestinal nutrition in the three groups of infants(P<0.05).4.Other indicators: The different of three groups at hospital infection rate,oxygen days is not statistically significant(all P>0.05).There was a statistically significant difference between the three groups in Readmission rate in three months after discharge(P<0.05).Further pairwise comparison,the results showed that the FIC-24 h groups was lower than the control group(P<0.05),and the difference between FIC-3h Group and FIC-24 h group ? control group were not statistically significant(P>0.05).5.Children's parents stress anxiety situation: The different of three groupsparents' PSS score at the time of infant admission is not statistically significant(P>0.05),comparable.Each group at the time of admission and discharge of PSS score was analyzed with paired T test,the results showed that the three groups' PSS score when discharged from hospital the was lower than the score when the admission,the difference was statistically significant(all P<0.05).The difference of three groups at PSS score of discharge time,the different value of PSS score between admission and discharge time was statistically significant(all P<0.05).Further pairwise comparison,FIC groups' PSS score of discharge time was lower than the control group at the time of discharge,and the FIC-24 h group was lower than the FIC-3h group(all P<0.05).The different value of PSS score between admission and discharge time of FIC groups was greater than that in the control group,and the FIC-24 h group was larger than the FIC-3h group(P<0.05).Conclusion:1.FIC can promote the weight gain of preterm infants,improve the rate of breastfeeding,relieve the tension and anxiety of parents in preterm infants.And it won't increase nosocomial infection.2.Increasing the length of daily family integrated care time is more effective in promoting weight gain in preterm infants and reducing parents stress and anxiety levels,without increasing nosocomial infection rates in preterm infants.3.The hospitals should carry out FIC,and to provide parents with the environment and conditions to care for their infant all day.And we should encourage parents to participate in the care of preterm infants and to accompany and care their infant as 24 hours as possible...