Application Research Of Family-centered Care In Very Low Birth Weight Infants

Objective：In the present relevant system of our NICU，adopt a semi-open visit system，toexplore the effect of family-centered care on very low birth weight in children.Methods：Implement the family-centered care model in the neonatology of the SecondHospital of Jilin University, select very low birth weight infants admitted to theneonatology from March to October2014, and gather the general information ofVLBWI who meet the study inclusion criteria.We divided the families who have thecondition to the hospital to visit and take care of the children every day intoexperimental group, and divided the families who have no condition to the hospital tovisit and take care of the children as a control group.Take active implementation ofFCC mode on the experimental group,collecting two groups infants commoncomplications morbidity, weight gain and length of hospital stay, outpatient visitswithin and readmission case one month after discharge， neonatal behavioralneurological assessment. The collection will be finished at the end of December2014,according to the experimental process.Finishing the data use EXCEL software andSPSS17.0software for statistical analysis.Results：1. The comparison of two groups of VLBWI in gender, gestational age, birthweight, family income and parents cultural level, the difference was not statisticallysignificant, two samples were comparable.2. The comparison of related complications morbidity of two VLBWI likefungal infection, ICH, RDS, BPD, ROP, the difference was not statistically significant(P>0.05), consider two groups of VLBWI had no significant difference in pathological conditions and comparable.3. The comparison of two VLBWI month weight gain was no significantdifference (P>0.05).4. After the intervention, the comparison of two groups VLBWI hospital staycontrast difference was statistically significant (P <0.05), NBNA compare scores havestatistically significant (P <0.01). FCC can reduce the hospitalization time andimprove neurological development.5. The comparison of the two groups VLBWI outpatient visits rates within amonth after discharge, there was no significant difference (P>0.05), readmission rateshave a significant difference (P <0.05), FCC can significantly reduce the VLBWIreadmission rates within one month after discharge.Conclusions：1. FCC may reduce the length of hospital stay of the VLBWI.2. The FCC can enhance the families ability and confidence in take care of theVLBWI, and had a significant reduction of readmission conditions within one monthafter discharge of the VLBWI.3. FCC in favor of VLBWI of limb movement and nerve development.4. Participation FCC process, the family’s medical knowledge, ability to care thepremature children have some increase.